Some theories of practical reasons incorporate a lexical priority structure, according to which some practical reasons have infinitely greater weight than others. This includes absolute deontological theories and axiological theories that take some goods to be categorically superior to others. These theories face problems involving cases in which there is a non-extreme probability that a given reason applies. In view of such cases, lexical-priority theories are in danger of becoming irrelevant to decision-making, becoming absurdly demanding, or generating paradoxical (...) cases in which each of a pair of actions is permissible yet the pair is impermissible. (shrink)

Recently, Jonathan Tallant has argued that we should reject priority views, which hold that some objects are fundamental and others are dependent. Tallant’s argument relies on two proposed mereological possibilities: a gunky world, where everything has a proper part, and a junky world, where everything is a proper part. In this paper, I criticise Tallant’s argument and argue that neither of these possibilities threaten priority views per se; at most, they threaten only particular forms of priority views (...) that contain a certain independently controversial assumption. First, I defend priority pluralism against the gunk argument: the genuine conceivability of gunk can be plausibly doubted on the basis of a certain principle concerning metaphysical possibility, and even if this principle is false, the possibility of a gunky world poses no devastative problem for pluralism per se because it can be considered to be consistent with nonatomism. Second, I defend priority monism against the junk argument: the possibility of a junky world poses no devastative problem for monism per se because it can be considered to be consistent with nonholism in a twofold sense. Finally, I show that even monism as defined as genuinely holistic can be plausibly defended against the junk argument once the claim of the possible nonexistence of the maximal whole is reinterpreted based on the priority-based conception of existence. (shrink)

The priority of liberty has always played a central role in John Rawls's political theory. This chapter reviews Rawls's three arguments for the priority of liberty in Theory and argues that two of them do indeed fail (either in whole or in part) because of two types of error. It presents a partial reconstruction of the hierarchy argument, and demonstrates that our highest‐order interest in the development and exercise of rationality follows naturally from the Kantian commitment to autonomy (...) that Rawls expresses in Theory. The chapter discusses an apparent problem with the scope of the hierarchy argument: it does not offer a particularly compelling defense of the priority of the basic political liberties, including the rights to vote and hold public office. The chapter also discusses the implications of the priority of liberty for the American practice of civil libertarianism. (shrink)

The article is devoted to the discussion on priority in the invention of scientific journal. In the first part of the article, the author makes a critical analysis of the arguments in the discussion, explicating some contradictions. In the second part, he develops his own approach claiming that the solution lies in the correct definition of the social demand which has impulsed the search for new tools of scientific communication. The author argues that, because of the universality of the (...) socio-economic processes, this demand was common for the early Modern European sciences in general. The author shows that the first scientific journals (Philosophical Transactions, Journal des scavans) have appeared in the atmosphere of competition for the invention of new forms of scientific communication. He argues that Kantian distinction of the public and private application of reason seems to be helpful for better understanding of this process. (shrink)

In this paper I look at a recent proposal from Yujin Nagasawa and Khai Wager to avoid the de-combination problem for the view called ‘cosmopsychism’. The pair suggest that the de-combination problem can be solved in the same way that the problem of heterogeneity for Schaffer’s priority monism can be solved. I suggest that this is not the case. They are not the same problem and the solutions to the heterogeneity problem do not work (...) for the de-combination problem. (shrink)

This monograph details a new solution to an old problem of metaphysics. It presents an improved version of Ostrich Nominalism to solve the Problem of Universals. This innovative approach allows one to resolve the different formulations of the Problem, which represents an important meta-metaphysical achievement. In order to accomplish this ambitious task, the author appeals to the notion and logic of ontological grounding. Instead of defending Quine’s original principle of ontological commitment, he proposes the principle of grounded (...) ontological commitment. This represents an entirely new application of grounding. Some metaphysicians regard Ostrich Nominalism as a rejection of the problem rather than a proper solution to it. To counter this, the author presents solutions for each of the formulations. These include: the problem of predication, the problem of abstract reference, and the One Over Many as well as the Many Over One and the Similar but Different variants. This book will appeal to anyone interested in contemporary metaphysics. It will also serve as an ideal resource to scholars working on the history of philosophy. Many will recognize in the solution insights resembling those of traditional philosophers, especially of the Middle Ages. (shrink)

Priority setting (also known as resource allocation or rationing) occurs at every level of every health system and is one of the most significant health care policy questions of the 21st century. Because it is so prevalent and context specific, improving priority setting in a health system entails improving it in the institutions that constitute the system. But, how should this be done? Normative approaches are necessary because they help identify key values that clarify policy choices, but insufficient (...) because different approaches lead to different conclusions and there is no consensus about which ones are correct, and they are too abstract to be directly used in actual decision making. Empirical approaches are necessary because they help to identify what is being done and what can be done, but are insufficient because they cannot identify what should be done. Moreover, to be really helpful, an improvement strategy must utilize rigorous research methods that are able to analyze and capture experience so that past problems are corrected and lessons can be shared with others. Therefore, a constructive, practical and accessible improvement strategy must be research-based and combine both normative and empirical methods. In this paper we propose a research-based improvement strategy that involves combining three linked methods: case study research to describe priority setting; interdisciplinary research to evaluate the description using an ethical framework; and action research to improve priority setting. This describe-evaluate-improve strategy is a generalizable method that can be used in different health care institutions to improve priority setting in that context. (shrink)

