The paper focuses on the complex relations between aesthetics and phenomenology as they show themselves within the core locus of their interplay—the realm of the visible and the invisible. To do so, the paper examines a specific case study, a Rembrandt painting—A Woman Bathing in a Stream (1654)—through which the discussion illuminates the interconnected and inseparable relationship between aesthetics and phenomenology in relation to Merleau-Ponty’s ontology of the visible and the invisible. The reading addresses both dimensions of the visible: the (...) essential intersubjective aspect of life and its complex visual representation in art. To achieve this, the paper first explores Merleau-Ponty’s late aesthetic ontology—a phenomenology that perceives the aesthetic realm, particularly the visible domain, as originating from human corporeal existence, thereby redefining the act of seeing and the concepts of the visible and the invisible; I show the manner in which invisible elements permeate our visual experience in the Rembrandt painting and in seeing as such. The paper also reveals the unique ontological role of painting and the painter in unveiling the aesthetic world, and in guiding the philosopher toward a vision that true philosophy—phenomenology—must embrace. The paper concludes by rethinking the significance of aesthetics, and especially, the arts, to phenomenological thought, and the necessity of phenomenology to aesthetic thought. (shrink)

The repertory grid method was used to determine what terminology respondents use to distinguish between different applications of genetic engineering drawn from food- related, agricultural, and medical applications. Respondents were asked to react to fifteen applications phrased in general terms, and results compared with a second study where fifteen more specific applications were used as stimuli. Both sets of data were submitted to generalized Procrustes analysis. Applications associated with animals or human genetic material were described as causing ethical concern, (...) being unnatural, harmful, and dangerous. Those involving plants or microorganisms were described as beneficial, progressive, and necessary. The results were validated in survey research, which indicated that general applications ofgenetic engineering were perceived as either positive or negative, whereas specific applications were more highly differentiated in perceptual terms. The results imply that the public debate about genetic engineering must take due account of the complexity of public concerns. (shrink)

This article discusses the conditions under which the use of expert knowledge may provide an adequate response to public concerns about high-tech, late modern risks. Scientific risk estimation has more than once led to expert controversies. When these controversies occur, the public at large – as a media audience – faces a paradoxical situation: on the one hand it must rely on the expertise of scientists as represented in the mass media, but on the other it is confused (...) by competing expert claims in the absence of any clear-cut standard to judge these claims. The question then arises, what expertise can the public trust? I argue that expert controversies cannot be settled by appealing to neutral, impartial expertise, because each use of expert knowledge in applied contexts is inextricably bound up with normative and evaluative assumptions. This value-laden nature of expert contributions, however, does not necessarily force us to adopt a relativist conception of expert knowledge. Nor does it imply active involvement of ordinary citizens in scientific risk estimation – as some authors seem to suggest. The value-laden, or partisan, nature of expert statements rather requires an unbiased process of expert dispute in which experts and counter-experts can participate. Moreover, instead of being a reason for discrediting expert contributions, experts'' commitment may enhance public trustworthiness because it enlarges the scope of perspectives taken into account, to include public concerns. Experts who share the same worries as (some of) the public could be expected to voice these worries at the level of expert dispute. Thus, a broadly shaped expert dispute, that is accessible to both proponents and opponents, is a prerequisite for public trust. (shrink)

Drawing on the recognition that questions of discourse and power are vital components in analysing the public participation in environmental governance, this paper examines the ways in which dominant scientific discourses about the Earth's climate inform the types of public talk facilitated in and by mini-publics, particularly when they are ‘scaled up’ to address environmental issues such as climate change. World Wide Views on Global Warming (WWViews) serves as a case study. Conceived and organised by the Danish Board (...) of Technology, WWViews was a historically unprecedented public forum in which participants, invited from a range of nations, were given the opportunity to deliberate on key themes addressed in the negotiations taking place during the United Nations Convention on Climate Change in Copenhagen (COP 15). The overarching purpose of this analysis is to invite reflection on the practices and assumptions that serve to make up publics in relation to issues that have been framed, predominantly, as scientific, universal and global. (shrink)

