Health care reform proposals threaten to exacerbate tensions physicians already face in trying to balance traditional duties to individual patients against increasing pressure to serve broader societal and institutional goals. To cope with reform, medical ethics must clarify physicians' moral obligations, change existing ethical codes, and develop an ethics of institutions.

The current explosion of genetic knowledge and the rapid proliferation of genetic tests has rightly provoked concern that we are approaching a future in which people will be labeled and disadvantaged based on genetic information. Indeed, some have already suffered harm, including denial of health insurance. This concern has prompted an outpouring of analysis. Yet almost all of it approaches the problem of genetic disadvantage under the rubric of “genetic discrimination.”This rubric is woefully inadequate to the task at hand. It (...) ignores years of commentary on race and gender demonstrating the limits of antidiscrimination analysis as an analytic framework and corrective tool. Too much discussion of genetic disadvantage proceeds as if scholars of race and gender had not spent decades critiquing and developing antidiscrimination theory.Indeed, there are multiple links among race, gender, and genetics. Dorothy Roberts has discussed the historical links between racism and genetics, while she and others have begun to map connections between gender and genetics. (shrink)

Conventional wisdom and commonsense morality tend to take the integrity of persons for granted. But for people in systematically unjust societies, self-respect and human dignity may prove to be impossible dreams.Susan Babbitt explores the implications of this insight, arguing that in the face of systemic injustice, individual and social rationality may require the transformation rather than the realization of deep-seated aims, interests, and values. In particular, under such conditions, she argues, the cultivation and ongoing exercise of moral imagination is (...) necessary to discover and defend a more humane social vision. Impossible Dreams is one of those rare books that fruitfully combines discourses that were previously largely separate: feminist and antiracist political theory, analytic ethics and philosophy of mind, and a wide range of non-philosophical literature on the lives of oppressed peoples around the world. It is both an object lesson in reaching across academic barriers and a demonstration of how the best of feminist philosophy can be in conversation with the best of “mainstream” philosophy—as well as affect the lives of real people. (shrink)

Transhumanists would have humanity's creation of posthumanity be our governing aim. Susan B. Levin challenges their overarching commitments regarding the mind, brain, ethics, liberal democracy, knowledge, and reality. Her critique unmasks their notion of humanity's self-transcendence via science and technology as pure, albeit seductive, fantasy.

The phenomenon of multiple personality--Like the "split-Brain" phenomenon--Involves a disintegration of the normally unified self to the point where one must question whether there is one, Or more than one, Person associated with the body even at a single moment in time. Besides the traditional problem of determining identity over time, There is now a new problem of personal identity--Determining identity at a single moment in time. We need the conceptual apparatus to talk about this new problem and a test, (...) Like the one I propose, For determining the number of persons associated with a body at a single moment in time. (shrink)

Carazan's dream : Kant's early theory of freedom -- Kant's archimedean moment : remarks in observation concerning the feeling of the beautiful and the sublime -- Rousseau, Count Verri, and the true economy of human nature : lectures on anthropology, 1772-1781 -- The paradox of autonomy -- Moral hesitation in religion within the boundaries of bare reason -- Kant's true politics : Völkerrecht in toward perpetual peace and the metaphysics of morals -- Kant as educator : conflict of the faculties, (...) part one -- Archimedes revisited : honor and history in the conflict of the faculties, part two -- Kant's Jewish problem. (shrink)

This chapter examines the origin of the enamelled hanging-bowls discovered in Sutton Hoo and their implications for understanding Anglo-Saxon, Irish, and British relations. It suggests that such bowls were originally made in some of the most prosperous centres of British Britain from the mid-sixth century, and that the fashion for them was exported to Ireland much later than the first wave of brooches and pins of around the year 400. The chapter contends that the problem concerning the origin of the (...) bowls can be resolved by the suggestion that it was on both sides of the northern Irish Sea littoral that Viking raiders found hanging-bowls and enamelled buckets. (shrink)

The first goal is to understand why Peirce describes his motto, “Do Not Block the Way of Inquiry,” as a corollary of the “first rule of reason,” why he believes it deserves to be inscribed on every wall of the city of philosophy, and what he has in mind when he characterizes the various barricades philosophers set up, the many obstacles they put in the path of inquiry. This soon leads us to important, substantive themes in Peirce’s meta-philosophical, cosmological, metaphysical, (...) logical, and epistemological work (§1). However, it also leads us to what might seem to be a tension in his account of the motives for inquiry. So the second goal is to track the source of this apparent tension, and to show how Peirce resolved it (§2). But the ultimate goal is to explain why Peirce’s warning against blocking the way of inquiry is no less important, given the condition of philosophy today, than it was when he offered it more than a century ago—perhaps even more so (§3). (shrink)