All health care systems face problems of justice and efficiency related to setting priorities for allocating a limited pool of resources to a population. Because many of the central issues are the same in all systems, the United States and other countries can learn from the successes and failures of countries that have explicitly addressed the question of health care priorities. We review explicit priority setting efforts in Norway, Sweden, Israel, the Netherlands, Denmark, New Zealand, the United Kingdom and (...) the state of Oregon in the US. The approaches used can be divided into those centered on outlining principles versus those that define practices. In order to establish the main lessons from their experiences we consider the process each country used, criteria to judge the success of these efforts, which approaches seem to have met these criteria, and using their successes and failures as a guide, how to proceed in setting priorities. We demonstrate that there is little evidence that establishment of a values framework for priority setting has had any effect on health policy, nor is there evidence that priority setting exercises have led to the envisaged ideal of an open and participatory public involvement in decision making. (shrink)

In a school choice problem, each school has a priority ordering over the set of students. These orderings depend on criteria such as whether a student lives within walking distance or has a sibling at the school. A priority ordering provides a ranking of students but nothing more. I argue that this information is sufficient when priority is based on merit but not when priority is based on criteria such as walking distance. I propose an (...) extended formulation of the problem wherein a ‘priority matrix’, indicating which criteria are satisfied by each student-school pair, replaces the usual priority orderings. (shrink)

According to some views of reality, some objects are fundamental and other objects depend for their existence upon these fundamental objects. In this article, I argue that we have reason to reject these views.

The growing gap between demands and resources is putting immense pressure on all government spending in Sweden. The gap is especially apparent in care and services for elderly people in light of the rapid aging of the population. The article considers the decisions and priorities concerning resource allocation in the welfare sector in general and in elderly care in particular. The aim is to describe the political and administrative setting and to provide a conceptual structure that outlines the nature of (...) the problem. Various levels of decision making are identified and discussed in the context of political accountability. Current transitions in elderly care are described with respect to service provision, marketisation, coverage rates, and eligibility standards. Basic principles of distribution are highlighted in order to clarify some central concepts of efficiency and justice, and a number of strategies for actual prioritising are identified. The article concludes with an endorsement of more conscious decisions in resource allocation. Existing knowledge and information concerning the effects of various strategies must be utilised, and the values and assumptions used for setting priorities must be made explicit. (shrink)

ExtractPhilosophers and others with inquisitive minds have busied their brains for millennia with questions such as: ‘Does god exist? What is the meaning of life? Are we free or determined? What is truth? Is there any knowledge which is so certain that no reasonable person could doubt it? What is reality? What is good? What is beautiful? Why exist? What is “to be”? What is justice? What did Kant mean by the categorical imperative?’ Are all these topics equally important or (...) is there a ranking of philosophical problems? If there is such a ranking, is there a need to set priorities? What philosophical problem is most urgent?Send article to KindleTo send this article to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle. Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Find out more about the Kindle Personal Document Service.IS THERE A BIGGEST PROBLEM IN PHILOSOPHY? SOME REFLECTIONS ON SETTING PRIORITIESVolume 12, Issue 34Floris van den BergDOI: https://doi.org/10.1017/S1477175613000055Your Kindle email address Please provide your Kindle [email protected]@kindle.com Available formats PDF Please select a format to send. By using this service, you agree that you will only keep articles for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Please confirm that you accept the terms of use. Cancel Send ×Send article to Dropbox To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Dropbox. IS THERE A BIGGEST PROBLEM IN PHILOSOPHY? SOME REFLECTIONS ON SETTING PRIORITIESVolume 12, Issue 34Floris van den BergDOI: https://doi.org/10.1017/S1477175613000055Available formats PDF Please select a format to send. By using this service, you agree that you will only keep articles for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Please confirm that you accept the terms of use. Cancel Send ×Send article to Google Drive To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Google Drive. IS THERE A BIGGEST PROBLEM IN PHILOSOPHY? SOME REFLECTIONS ON SETTING PRIORITIESVolume 12, Issue 34Floris van den BergDOI: https://doi.org/10.1017/S1477175613000055Available formats PDF Please select a format to send. By using this service, you agree that you will only keep articles for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Please confirm that you accept the terms of use. Cancel Send ×Export citation. (shrink)

Priority monism is the doctrine that there is exactly one substance: the whole concrete cosmos. This paper develops an objection to priority monism. The objection is that although every substance is necessarily a substance, for the priority monist the cosmos is not necessarily a substance. It follows that the cosmos is not a substance and so priority monism is false. The priority monist's pluralist opponent, I argue, can avoid a parallel objection to her view.