Future global food insecurity due to growing population as well as changing consumption demands and population growth is sometimes suggested to be met by increase in aquaculture production. This raises a range of ethical issues, seldom discussed together: fish welfare, food security, human health, climate change and environment, and public concern and legislation, which could preferably be seen as pieces in a puzzle, accepting their interdependency. A balanced decision in favour of or against aquaculture needs to take at (...) least these issues into consideration. It is further argued that in the parallel discussion on increased livestock production animal welfare is an inevitable element both in relation to current legislation in many countries but also in relation to our perception of moral, whereas awareness of fish welfare is low. Both EU legislation and labelling concerning fish is mainly limited to environmental aspects. It is argued that EU shows a split perception of fish, on the one hand acknowledging scientific evidence of fish capacities but on the other excludes fish from detailed legislation. Combining the claim of the Treaty of Lisbon to pay full regard to animal welfare and scientific evidence fish are sentient it is concluded that fish welfare need to be considered in any farming practice and any ethical consideration of increased aquaculture. This might be facilitated taking a basis in our own vulnerability and interdependence, combined with moral responsibility to show sentient beings a ‘loving kindness’—an extension of Cora Diamond’s argument regarding mammals. (shrink)

Editor's introduction by Leonard Levin -- A personal viewpoint: autobiographical essay -- My way in the research and teaching of Jewish thought -- Judaism and the lonely Jew -- Faith: its trusting and testing - the question of God's righteousness -- History in the postmodern age -- The idolatrous values and rituals of the global village.

This review begins with a detailed focus on the Turnaway Study, which addresses associations among early abortion, later abortion, and denied abortion relative to various outcomes including mental health indicators. The Turnaway Study was comprised of 516 women; however, an exact percentage of the population is not discernable due to missing information. Extrapolating from what is known reveals a likely low of 0.32% to a maximum of 3.18% of participants sampled from the available the pool. Motivation for conducting the Turnaway (...) Study, methodological deficiencies (sampling issues and others), and bias are specifically addressed. Despite serious departures from accepted scientific practices, journals in psychology and medicine have published dozens of articles generated from the study’s data. The high volume of one-sided publications has stifled dialogue on potential adverse psychological consequences of this common procedure. Following a critical analysis of the Turnaway Study, an overview of the strongest studies on abortion and mental health is offered. This comprehensive literature comprised of numerous large-scale studies from across the globe has been largely overlooked by scientists and the public, while the Turnaway Study dominates the media, information provided to women, and legal challenges involving abortion restrictions. In the final section of this article, literature reviews by professional organizations are considered, demonstrating that the biased science characterizing the Turnaway Study is aligned with a pervasive and systemic phenomenon wherein deriving reliable and valid results via careful attention to methodology and scrutiny by the scientific community have been supplanted by politics. (shrink)

The JSTOR Archive is a trusted digital repository providing for long-term preservation and access to leading academic journals and scholarly literature from around the world. The Archive is supported by libraries, scholarly societies, publishers, and foundations. It is an initiative of JSTOR, a not-for-profit organization with a mission to help the scholarly community take advantage of advances in technology. For more information regarding JSTOR, please contact support@jstor.org.

It is now widely expected that climate change will be serious enough that a very large number of people will be displaced from their homes because of events relating to or resulting from climate change. Such events may include rising sea levels (and resulting increased salination of ground water), stronger hurricanes and tropical storms, drought, floods, increased and more intense wildfires, and other extreme or (previously) unusual weather events. Although estimates vary widely, it seems very likely that many millions of (...) people—perhaps hundreds of millions if sufficient precautions are not taken—will be forced from their homes by these events related to climate change. In the public imagination, much of the attention has been on ‘climate refugees’, where this is taken to mean people who have crossed borders. However, there is good reason to believe that a very large percentage—probably a significant majority—of displacement resulting from climate change will be, or could be, internal. In this chapter I argue that there are likely to be a large number of cases where internal displacement related to climate change is of international concern, and where, therefore, states have significant moral reasons to provide assistance, either directly to those displaced, or else to the state in which the displacement has taken place. My claim is that internal displacement arising from climate change is of international concern and so grounds a duty of aid by states able to provide it, when this displacement threatens the basic human rights of those displaced, and when the local or domestic government cannot or will not take the necessary steps to meet the needs and protect the rights of those who are displaced. (The uploaded version of this paper is an uncorrected proof. Please cite and refer to the published version.). (shrink)

There is an increasing tendency for administrators and government to expect both the health services and the education service to 'show results' for the investment of public money in them. One response to this has been the growing commitment to 'health promotion', where measurable objectives may be set in terms of desired behaviour (stopping smoking, breast self-examination, child immunisation etc) and where evaluation can be made on the evidence of statistical improvement. Health workers use the term 'promotion' in a (...) variety of ways which seem to be as confusing to them as they are to their clients --the general public. Since successful promotion is likely to depend on the 'hard sell' (and since the methodology and aims of this may be incompatible with those of health education) this paper looks at some of the questions which the customer might wish to ask the salesman before deciding whether or not to buy. (shrink)