In der gesamten Neuzeit war Freiheit ein Schlüsselbegriff für das Selbstverständnis Europas und Deutschlands. Doch was galt hierzulande zu welchen Zeiten als "Freiheit"? Wie und von wem wurden in Deutschland seit der Frühaufklärung Freiheitsvorstellungen formuliert, diskutiert oder auch machtpolitisch vereinnahmt? Anhand ausgewählter Texte aus vier Jahrhunderten verdeutlicht dieses Buch, dass sich Freiheitsvorstellungen in Deutschland wandelten. Der Begriff blieb jedoch stets eine zentrale politische Kategorie, um das Verhältnis des Einzelnen zur Gesellschaft zu verhandeln. Immer bewegte er sich dabei im Spannungsfeld von (...) Selbstbestimmung und Kontrolle, Freizügigkeit und Sicherheit, Alterität und Konformität, Emanzipation und Diskriminierung, Gleichheit und Ungleichheit - also von Themen, die auch heute noch ins Mark der politischen und gesellschaftlichen Debatten treffen. (shrink)

Recently, there has been a focus on ethics education in STEM and business programs. Scholars, industry representatives, and accreditation bodies have identified ethics education as an element that requires renewed strategies to create better prepared professionals. In this paper, the author argues the importance of educating future technology and business professionals in constructive confrontation, conflict resolution, and creative problem solving. In addition, students need to be provided tools to become self-aware so they can be more assertive in their everyday lives (...) which will lead to more confident decision-making. Ethics curriculum in all fields should provide discussion regarding the normalcy and essential nature of confrontation. Without knowledge and practice of strategy when confrontation is needed, students will be less likely to act when faced with questionable situations in their professional lives. Finally, educational techniques for use in the classroom, such as assignments that promote practice in confrontation and peer mediation, are presented and explained. (shrink)

Empirical studies in bioethics, as well asclinical experience, demonstrate the existenceof inter- and intra-cultural diversity invalues and perspectives on end-of-life issues. This paper argues that while survey researchcan describe such diversity, explaining itrequires ethnographic methodology that allowsordinary people to frame the discussion intheir own terms. This study of attitudestoward euthanasia in Japan found that peopleface conflicts between deeply held values suchas life versus pain, self versus other, andburden versus self-reliance that make itdifficult to rely on a ``rational person''''approach to decision-making. (...) An inductiveethnographic approach grounded in people''s lifeexperiences can indicate the reasons forvariation in responses to surveys, and canclarify the nature of ethical conflict in aparticular cultural setting. (shrink)

Kant’s thought from the 1750s onward can usefully be understood as a series of efforts to overcome the challenge posed in Machiavelli’s Prince: namely, to reconcile our idea of justice with what is actually possible given human nature as it is, rather than as reason tells us that it “should” be. Especially following his reading of Rousseau, this effort took the form of successive translations of the metaphysical concept of a world into the juridical language of world-citizenship, which transformed a (...) rational and physical cosmology into moral and historical cosmopolitanism. The thought of both Hobbes and Rousseau proved instrumental to those efforts. Initially, Kant thought human history oscillated between Hobbesian and Rousseauian conceptions of civil order—i.e., between orders that guarantee, respectively, security and freedom. In his later works, Kant suggested that history progressed from Hobbes to Rousseau, but he hesitated to declare that a transformation from prudence-based security to virtue-based civil independence was completable even in principle. Speaking generally, Kant sought to reconcile a kind of historical providentialism with the sovereign authority of reason. This reconciliation blurs the distinction between, on the one hand, the metaphysical and/or religious and, on the other hand, the secular—a distinction on which Michael Rosen’s perspicuous intellectual history tends to focus. That this earliest version of Kant’s rational providentialism makes reward of effort morally central also suggests that it is ultimately even more important to Kant than the punitive theme on which Rosen himself focusses. (shrink)

Name der Zeitschrift: Semiotica Jahrgang: 2016 Heft: 213 Seiten: 247-279.

Of late, two contrasting departures from the analytic mainstream have become fashionable: the displacement of philosophy by the natural sciences, epitomized by the Churchlands' theme of "neurophilosophy," and the displacement of philosophy by the literary, epitomized by Rorty's theme of philosophy as "just a kind of writing," as "carrying on the conversation" of Western culture. Both are disastrous. My purpose here is to articulate a metaphilosophy which, avoiding both scientism and literary dilettantism, allows a more robustly plausible account of the (...) relation of philosophy to the sciences, and of its relation to literature, than either. In this enterprise, my starting point will be the work of C. S. Peirce. This may come as something as a surprise; for Peirce's avowed aspiration "to rescue the good ship Philosophy for the service of Science from the lawless rovers of the sea of literature" (5.449, 1902), not to mention his unkind remarks about "studying in a literary spirit" (1.33, 1869), might suggest that he is as scientistic, and as hostile to literature, as Rorty is dilettantish, and hostile to science. But, as I shall show, far from being a precursor of those "lawless rovers of the sea of science" among our contemporaries, Peirce points the way to just such a... (shrink)

Approximately 62,000 people in this country await organ transplants. Ten years ago the waiting list numbered 16,000. The line gets longer every day. Up to 30% of those waiting in line will die waiting. We face a chronic shortage of organs. While demand for organs steadily increases, the number of cadaveric organ donors remains relatively constant: approximately 4,000 in 1988, and approximately 5,500 in 1997. In response to this environment of scarcity, policymakers have considered initiatives in a number of domains.