This paper argues against the priority of pure, virtue-based accounts of argumentative norms [VA]. Such accounts are agent-based and committed to the priority thesis: good arguments and arguing well are explained in terms of some prior notion of the virtuous arguer arguing virtuously. Two problems with the priority thesis are identified. First, the definitional problem: virtuous arguers arguing virtuously are neither sufficient nor necessary for good arguments. Second, the priority problem: the goodness of arguments (...) is not explained virtuistically. Instead, being excellences, virtues are instrumental in relation to other, non-aretaic goods—in this case, reason and rationality. Virtues neither constitute reasons nor explain their goodness. Two options remain for VA: either provide some account of reason and rationality in virtuistic terms, or accept them as given but non-aretaic goods. The latter option, though more viable, demands the concession that VA cannot provide the core norms of argumentation theory. (shrink)

Infectious and parasitic diseases cause enormous health problems in the developing world whereas they leave the developed one relatively unscathed. Research and development (R&D) of drugs for diseases that mainly affect people in developing countries is limited. The problem that relatively few drugs are available for diseases that cause an enormous burden of disease in the developing world is called the 'availability problem'. In recent years, the availability problem has received quite a bit of attention. A number (...) of proposals have been fielded as to how this problem might be minimized. Wild-card patent extensions, advance market commitments, cash prizes and the Health Impact Fund are prominent examples of such proposals. These proposals can be thought of as pull-mechanisms for R&D of drugs for neglected diseases. What has been coined a 'priority review voucher' is another pull-mechanism. This paper is a critical discussion of this pull-mechanism. First, the original priority review voucher scheme, as proposed by Ridley et al. (2006), is described. A number of objections to this scheme are thereafter presented. A few amendments to the original scheme are then suggested, and it is argued that with these amendments in place, the priority review voucher scheme constitutes an attractive way of stimulating R&D of drugs for neglected diseases. (shrink)

The paper is devoted to the discussion of some philosophical and historical problems connected with the theorem on the undefinability of the notion of truth. In particular the problem of the priority of proving this theorem will be considered. It is claimed that Tarski obtained this theorem independently though he made clear his indebtedness to Gödel’s methods. On the other hand, Gödel was aware of the formal undefinability of truth in 1931, but he did not publish this result. (...) Reasons for that are also considered. (shrink)

Some philosophers and segments of the public think age is relevant to healthcare priority-setting. One argument for this is based in equity: “Old” patients have had either more of a relevant good than “young” patients or enough of that good and so have weaker claims to treatment. This article first notes that some discussions of age-based priority that focus in this way on old and young patients exhibit an ambiguity between two claims: that patients classified as old should (...) have a low priority, and that patients classified as young should have high priority. The author next argues, drawing on a problem raised by Christine Overall, that equity cannot justify giving “old” patients low priority, since there is wide variety in the total lifetime experiences of older people, partly influenced by gender, race, class, and disability injustice. Finally, the author suggests that there might be a limited role for age-based prioritization in the context of infant and childhood death, since those who die in childhood are always and uncontroversially among the worst-off. (shrink)

Aristotle’s Metaphysics Θ.8 argument for the priority of actuality to potentiality poses an immediate interpretive problem: the argument uses two distinct tests for priority, one of which threatens to reverse the results of the other. This paper argues that the standard approach to this passage, according to which one thing is prior to another when it satisfies the ontological independence test from Metaphysics Δ.11, fails to secure the argumentative unity of the passage. It introduces a new, causal (...) account of priority which explains both Aristotle’s claims about priority and the way he argues for them. (shrink)

In the Categories, Aristotle intends to ascribe to particular substances ontological priority over all other things, but it is far from obvious what notion of priority would make this plausible. This question is the focus of my paper. I will examine what has been the standard account of his notion of ontological priority— the “modal-existential” account—and the problems it entails, as well as some scholarly alternatives to it. I will defend my own alternative account—the “explan- atory-existential” account—which (...) addresses the problems that arise for other pro- posed accounts, and will make plausible Aristotle’s claim that particular substances have priority over all other things. I will argue that he puts forth this notion of prior- ity in Categories 12, and that it bears a similarity to the notion of grounding as dis- cussed in contemporary metaphysics. (shrink)

A contemporary form of panpsychism says that phenomenality is prevalent because all physical ultimates instantiate phenomenal or protophenomenal properties. According to priority cosmopsychism, an alternative to panpsychism that we propose in this chapter, phenomenality is prevalent because the whole cosmos instantiates phenomenal or protophenomenal properties. It says, moreover, that the consciousness of the cosmos is ontologically prior to the consciousness of ordinary individuals like us. Since priority cosmopsychism is a highly speculative view our aim in this chapter remains (...) modest and limited. Instead of providing a full defense of priority cosmopsychism, we try to show only the theoretical advantage of the view over panpsychism. Tis, however, by no means entails that we develop the view in logical space merely for its own sake. We offer instead a blueprint for a new alternative to panpsychism and explain how such a view avoids some of the most persistent problems for panpsychism while maintaining several of its strengths. (shrink)

Truthmaker monism is the view that the one and only truthmaker is the world. Despite its unpopularity, this view has recently received an admirable defence by Schaffer :307–324, 2010b). Its main defect, I argue, is that it omits partial truthmakers. If we omit partial truthmakers, we lose the intimate connection between a truth and its truthmaker. I further argue that the notion of a minimal truthmaker should be the key notion that plays the role of constraining ontology and that truthmaker (...) monism is not necessary for an appropriate solution to the problem of finding truthmakers for negative truths. I conclude that we should reject truthmaker monism once and for all. (shrink)