Over the last 30 years, the publicly visible “otherness” embodied by the Muslim population in the member states of the European Union has sparked movements of transnational public discussions mainly driven by the fear of the collapse of “national cohesion.” This paper engages theoretically with the idea that these debates have become an ordinary trap for European publics, France being the main illustration in the text. It is more specifically concerned with the discussions surrounding the recent ban on the (...) wearing of the full veil in French public space, asking: what does the omnipresence of public discussions about religious otherness reveal of the national culture of citizenship? What are the epistemological and political implications of the evaluation of daily individual experiences as criminal in secular contexts? The text develops some speculative readings of the public experience arising from the visibility of Islamic religious signs and the capital attached to their visibility. (shrink)

This paper offers an account of a phenomenon that seems increasingly common in public discourse: trolling. The term “troll” is colloquial, and no formal synonym exists in English. But the informality of the term should not mislead us into thinking that the underlying concept is so unimportant as to be unworthy of philosophical attention or so ill-behaved as to be resistant to philosophical analysis. This paper presents such an analysis.

This article explores the philosophical underpinnings and implications of the idea of the public in the US state processes of knowledge production and control. In it we take up questions of public and counterpublic political philosophical knowledge production and mediation in relation to an expanding state. Specifically, we examine the political philosophies of racialized counterpublics since the 1960s, considering the particular knowledge production genre of the political prison letter. We suggest that the philosophical principles of the dominant (...) class='Hi'>public in the US have a proclivity to merge with state mechanisms of domination and to thwart counterpublics and their modes of political knowledge production. (shrink)

Significant attention is paid to what is coined _dual use research (DUR)_, or research that has the potential to benefit and harm humanity, and _dual use research of concern (DURC)_, a particular subset of DUR that is reasonably anticipated to be a safety and security concern if misapplied. Despite growing attention to DUR and DURC, there is entrenched and often overlooked ambiguity over these terms, and thereby, the challenges they pose. Conceptual clarity is much needed and is the (...) rationale behind this paper. We begin by explaining existing overlooked disagreement surrounding the nature of DURC in particular, highlighting how various organizations and scholars understand DURC differently. We then set out and defend an account of DURC that captures its necessary and sufficient conditions and which sets it apart from DUR. We argue that scientifically valid research counts as DURC if it is suspected that its misuse, intentional or otherwise, can have a significant adverse effect on public health. (shrink)

In Sweden, palliative care has, over the past decades, been object to policies and guidelines with focus on how to achieve “good palliative care”. The aim of this study has been to analyse how experts make sense of the development and the current state of palliative care. Departing from this aim, focus has been on identifying how personal experiences of ‘the self’ are intertwined with culturally available meta-level concepts and how experts contribute to construct new scripts on palliative care. Twelve (...) qualitative interviews were conducted. Four scripts were identified after analysing the empirical material: 1. script of paths towards working within palliative care; 2. script of desirable and deterrent reference points; 3. script of tensions between improvement and bureaucracy; and 4. script of low status and uncertain definitions. The findings of this study illustrate how experts in complex ways intertwine experiences of ‘the self’ with meta-levels concepts in order to make sense of the field of palliative care. The participants did not endorse one “right way” of “good” deaths. Instead, palliative care was considered to be located in a complex state where the historical development, consisting of both desirable ideals, death denials and lack of guidelines, and more recent developments of strives towards universal concepts, “improvement” and increased bureaucracy altogether played a significant role for how palliative care has developed and is organised and conducted today. (shrink)

As Bangladesh faces political transformation, the Bangladesh Nationalist Party (BNP) grapples with existential threats amid rising grassroots movements. The emergence of a new political force from the 2024 student-public uprising poses a dual challenge for the BNP: it risks losing its voter base to this group, which effectively channels public frustrations, and it struggles against the perception of being part of a dysfunctional political system. This moment calls for the BNP to reinvent itself by bridging leadership gaps and (...) connecting more effectively with voters, while the student leaders must consider the value of institutionalizing their movement to ensure lasting political transformation. (shrink)

There can be a temptation to dismiss moral pushback against novel science and technology, particularly commonplace labels for nanotechnology and synthetic biology like “playing God” or “messing with nature". One of the reasons for this is an implicit association between tragic themes and a lack of constructive benefit. Therefore, this paper uses concepts from art and cinema to offer a new perspective on public "fears": ecstatic reframing. By treating negative narratives not as roadblocks to progress, but portals into latent (...) dreams, this novel method reframes such views as housing a positive vision. However, while this offers a new approach regarding public talk of emerging science and technology, lay ethics is ultimately insufficient to deal with the underlying problems that stimulate their tragic tone. This paper uses a classic concept from anthropology--rites of passage--to argue that public unease is fundamentally cultural: modernity's lack of a collectively agreed upon worldview and primordial ritual structure for stewarding change. This "cultural deficit" may lie at the core of tragic narratives regarding emerging science and technology. (shrink)

The Director of a new UK organisation which helps employees voice their concerns constructively explains its aims and methods, and reports on its achievements to date.