In this paper, I argue that stories about difference do not promote critical self and social understanding; rather, on the contrary, it is the way we understand ourselves that makes some stories relevantly different. I discuss the uncritical reception of a story about homosexuality in Cuba, urging attention to generalizations explaining judgments of importance. I suggest that some stories from the South will never be relevant to discussions about human flourishing until we critically examine ideas about freedom and democracy, and (...) their role in national identity, explaining the significance we give, or not, to such stories. (shrink)

This volume brings together leading scholars to examine Darwinian perspectives on morality from widely ranging disciplines: evolutionary biology, anthropology, psychology, philosophy, and theology. They bring not only varied expertise, but also contrasting judgments about which, and to what extent, differing evolutionary accounts explain morality. They also consider the implications of these explanations for a range of religious and non-religious moral traditions. The book first surveys scientific understandings of morality. Chapters by Joan Silk and Christopher Boehm ask what primatology and anthropology (...) tell us about moral origins. Daniel Batson and Stephen Pinker provide contrasting accounts of how evolution shapes moral psychology, and Jeffrey Schloss assesses a range of biological proposals for morality and altruism. Turning to philosophical issues, Martha Nussbaum argues that recognizing our animal nature does not threaten morality. Stephen Pope and Timothy Jackson explore how Darwinian accounts of moral goodness both enrich and require understandings outside the sciences. Hilary Putnam and Susan Neiman ask whether Darwin is truly useful for helping us to understand what morality actually is and how it functions. The book is a balanced effort to assess the scientific merits and philosophical significance of emerging Darwinian perspectives on morality. (shrink)

The article compares the work of Peirce and Popper. It focuses on issues in epistemology and philosophy of science, especially Peirce's claims that abduction is a matter of logic, and that induction can be given a weak form of justification. Peirce's and Popper's accounts of the nature of truth and its role in scientific inquiry are compared, and difficulties are diagnosed in both their attempts to reconcile fallibilism with a definition of truth which.

This paper argues that Gadamer's hermeneutics offers a methodological perspective for social and political theory that overcomes the impasse created by the dichotomy between the positivist and humanist approaches to social action. Both the positivists’attempt to replace the actors’subjective concepts with the objective concepts of the social scientist and the humanists’attempt to describe meaningful action strictly in the social actors’terms have been called into question in contemporary discussions. Gadamer's approach, which is based on the hermeneutical method of textual interpretation, offers (...) an alternative to both the positivist and humanist perspectives. Gadamer argues that understanding a text involves the fusing of the conceptual schemes of author and interpreter. Relying on Ricoeur's analysis of the parallels between actions and texts, it is argued that this understanding of the process of textual interpretation can be profitably applied to the analysis of social action. This application, furthermore, provides a means of analyzing social action that transcends the dichotomy between the positivist and humanist approaches. Gadamer's approach legitimizes the imposition of the observer's conceptual scheme without denying the constitutive role of the social actors’concepts. (shrink)

In New Testament times, Job was considered a model of “steadfastness.” Job persevered by looking ahead to God's salvation. New Testament authors similarly portrayed Jesus as one who stood fast in time of trial, even unto death, thereby breaking the power of sin and strengthening Christians to standfast in their own trials.

At a time of fake news, hacks, leaks, and unverified reports, many people are unsure whom to believe. How can we communicate in ways that make individuals question their assumptions and learn? My colleagues at The Hastings Center and many journalists and scientists are grappling with this question and have, independently, reached the same first step: recognize that facts can't be fully understood without probing their connection to values. “Explaining the basics is important, of course, but we also need to (...) diversify our approach to the coverage of science—particularly as it intersects with the matrix of cultural, religious, social, and political values of our readers,” said an article in Undark, an online magazine of science journalism. An editorial in Nature called for scientists to engage directly with citizens in debates over climate change and genome editing, noting that “the ethical issues can be critically dependent on the science, for example, in understanding where the boundaries between non-heritable and heritable genome modifications might be.” We're here to help. (shrink)

Some years ago, Deborah Blum, a Pulitzer Prize–winning science journalist, nailed the divide between scientists who conduct research on animals in the hope of advancing medical knowledge and people who object to that work for being immoral and inhumane. They are “like two different nations, nations locked in a long, bitter, seemingly intractable political standoff,” she wrote in her 1994 book, The Monkey Wars. The two sides certainly have been like nations locked in a long, bitter standoff. That standoff has (...) seemed intractable. But when Blum talked to people on both sides, she found glimmers of hope—a few individuals willing to listen to one another and find common ground. “When they can be freely heard,” she concluded, “then we will have progressed to another place, beyond this time of hostilities.” Today, while we are not yet beyond hostilities, we have progressed to another place. (shrink)