Recognising and responding to injustices that benefit us is a pervasive problem of contemporary life, and arguably a mark of moral seriousness in anyone who presumes to take moral stands at all. In response, a number of authors have defended the view that such benefits normally bring with them prima facie obligations of compensation. This ‘wrongful-benefits’ approach has considerable intuitive plausibility, much of it founded in the financial metaphor that gives it an appearance of precision. Yet while the compensation (...) scenario works reasonably well in one-off cases such as receiving stolen property, it yields incoherent results when facing ongoing structural injustices. In such cases ‘innocence’ is ambiguous and our status as beneficiaries and victims is complex. In contrast, solidarity — understood as a principle of equity requiring that we side with the least well off — provides a better account of duties to respond to structural injustice. In solidarity the agent follows the lead of organised out-groups and defers to their judgment about collective actions to overcome injustice. Solidarity leads us to support the organised group that suffers from the greatest inequity. Solidarity does not use a financial metaphor and thus it neither requires full disgorgement, nor absolves us of further action when we reach the point of net-zero benefit. Rather, solidarity is a principal means for ordinary citizens to promote equity by affirming the equal status of the victims, and to atone for having benefited from injustice, whether they did so willingly or otherwise. (shrink)

In _The Priority of Prudence_, Daniel Mark Nelson proposes a reappropriation of a moral perspective that focuses on the cardinal virtues of courage, temperance, justice, and prudence. The study aims to recover and rehabilitate the virtue of prudence as a way of resuming a moral conversation that has been stalemated for too long. Nelson's main source for reviving the virtue of prudence is St. Thomas Aquinas's account of the cardinal virtues in the _Summa Theologica_. A primary problem with (...) using Aquinas as a source for reviving an ethics of virtue centered on prudence is that he is commonly perceived as the most prominent figure in the conflicting natural-law tradition. According to Nelson's reinterpretation, however, Aquinas teaches that moral understanding depends first and foremost on prudence working in accord with other cardinal virtues and that natural law functions to explain moral reasoning rather than to guide it. This study serves to advance the debate about the contemporary relevance of an ethics of virtue by way of its significantly more detailed explication of prudence. Nelson makes important connections between influential reinterpretations of the ethical theory of Aquinas that have been published during the last thirty years and widespread interest in an ethics of virtue that has been expressed by Alasdair Maclntyre, Stanley Hauerwas, William Sullivan, Robert Bellah, and others. _The Priority of Prudence _represents a significant contribution to the scholarly literature both in the study of Aquinas and in the debate on the ethics of virtue. (shrink)

The paper examines Amartya Sen’s seminal work Development and Freedom (1999) in relation to his underlying conception of justice and particularly in relation to the tension that arises in the correlation between basic freedom and basic goods. The idea is to address the question as to which of the two elements (basic goods or basic freedoms) takes precedence to the enactment of global justice. The paper advances a particular distinction between a foundational approach and a functional approach when addressing the (...) question of the priority and primacy of any of the two elements and sheds light on a contentious answer, namely, that basic goods are foundationally primary in relation to basic freedoms and that such a primacy does not rule out the functional priority of basic freedoms. (shrink)

In this paper, I introduce a version of perdurantism called Priority Perdurantism, according to which perduring, four-dimensional objects are ontologically fundamental and the temporal parts of those objects are ontologically derivative, depending for their existence and their identity on the four-dimensional wholes of which they are parts. I argue that by switching the order of the priority relations this opens up new solutions to the too-many-thinkers problem and the personite problem – solutions that are more ontologically (...) robust than standard maximality solutions. I then consider and respond to two initial objections to the view: that it no longer counts as a perdurantist theory and that it reintroduces the problem of temporary intrinsics. I conclude by offering two further advantages of priority perdurantism: that it is consistent with hunky time and with the existence of irreducibly temporally-extended actions, such as those pertaining to deliberative agency. (shrink)

A moral requirement R1 is said to be lexically prior to a moral requirement R2 just in case we are morally obliged to uphold R1 at the expense of R2 – no matter how many times R2 must be violated thereby. While lexical priority is a feature of many ethical theories, and arguably a part of common sense morality, attempts to model it within the framework of decision theory have led to a series of problems – a fact which (...) is sometimes spun as a ‘decision theoretic critique’ of lexical priority. In this paper, I develop an enriched decision theoretic framework that is capable of modelling lexical priority while avoiding all extant problems. This will involve introducing several new ingredients into the standard decision theoretic framework, including multidimensional utilities, de minimis risks, and the means to represent two different conceptions of risk. (shrink)

A central question in the history of metaphysics concerns the ontological status of such notions as 'redness,' 'humanity,' or 'animality,' which one calls 'universals.' Since one uses these notions to describe objects in the real world, it may seem intuitive that they exist in extramental reality: one says that universals are 'real'. Famously, though, several problems arise from this view. A central problem known both to medieval and contemporary scholars goes as follows: I look at a red rose and (...) recognize that there is 'redness' in it. Then, I look at a red apple and recognize that there is 'redness' in it, too. Does this mean that one and the same 'redness' appears in both the rose and the... (shrink)

Torbjörn Tännsjö has written a clear and thought-provoking book on healthcare priority setting. He argues that different branches of ethical theory—utilitarianism, egalitarianism, and prioritarianism—are in general agreement on real-world healthcare priorities, and that it is human irrationality that stands in the way of complying with their recommendations. While I am generally sympathetic to the overall project and line of argumentation taken by the book, this paper raises two concerns with Tännsjö’s argument. First, that he is wrong to set aside (...) deontic constraints as irrelevant or as pointing in the same direction as consequentialism. Secondly, that his argument against prioritarianism in favor of utilitarianism is insufficient and under-developed. Given these problems, I conclude that we should welcome Tännsjö’s contribution but with these qualifications in mind. (shrink)