Purpose Human genomic research demands very large pools of data to generate meaningful inference. Yet, the sharing of one’s genetic data for research is a voluntary act. The collection of data sufficient to fuel rapid advancement is contingent on individuals’ willingness to share. Privacy risks associated with sharing this unique and intensely personal data are significant. Genetic data are an unambiguous identifier. Public linkage of donor to their genetic data could reveal predisposition to diseases, behaviors, paternity, heredity, intelligence, etc. (...) The purpose of this paper is to understand individuals’ willingness to volunteer their private information in this high-risk/high-reward context. Design/methodology/approach The authors collect survey data from 273 respondents and use structural equation modeling techniques to analyze responses. Findings The authors find statistical support for our theorization. They find that while heightened awareness of the benefits and risks of sharing correlates with increased privacy concerns, the net impact is an increase in intention to share. Social implications The findings suggest that prescriptive awareness might be an effective tool with which policy-makers can gain the sufficient voluntary participation from individuals necessary to drive large-scale medical research. Originality/value This study contributes a theoretically and empirically informed model which demonstrates the impact of awareness and privacy concern on individuals’ willingness to share their genetic data for large-scale HGR. It helps inform a rising class of data sufficiency problems related to large-scale medical research. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:46. ARTIFICIAL VIRTUE, SELF-INTEREST, AND ACQUIRED SOCIAL CONCERN I One of Hume's most celebrated contributions to moral philosophy is his distinction between natural and artificial virtue. This is obviously intended to be an important distinction but its significance is less than obvious. Many modern commentators view both as interest based, with the natural virtues related to our immediate interests while the artificial are linked to our enlightened long-term (...) interests. Despite the fact that this standard reading does have some textual support (e.g., T535, 2 537), it is not without its difficulties. The major problem lies in the account of why artificial virtues are, in fact, virtues. Natural and artificial virtues frequently encourage conflicting actions. For example (T497498 ), the repayment of a loan to a "seditious bigot" may be in accord with the artificial virtue attached to justice, but nevertheless may thwart public as well as individual interest and consequently clash with natural virtue. As a result, we are faced with two alternatives: We can either accept the standard interpretation and its attendant incoherencies or we can re-examine Hume's natural/artificial distinction in hopes of arriving at a reading capable of avoiding these complications. What follows is an attempt to exploit the second option. In essence, I shall urge that a sharper distinction is needed between the artificial and natural virtues. The present deficiency clearly emerges once we realize that the standard account totally overlooks a critical aspect of Hume's doctrine. Not only does Hume provide a speculative history of how societal conventions arose from the state of nature (an essentially diachronic account), but he also offers an explanation of why we now attach moral approbatior to actions falling within these conventions (an essentially 47. synchronie account). It is the latter that enables Hume to explain the connection between moral sentiment and the artificial virtues; yet this aspect is completely neglected on the popular interpretation. These two accounts must be distinguished and clarified in order to understand Hume's intent and position. II Hume's distinction between natural and artificial virtue is roughly this: Natural virtue is attributable to those sentiments and passions which, if acted upon, generally tend to yield pleasing results to ourselves or others. On the other hand, we ascribe artificial virtue to actions which constitute a certain practice, the observance of which tends towards the good of mankind. Thus, an action is naturally virtuous if it is motivated by a sentiment which, if regularly acted upon, would have pleasant results. Because of this, naturally virtuous actions usually have pleasing consequences. It is in our own self-interest to promote the natural virtues and the actions they engender. Meanwhile, we attach artificial virtue to actions falling under a practice or convention. In effect, we view the entire practice as well as its particular constituent actions as virtuous. This distinction seems fairly simple; nonetheless it has two significant consequences. First, in both cases, virtue is attributed to the motives behind rather than the specific actions themselves. For instance, Hume argues that benevolence is a natural virtue (E295-302), therefore any action following from this motive will be virtuous. However, the same action fails to be virtuous if it does not stem from the sentiment of benevolence. It is the motive that bestows virtue upon the action. Similarly, an action is artificially virtuous if it arises from an artificially virtuous motive. For example, an action is 48. artificially virtuous if it springs from the desire to do what is just (an artificially virtuous motive) ; yet the same action is not virtuous if it is inspired by a nonvirtuous motive or mere caprice. Just as with their natural counterparts, artificially virtuous motives are responsible for the actions they induce. But it is here that the similarity ends, for natural virtue is assigned to motives to perform immediately agreeable actions while artificial virtue is connected with motives to act within institutions deemed to be in the interest of society. To return to the earlier examples, actions arising from benevolence will almost always have an immediately agreeable affect, although, as Hume admits (T497-498, 597; E286, 304), there are exceptions. Of course actions performed for the... (shrink)

Proponents of the public goods argument ('PGA') seek to ground the authority of the state on its putative indispensability as a means of providing public goods. But many of the things we take to be public goods – including many of the goods commonly invoked in support of the PGA – are actually what we might term publicized goods. A publicized good is any whose ‘public’ character results only from a policy decision to make some good (...) freely and universally available. This fact poses complications for the PGA, insofar as the set of possible publicized goods is quite extensive indeed. (shrink)

Since the 1960s, scientists, engineers, and healthcare professionals have developed brain–computer interface (BCI) technologies, connecting the user’s brain activity to communication or motor devices. This new technology has also captured the imagination of publics, industry, and ethicists. Academic ethics has highlighted the ethical challenges of BCIs, although these conclusions often rely on speculative or conceptual methods rather than empirical evidence or public engagement. From a social science or empirical ethics perspective, this tendency could be considered problematic and even technocratic (...) because of its disconnect from publics. In response, our trinational survey (Germany, Canada, and Spain) reports public attitudes toward BCIs (N = 1,403) on ethical issues that were carefully derived from academic ethics literature. The results show moderately high levels of concern toward agent-related issues (e.g., changing the user’s self) and consequence-related issues (e.g., new forms of hacking). Both facets of concern were higher among respondents who reported as female or as religious, while education, age, own and peer disability, and country of residence were associated with either agent-related or consequence-related concerns. These findings provide a first look at BCI attitudes across three national contexts, suggesting that the language and content of academic BCI ethics may resonate with some publics and their values. (shrink)

The present study aims to examine the context of academic dishonesty of research students in a public university setting in Bangladesh. In this regard, the researchers conducted interviews with the concerned authorities of the university, i.e., Chairpersons of the Departments, Deans of the Faculties, Proctor of the University, and Director of Students Guidance and Counselling Cell in order to get an impression about the current practice of academic dishonesty by the students of that university; factors influencing these activities and (...) recommendations to uphold academic integrity among the students. The results showed that though there were several instances of academic integrity violation, negligible actions were taken against them due to the absence of an established policy on academic dishonesty. At the same time, the nonexistence of a course on academic integrity and research ethics in the curriculum is also responsible for this scenario. To mitigate this issue, all the concerned authorities strongly recommended formulating a central policy on academic dishonesty for promoting academic integrity and achieving university ranking success in global competitiveness. (shrink)

Environmental pollution and greenhouse gas emissions that contribute to climate change have adverse impacts on global health. Somewhat paradoxically, health care systems that aim to prevent and cure disease are themselves major emitters and polluters. In this paper we develop a justification for the claim that solidaristic health care systems should include sustainability as one of the criteria for determining which health interventions are made available or reimbursed – and which not. There is however a complication: most adverse health effects (...) due to climate change do occur elsewhere in the world. If solidarity would commit us to take care of everyone’s health, worldwide, it might imply that solidaristic health system cannot justifiably restrict universal access to their own national populations. In response we explain health solidarity is to be considered as a moral ideal. Such an ideal does not specify what societies owe to whom, but it does have moral implications. We argue that ignoring sustainability in political decision making about what health care is to be offered, would amount to betrayal of the ideal of solidarity. (shrink)