This paper advances a philosophical interpretation of Hegel's Logic as defending a metaphysics, which includes an absolute, itself comparable to God in other systems of metaphysics of interest to Hegel, including Aristotle's and Spinoza's. Two problems are raised which can seem to block the prospects for such a metaphysically inflationary interpretation. The key to resolving these problems is consideration of the kinds of metaphysical priority that Hegel sees in Aristotle. This allows us to build a philosophical model of Hegel's (...) absolute, and to demonstrate how the model fits the argument of Hegel's Logic. Application of this model provides a philosophical explanation of the senses in which Hegel's metaphysics is idealist; he argues that thought is absolute and comparable to God in other systems of metaphysics: thought is both self-determining and metaphysically prior to being. (shrink)

The public purse is responsible for funding almost all autism spectrum disorders (ASD) research in Canada (as per Canadian Institutes of Health Research [CIHR]) and for providing some of the existing services and supports for this population. In this article, we consider various reasons why Canada should be concerned to ensure a more equitable distribution of relevant public funding for ASD research than is currently the case to meet the express needs and interests of the diversity of autism stakeholders. As (...) such, we report data to show that CIHR-supported ASD research from the period of 2000–2010 demonstrates a bias focussed on the aetiology of the condition revealing a disproportionate emphasis on only two (Biomedical and Clinical) out of the four research pillars avowed by CIHR, with a comparative lack of fiscal resources committed to Health Systems and Services and Population and Public Health research. We advance certain normative and prudential reasons for funding more Health Systems and Services and Population and Public Health ASD research in Canada. In our view, this would seem to follow from CIHR’s official mandate ‘as a flexible mechanism that will continually align health research funding with changes in the manner in which health problems and opportunities are identified, understood and addressed’. (shrink)

Distinguishing between reasonable partiality and reasonable impartiality makes a difference in resolving the serious clashes between 'priority for compatriots' versus cosmopolitan global duties. Defenders of a priority for compatriots have to acknowledge two strong moral constraints: states have to fulfil all their special, domestic and trans-domestic duties, and associative duties are limited by distributive constraints resulting from the moral duty to fight poverty and gross global inequalities. In the recent global context, I see four main problems for liberal-nationalist (...) defenders of priority for compatriots: Reasonable particularists often forget that associative duties for compatriots compete with many sub-national and trans-domestic associative duties. They tend to forget that associative national duties compete with other, strong special obligations regarding not only citizens and residents inside nation-states but also trans-domestic obligations across state borders. They do not properly discuss the problem of unallocated duties in addressing global poverty and insecurity. The design of supra-national and global 'mediating' institutions, and the crafting of policies to remedy the misallocation of duties and to coordinate the required state activities is an urgent task neglected by liberal nationalists. In the recent context, reasonable partiality's bias towards partiality is most unwelcome and morally dubious. Reasonable impartiality's bias towards cosmopolitanism helps to stimulate a drastic shift in obligations and stimulates productive trans-national institutional design. (shrink)