The key problems and challenges connected with the Covid-19 pandemic in the field of education in sub-Saharan Africa are described in this paper. The study is based on the information collected from teachers and parents during the lockdown. The main problems connected with the organization of distance learning, such as the availability and accessibility of electricity and stable communications, were described. The main questions connected with the support of e-learning such as unequal access to distance education platforms and tools and (...) readiness of teachers of public and private schools were described. Key social and demographic challenges and threats to sustainable e-learning, such as critical overload of teachers, child mobilization for domestic tasks, age, ethnic and gender-based harassment and violence were analyzed. It was found that the main risks are the rapid and uncontrolled commercialization of education and the decline of public schools, which leads to a decrease in the quality of education and increasing inequality. It was concluded that pandemic-induced risks in education are non-linear and heterogeneously spatially, temporally, and socially distributed. The successful strategy of these risks reduction aimed at sustainable education should be based on transition plans, which must include not only the development of sustainable education but also the fighting against inequality. (shrink)

African researchers and their collaborators have been making significant contributions to useful research findings and discoveries in Africa. Despite evidence of scientific misconduct even in heavily regulated research environments, there is little documented information that supports prevalence of research misconduct in Africa. Available literature on research misconduct has focused on the developed world, where credible research integrity systems are already in place. Public attention to research misconduct has lately increased, calling for attention to weaknesses in current research policies and (...) regulatory frameworks. Africa needs policies, structural and governance systems that promote responsible conduct of research. To begin to offset this relative lack of documented evidence of research misconduct, contributors working in various research institutions from nine African countries agreed to share their experiences to highlight problems and explore the need to identify strategies to promote research integrity in the African continent. The experiences shared include anecdotal but reliable accounts of previously undocumented research misconduct, including some ‘normal misbehavior’ of frontline staff in those countries. Two broad approaches to foster greater research integrity are proposed including promotion of institutional and individual capacity building to instil a culture of responsible research conduct in existing and upcoming research scientist and developing deterrent and corrective policies to minimize research misconduct and other questionable research practices. By sharing these experiences and through the strategies proposed, the authors hope to limit the level of research misconduct and promote research integrity in Africa. (shrink)

Coming away from a first reading of Eve Kosofsky Sedgwick’s “The Beast in the Closet: James and the Writing of Homosexual Panic,” my sense of its pertinence to what I have written on film melodrama is so urgent that I find myself unwilling to make public the foregoing latest installment of my thoughts on the subject without including some initial responses, however hurried and improvisatory they must be now, to the material she has so remarkably brought together. Her work, (...) among other matters, proposes an understanding of James’s “The Beast in the Jungle” that to my mind cannot sensibly be passed by in thinking further about James’s achievement. Since in readdressing James’s text in my preceding remarks about Now, Voyager, and specifying my reason in having adduced it at the end of my earlier account Letter from an Unknown Woman by describing that film’s philosophical design—relating the melodrama of the unknown woman to the woman’s assignment to prove the man’s existence, or preservation, to him, or for him, hence impossibly attempting to perform his cogito, the taking on of his subjectivity, overcoming his skepticism by accepting that subjectivity as undeniable—I am understandably interested, to begin with, in tracing out the connection between things Sedgwick says about John Marcher’s “two secrets” and things I have said about secrecy as a cover for the idea of “privacy” in Ludwig Wittgenstein’s fantasy of a private language. (shrink)

For successful climate change adaptation, the distribution of responsibility within society is an important question. While the literature highlights the need for involving both public and private actors, little is still known of how citizens perceive their own and others’ responsibility, let alone the moral groundings for such perceptions. In this paper, we report the results of a survey regarding people’s attitudes towards different ways of distributing responsibility for climate change adaptation. The survey was distributed to citizens in six (...) Swedish municipalities and completed by 510 respondents. A large number of respondents wanted to assign responsibility for making decisions about and implementing adaptation measures to local governments, but also to property owners, whereas the national government was raised as responsible for setting decision boundaries and for financial support. The most preferred principles for a fair distribution of responsibility among the respondents were desert, ability, efficiency and need, while the principle of equal shares found less support. All principles received some support, indicating that it is necessary to consider several principles when distributing responsibility for climate change adaptation. Compared to earlier studies, this study shows more nuanced perceptions on who should be responsible and on what moral grounds. (shrink)

Public health is currently evolving, expanding, and reinforcing itself as a governance project in which health authorities’ concerns meet and blend with epidemiology and civil engineering. Rarely, however, are those concerns found worthy of examination, at least not to account for the multiplying involvements of public health, its ability to find political life in things, and its many translations. The shape of public health is dictated as much by its matters of concern as it is by (...) biopolitical and brute matters of fact. This article presents a genealogy of public health in Victorian England between 1834 and 1848 in order to glimpse the matters of concern around which it stabilized. The political medicine that preceded public health holds the clue in its assertion of life as a form of worth, as prominent a criterion for the assessment of sociomaterial arrangements as profitability or efficiency. This article describes public health as an ensemble presence, a unique gathering, in which political will follows medical diagnosis, and life is worth at least as much as money. (shrink)