As we have all learned in recent years, a pandemic can produce shortages in intensive care units. In our jurisdiction, this has led to a ruling by the federal constitutional court, according to which the lawmaker has to provide better protection for persons with disabilities in the event of medical priority setting. From an ethical perspective, this task requires a choice among various competing accounts on what exactly it is that makes a case of discrimination morally problematic. In addition, (...) these accounts require amendments in order to encompass instances of indirect discrimination. As this article demonstrates by appeal to a number of concrete triage criteria, a moderate account of discrimination does the best job of focusing attention on the core of the current issues. Among these issues are the extent to which perceptions of persons with specific pre-existing challenges generally have an impact on the structure of their social interactions. -/- ----- Im Falle von Pandemien können die Kapazitäten auf den Intensivstationen bekanntlich knapp werden. In Deutschland hat dieser Umstand zu einem Urteil des Bundesverfassungsgerichts geführt, in dem vom Gesetzgeber verlangt wurde, Menschen mit Behinderungen für solche Fälle besser vor Diskriminierung zu schützen. Aus ethischer Sicht hängt die Frage nach den Diskriminierungspotentialen von Priorisierungskriterien stark davon ab, worin genau das Übel einer Diskriminierung verortet werden muss – eine Frage, zu der es in der Ethik mehrere konkurrierende Theoriegruppen gibt. In diesem Aufsatz soll gezeigt werden, dass diese Theorien darüber hinaus jeweils einer Ergänzung bedürfen, um dem Phänomen der indirekten Diskriminierung gerecht werden zu können. Wie hier am Beispiel einiger konkreter Triage-Kriterien gezeigt werden soll, ist ein Ansatz mittlerer Breite besonders geeignet, um die Aufmerksamkeit auf den Kern der aktuellen Probleme zu lenken. Dazu zählt insbesondere das Ausmaß, in dem soziale Gepflogenheiten gegenüber Menschen mit bereits zuvor bestehenden konkreten Schwierigkeiten generell Auswirkungen auf die Struktur ihrer sozialen Interaktionen haben. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:156 BOOK REVIEWS ject could never arrive at a viable metaphysics and shows effectively that Marechal's subject was never in isolation from the objects of sensation and thought. On the other side, he presents the PDM as an alternative to the soft theism of thinkers like Hans Kiing and as a promising approach in contemporary epistemological debates involving Thomas Kuhn, Richard Rorty, Joseph Margolis, and many others. The historians (...) of philosophy will have to take up the critique of Matteo and Marechal on the many figures which they survey in PDM and QA. No one writer can cover so much ground without raising the ire of the specialists in particular thinkers or epochs. I shall simply say that the overview is helpful and that Matteo deserves credit for putting Marechal's readings to the test of his own reading of the works at issue. QA presents and evaluates this history with remarkable brevity, a virtue which can have its vicious side. I found the brevity to be a particular problem in the handling of Kant and of Marechal. The Critique of Pure Reason and PDM are elaborate analyses of thought, and Matteo proceeds in such summary fashion towards the big conclusions that he does less than justice to these analyses. Being so summary turns out to be a problem in showing that PDM can escape the accusations of subjectivism and relativism made by its scholastic attackers and that it has a way around those problems in present-day controversies. I myself am a partisan of the epistemology and metaphysics Marechal and Matteo advocate, but I find many of my doubts about the project unresolved by its presentation in QA. My particular concerns here center on conceptual relativism and theistic objectivity, hut anyone who can resolve those doubts definitively will have done a monumental service not just for the reviewer but for humankind. Marechal himself had intended a sixth volume more straight-forwardly along the Aristotelian-Thomist line, something which bad health prevented. We should wish Matteo the good health to develop the ideas of PDM and QA at the greater length required to achieve fully the promise claimed for them in this fine book. MICHAEL J. KERLIN La Salle University Philadelphia, Pennsylvania The Priority of Prudence. By DANIEL MARK NELSON. University Park: Pennsylvania State University Press, 1992. Pp. ix + 164. $26.95 (cloth). In recent years, we have seen a number of attempts to recapture the natural law doctrines of Thomas Aquinas. This book is another such BOOK REVIEWS 157 attempt, and in it Nelson attempts to do two things. First, he tries to show that prudence is the most important of the virtues and is prior to nature in the process of determining the moral character of actions. Prudence is undoubtedly a highly important virtue because it is the train that carries the agent to the moral good and it must stay on track for the agent to realize fully the aims of morality. But it is not clear that it is prior to other virtues, or to nature itself, as Nelson contends, and a strong case can he made that charity is first among the virtues, and that prudence is determined by charity. Prudence is prior to the other virtues in the sense that they are all weakened by prudential failures, hut prudence wanders aimlessly, not only in the absence of the guidance of the other virtues, hut also without the guidance of nature itself. Cut loose from its secure grounds in nature, prudence and the other virtues collapse, and they need not only the secure standards provided by justice, fortitude, and charity, hut also of nature to he authentic. Second, he is trying to show that Aquinas is not so much a natural law moralist as he is a rationalist and a virtue theorist. To do this, he argues that nature serves merely an explanatory and foundational function for morality, and provides no information about moral judgments (p. 100). He subordinates nature to reason in order to resolve disputes between modern deontologists and consequentialists, hut in doing this he transforms Aquinas from a natural law moralist to a rationalist. He gives priority to reason at the... (shrink)

A central problem for phronetic case-based approaches to the ethics of teaching lies in the proper determination of normative ethical problems. Judgments about the character of normative ethical problems depend in part on background beliefs about what is (or is not) of ethical value. Thus, to distinguish genuinely normative ethical problems, teachers seem to first require knowledge of what is of ethical value, which practical problems themselves cannot generate. To resolve this practical and theoretical problem, Nicolas Tanchuk and (...) Alyssa Emery argue for a Deweyan approach to teacher ethics that asserts two central theses: First, negatively, that inductive evidence warrants skepticism about any normative theory grounded in external reasons — (purported) reasons that are actually or possibly disconnected from an agent's motivational set of beliefs, desires, and dispositions. Second, that a cognitive and affective orientation toward solving problems through learning survives skepticism about external ethical reasons, grounding the commitments of many anti-oppressive teacher educators. (shrink)

This work defines various stakeholder roles to overcome the barriers to implementing Education 4.0, which were recently identified in the domain literature. The stakeholder roles are evaluated against these barriers, and such evaluation is structured as a multicriteria sorting problem. To this end, an integrated entropy-based CRITIC-CODAS-SORT under a Fermatean fuzzy environment addresses epistemic uncertainties inherent in decision-making. The FF CRITIC assigns the priority weights of the barriers, while the FF CODAS-SORT determines the high-priority stakeholder roles. A (...) case of an HEI evaluating 57 possible roles of 5 stakeholders is demonstrated here. Findings suggest the lack of collaboration, apprehensive stakeholders, cybersecurity threats, health issues, and cost as crucial barriers to the HEI. The sorting process yields 13 high-priority roles, encompassing those within the influence of the government, university management, human resource function, and educators. Various managerial insights are offered as inputs to the design of initiatives in EDUC4 implementation. (shrink)