In his 2000 book, From Chaos to Coercion: Detention and the Control of Tuberculosis, Richard Coker makes a number of important observations and arguments regarding the use of coercive public health measures in response to infectious disease threats. In particular, Coker argues that we have a tendency to neglect public health threats and then demand immediate action, which can leave policymakers with fewer effective options and may require (or may be perceived as requiring) more aggressive, coercive measures to (...) achieve public health goals. While Coker makes a convincing case as to why we should find it ethically problematic when governments find themselves in this position and resort to coercion, left outstanding is the question of whether this should preclude governments and health authorities from using coercion if and when they do find themselves in this position. In this paper, I argue that, while we should consider it ethically objectionable when governments resort to coercion because they have neglected a public health threat, its causes, and other possible responses to that threat, this should not then necessarily rule out the use of coercion in such circumstances; that there are ethically objectionable antecedents for why coercion is being considered should not necessarily or automatically cause us to think coercion in such cases cannot be justified. I address an objection to this argument and draw several conclusions about how governments’ use of coercion in public health should be evaluated. (shrink)

The forensic use of DNA involves the public in a number of roles. The rapid adoption of DNA identification as a part of the legal system and continuing developments have afforded little opportunity to thoroughly interrogate public understandings of issues. This article reports on a survey that explores public understanding of the forensic use of DNA: sources of knowledge, understandings of processes, and attitudes toward DNA use. Overall, knowledge about DNA use was limited, particularly around means of (...) taking samples and storage, and two thirds stated that they did not have enough information about DNA use. While the majority agreed that such use of DNA is “a great step forward,” they “would be happy to give a DNA sample if requested,” and considered DNA evidence to be important, concern was indicated about some areas, such as possible mistakes. This was particularly the case for indigenous peoples. (shrink)

In the course of a project on European policy on media and alcohol, a series of structured deliberative discussion sessions with young people (aged 13–25 years) in Sweden were arranged, where young people could communicate and exchange ideas about risks and policy issues connected to alcohol consumption and drinking, as presented in fictional media. The objective was to understand how risks and knowledge about alcohol consumption is acquired by young people and ‘uploaded’ to peers. The discussion sessions applied adapted variants (...) of the Youth Jury approach developed to facilitate the communication of ideas for guidelines and policies stemming from young people’s own perceptions about alcohol and media consumption. When ordinary ‘matters of fact’ information about drinking and alcohol fail to engage young people of today (even if it is understood), using humor, horror and shock seems a justified way in Sweden to get the desired reaction. Many of the jury participants themselves thought so. Social network has become an important way of communication also for temperance nongovernmental organizations and public initiatives, in particular with regard to nudging through emotional engagement and attempting to inspire further ‘peer-to-peer’ communication of this type, as young people ‘click-to-connect’. (shrink)

The most serious threat currently facing people all over the world is that of a global nuclear war, in which hundreds of millions of people would be killed by the immediate effects of nuclear explosions, and over a billion others would later die of cold and starvation in the ensuing nuclear winter. Physicians and other health professionals have an ethical responsibility to educate themselves, their patients, and the public to the need for major political changes to achieve multilateral disarmament (...) and thus prevent nuclear war. Scientists ought to oppose all research and government expenditures preparing for war, and should participate only in work designed to improve health and living standards for all the world's inhabitants. (shrink)

In recent years, CRISPR-Cas9 has become one of the simplest and most cost-effective genetic engineering techniques among scientists and researchers aiming to alter genes in organisms. As Zika came to the fore as a global health crisis, many suggested the use of CRISPR-Cas9 gene drives in mosquitoes as a possible means to prevent the transmission of the virus without the need to subject humans to risky experimental treatments. This paper suggests that using gene drives or other forms of genome editing (...) in nonhumans (like mosquitos) for the purposes of disease prevention raises important issues about informed consent. Additionally, it examines the consequences this line of inquiry could have for the use of gene drives as a tool in public health and suggests that the guidance offered by informed consent protocols could help the scientific community deploy gene drives in a way that ensures that ongoing research is consistent with our ethical priorities. (shrink)