Many European planning schools recently celebrated their 50th anniversary: a sign that planning education became a distinct and established discipline in Europe. Simultaneously, political regimes, paradigms, cultures, and economies continue fueling mixed connotations within the planning sector. Additionally, growing wicked problems in built areas emphasize an even greater need for well-trained planners. These challenges span climate crises, wars, authoritarian regimes, socio-political instability, and constantly changing global geopolitics. The increasingly complex demands on planners are highly pertinent for Young Academics (YA). They (...) require political, regulatory, and technical knowledge to navigate the profession. To support them and represent their voices in planning debates, the YA network (YAN) of AESOP was established in 2003. We, the current Coordination Team, use this paper to voice our take on the question of what planning challenges dominate and what can be done to prepare YAs better for the future. Building on plenty discussions within the YAN, literature, and AESOP’s activities at large, we propose: A challenge compilation for the profession, a list of core capacities, and a framework for future education. This shall aid in enabling YAs and educators today to set the foundation for planning sustainable and people-centered settlements tomorrow. (shrink)

This chapter is a work in applied metaphysics. Recent discussions of monism and metaphysical dependence are deployed to develop a view—the doctrine of divine priority (DDP)—that is a viable alternative to the doctrine of divine simplicity (DDS). DDS and the traditional motivation for it are discussed, then DDP is introduced by way of an analogy involving Jonathan Schaffer’s distinction between two forms of monism. It is argued that DDP is an alternative to DDS by showing that it is consistent (...) with the traditional motivation for the latter view, and argued that DDP is a viable alternative by showing that objections to its peculiar implications rest on assumptions that can reasonably be rejected. In the concluding section, the findings of the main discussion are summarized and DDP’s potential theological import is illustrated with a brief discussion of a possible solution to the Problem of the Trinity it affords. (shrink)

This article argues that values that apply to health care allocation entail the possibility of “spectrum arguments,” and that it is plausible that they often fail to determine a best alternative. In order to deal with this problem, a two-step process is suggested. First, we should identify the Strongly Uncovered Set that excludes all alternatives that are worse than some alternatives and not better in any relevant dimension from the set of eligible alternatives. Because the remaining set of alternatives (...) often contain more than one element, we need some complementary method of selecting a unique alternative. In order to address this issue, I suggest that we must invoke caps on the values that are used to evaluate alternatives, and that these caps must be grounded in collective commitments. (shrink)

Increasingly sophisticated and expensive medical technologies, chronic illness and aging, and a population that insists upon the best health care and coverage, together demand that priorities be set in the public funding of health care. This article describes Spanish initiatives in dealing with such problems and analyses the ethical implications of health care legislation and rationing.

Globalization has created the favorable conditions for social, economic and cultural integration in today’s world; but also problems and challenges involving ethics and bioethics. In this context, beside the many benefits of global range, several challenges have emerged, requiring a specific reflection. These challenges involve general disciplines such as anthropology, medicine/healthcare, and ecology as well as specific aspects: in a broad range, those linked to social justice fulfillment, guaranteeing safety, promoting interreligious dialogue, building peace; in a narrow range, those related (...) to professional moral conduct, healthcare delivery, access to healthcare and equitable distribution of healthcare resources, and provision of treatment.Therefore, new priorities arise also in the teaching of ethics and bioethics in a globalized world.“Global conscience”: first of all; we have the necessity of providing moral knowledge, skills and attitudes, developing consciences to have a new ethical awareness, enabling first to recognize and then to face the challenge posed by the globalized world.“Universal values”: second; we must spread universal values, particularly anthropological values such as human dignity.“Common responsibility”: third; rethink and propose again responsibility in seeking a sustainable and integral development. Common responsibility must take into account both promotion of human beings’ dignity and preservation of creation, showing how all these aspects are absolutely interconnected. (shrink)

In this paper I address what Arendt called the “problem of the new”, or, as Castoriadis put it, the problem of how to make the new “the object of our praxis”. I argue that the problem of the new requires thinking about receptivity in a new way, making it normatively and epistemically prior to creativity. I illuminate my new approach to receptivity through detailed engagement with Russell Hoban’s brilliant novel, The Medusa Frequency.

Gene editing in agriculture and food (GEAF) is a nascent development with few products and is unfamiliar among the wider US public. GEAF has garnered significant praise for its potential to solve for a variety of agronomic problems but has also evoked controversy regarding safety and ethical standards of development and application. Given the wake of other agribiotechnology debates including GMOs (genetically modified organisms), this study made use of 36 in-depth key interviews to build the first U.S. based typology of (...) proponent and critic priorities for shaping public trust in GEAF actors and objects. Key organizational actors provide early and foundational messaging, which is likely to contribute heavily to public salience, comprehension, and decision-making as potential consumers reflect upon their experiences, envision future outcomes, and consider the reputation of those trying to influence them. As is documented in our results, the trust-building priorities of these groups often stand in opposition to one another and are influenced by distinct motivations for how the public will come to trust or distrust GEAF actors and objects as more products are developed and enter the market. (shrink)

How should we choose between uncertain prospects in which different possible people might exist at different levels of wellbeing? Alex Voorhoeve and Marc Fleurbaey offer an egalitarian answer to this question. I give some reasons to reject their answer and then sketch an alternative, which I call person-affecting prioritarianism.