Background In an effort to improve the quality of medical care, the philosophy of patient-centered care has become integrated into almost every aspect of the medical community. Despite its widespread acceptance, among patients and practitioners, there are concerns that rapid advancements in artificial intelligence may threaten elements of patient-centered care, such as personal relationships with care providers and patient-driven choices. This study explores the extent to which patients are confident in and comfortable with the use of these technologies when it (...) comes to their own individual care and identifies areas that may align with or threaten elements of patient-centered care. Methods An exploratory, mixed-method approach was used to analyze survey data from 600 US-based adults in the State of Florida. The survey was administered through a leading market research provider (August 10–21, 2023), and responses were collected to be representative of the state’s population based on age, gender, race/ethnicity, and political affiliation. Results Respondents were more comfortable with the use of AI in health-related tasks that were not associated with doctor-patient relationships, such as scheduling patient appointments or follow-ups (84.2%). Fear of losing the ‘human touch’ associated with doctors was a common theme within qualitative coding, suggesting a potential conflict between the implementation of AI and patient-centered care. In addition, decision self-efficacy was associated with higher levels of comfort with AI, but there were also concerns about losing decision-making control, workforce changes, and cost concerns. A small majority of participants mentioned that AI could be useful for doctors and lead to more equitable care but only when used within limits. Conclusion The application of AI in medical care is rapidly advancing, but oversight, regulation, and guidance addressing critical aspects of patient-centered care are lacking. While there is no evidence that AI will undermine patient-physician relationships at this time, there is concern on the part of patients regarding the application of AI within medical care and specifically as it relates to their interaction with physicians. Medical guidance on incorporating AI while adhering to the principles of patient-centered care is needed to clarify how AI will augment medical care. (shrink)

In this 1974 book a practising scientist and gifted expositor sets forth an exciting point of view on the nature of science and how it works.

There are not many international consensuses in the governance of biomedicine. One that exists concerns a general reluctance toward a commercialization of organ procurement. However, with reference to the problem of there is an increasingly louder call in ethical and legal discourse to and to establish a debate on financial incentives Other ethicists and jurists criticize this development, and warn of injustice, exploitation of the poor, and a commodification of the human body.

The most important intellectual in the Federal Republic of Germany for the past three decades, Habermas has been a seminal contributor to fields ranging from sociology and political science to philosophy and cultural studies. Although he has stood at the centre of concern in his native land, he has been less readily accepted outside Germany, particularly in the humanities. His theoretical work postulates the centrality of communication and understanding, and as such his strategy of debate is marked by a (...) politically informed unity of theory and practice. Holub's book is the first detailed account of the major debates in which Habermas has engaged since the early sixties. It stems from the conviction that his critics have not understood the political strategy behind his various interventions, or the consistency that informs his intellectual activities. Habermas is viewed in dialogue with important philosophical, sociological and political currents in West Germany. Holub demonstrates how Habermas pursues a course that incorporates various aspects of his opponents' positions, while simultaneously defending perceived threats to democracy and open discussion. (shrink)

Incest taboos are universal, but it is questionable whether consensual incest should continue to be illegal. The most common argument in favor of the illegalization of consensual incest appeals to genetic risks and the harm to potential offspring. In this article, we examine whether public health concern is a sufficient reason to illegalize consensual incest. We posit that indeed, incest represents a risk, but this is not reason enough to illegalize incest. For, other circumstances of sexual intercourse may (...) lead to similar risks, and yet, such practices are not illegal. While those practices may represent an added risk to public health, to forbid them as a way to improve the genetic pool would be akin to eugenic program, and that is morally objectionable. This does not imply that consensual incest ought to be legal, for there may be other good reasons to illegalize it. But they do not relate to public health and genetic risks, and consequently, medical practitioners and public health officials ought to avoid using their medical authority as a platform to make moral pronouncements. (shrink)

As public concern over governmental inaction on climate change grows, it becomes vital to answer the Question of Legitimate Means: what actions can political actors legitimately take to pursue their goals? This paper argues that a particular understanding of the political realm, which I will call the spectator’s view on politics, prevents theorists from confronting this question. Using the philosophy of Noortje Marres, I will demonstrate that the spectator’s view posits a transcendental goal to politics, subordinating any means (...) to the realization of this goal. I will then contrast this view with the political philosophy of John Dewey. Dewey’s approach not only makes it possible to answer the Question of Legitimate Means, but highlights its importance to any democratic project. (shrink)

Thirty-four states, the District of Columbia, and Puerto Rico have legalized medical cannabis. While no two state medical cannabis programs are alike, public health concerns related to advertising, packaging and labeling, pesticide use, scientific research, and the role of medical cannabis in the opioid crisis are emerging across the country. This article examines these issues, the policy approaches states are adopting to protect patients and the public, and an assessment of the underlying federal legal landscape.