이 글은 수학과 과학에서 미적분계산법의 원 저작권에 관련된 유무형의 사용대상의 지적 소유권 귀속논의이다. 미적분계산법은 뉴턴과 라이프니츠가 독립적으로 발견한 것이며, 영 국과 대륙의 수학자그룹은 1699년에 시작하여 1714년까지 우위논쟁을 벌였다. 수학적 계산 방법의 지적인 소유의 귀속 사안은 실용적 효용성과 순수한 추상성과 인간지식의 문화적 보 편성에 비추어 결코 심각한 문제는 아니다. 하지만 자연법과 자연현상이 원 저작권자에 의 하여 언제 발견되고 어떻게 설명되는지는 원저자의 지적 권리와 우위에 대한 표준적 규범화 요구와 관련되기 때문에 과학의 진보와 과학과 수학교육과 관련하여 매우 중요하다. 게다가 수학적 발견에 따른 권리와 (...) 표준지식의 규범화는 학문공동체의 도덕적 의무로 위임되면서 원저자의 수학적 대상의 발견의 우위의 정당성확보를 위한 노력은 국가차원의 지지를 받아 온 문화적 우월성의 표현이다. 과학에서 지적 우위의 특권을 얻는다는 것은 표준지역에서 비표준지역에로의 지식 확산을 의미한다. 뉴턴이 뒤늦게 미적분계산의 우위를 주장하고 나 섰지만 오늘날 국제학술지 인용지수의 관점에서 보자면 라이프니츠에게 더 많은 지적인 귀 속이 가야 한다. 뉴턴이 계산방법을 먼저 고안하여 사용하고도 출간은 뒤로 미루었던 것은 17세기 바로크과학 연구관행의 정체성 때문이다. 미적분계산법의 우위에 관한 액면논쟁에 서 양자는 미적분학의 동등한 발견자로 인정된다. 미적분계산법의 최초의 발견과정은 어떠 하였는지를 평가하는 논증장소에서 당사자와 주변연구진은 원저자의 권리귀속을 수학적으 로만 해결하지 않았다. 그들은 과학기술 분야에서 미적분계산법의 가치와 중요성을 인식하 면서 용어 사용의 기술적 정당화를 시도하였다. 미적분계산법은 수사학을 통하여 발전할 수 있었고 18세기 유럽의 수학과 과학기술 분야에 비약적 발전을 이끌 수 있었다. (shrink)

Though codes of ethics exist in many businesses, employees still view less than truthful behaviors to be a significant ethical problem. The current study examines the related and somewhat counterintuitive issue of less than truthful behaviors intended to further organizational priorities. Such behaviors risk violating one organizational priority (e. g., adhering to a code of ethics) to achieve another. Data indicated four unique though non-mutually exclusive motivations: (1) to avoid confrontation or conflict; (2) to ensure quality in the (...) delivery of a product or service; (3) to buy time for an organization's strategy to play out; and (4) for self-protection or self-enhancement. The evidence further suggests that enhanced managerial training, particularly in handling confrontation and conflicts, could reduce the contradiction between stated codes of ethics and actual behaviors. (shrink)

My aims has been to approach the debate about health service priorities from the perspective of political philosophy, but to keep the discussion firmly anchored in comtemporary problems of health care provision. The chapters are designed to provide the groundwork for anyone interested in the ethical problems in modern health care. I have used examples of health care delivery in Britain, the USA, the USSR, and the People's Republic of China to illustrate different aspects of the problem of priorities. (...) The issues can be summarised under three broad headings: Distribution, effectiveness, and authority to make decisions. (shrink)

Despite the international interest in priority setting as an important tool for health policy, there has been comparatively little interest in the setting of research priorities. One of the few places where there has been such an interest is at the National Institutes of Health (NIH) in the United States. Under pressure from Congress to explain its priority setting process, the NIH has tried to explain the criteria and process it uses. The NIH procedure is described, and the (...) problems created by the criteria it uses are analyzed. Although it uses the language of priority setting, it is uncertain whether it does have a real method of setting priorities. Nonetheless, despite the lack of a method, the results of its work are lauded. In the long run, however, NIH will need a more rigorous method of setting priorities. (shrink)

In the following article I intend to examine the problem of the unity of the proposition in Russell, Frege, and Wittgenstein. My chief aim will be to draw attention to the distinction between Russell’s conception of propositional constituents, on the one hand, with Frege and Wittgenstein’s on the other. My focus will be on Russell’s view of terms as independent, propositions being built up out of these building blocks, compared with Frege and Wittgenstein’s ‘top down’ approach. Furthermore, I will (...) argue that, contra certain other commentators, Frege’s metaphor of saturation and unsaturation does not serve as a solution to the problem of unity, and that the extension of this metaphorical language to Wittgenstein is, therefore, inappropriate. (shrink)

Rare diseases pose a particular priority setting problem. The UK gives rare diseases special priority in healthcare priority setting. Effectively, the National Health Service is willing to pay much more to gain a quality-adjusted life-year related to a very rare disease than one related to a more common condition. But should rare diseases receive priority in the allocation of scarce healthcare resources? This article develops and evaluates four arguments in favour of such a priority. (...) These pertain to public values, luck egalitarian distributive justice the epistemic difficulties of obtaining knowledge about rare diseases and the incentives created by a higher willingness to pay. The first is at odds with our knowledge regarding popular opinion. The three other arguments may provide a reason to fund rare diseases generously. However, they are either overinclusive because they would also justify funding for many non-rare diseases or underinclusive in the sense of justifying priority for only some rare diseases. The arguments thus fail to provide a justification that tracks rareness as such. There are no data in this work. (shrink)