Many response-dependence theorists equate moral truth with the generation of some affective psychological response: what makes this action wrong, as opposed to right, is that it would cause (or merit) affective response of type R (perhaps under ideal conditions). Since our affective nature is purely contingent, and not necessarily shared by all rational creatures (or even by all humans), response-dependence threatens to lead to relativism. In this paper, I will argue that emotional responses and moral features do not align in (...) the way predicted by the response-dependence theorist who wishes to tie morality to emotional affect. I further argue that since response-dependence accounts that tie morality to any sort of affect (be it an emotion, a desire, a desire to desire, or so on) cannot explain the objectivity and universality of morality; and since we do not need a psychological response to play a truth-constituting role in morality in order to explain the normativity or content of morality, we should reject such response-dependence accounts. (shrink)

Wilfrid Sellars’s ethical theory was rich and deeply innovative. On Sellars’s view, moral judgments express a special kind of shared intention. Thus, we should see Sellars as an early advocate of an expressivism of plans and intentions, and an early theorist of collective intentionality. He supplemented this theory with a sophisticated logic of intentions, a robust theory of the categorical validity of normative expressions, a subtle way of reconciling the cognitive and motivating aspects of moral judgment, and much more— all (...) within a strict nominalism that preserves Sellars’s commitment to naturalism. The Ethics of Wilfrid Sellars offers the first systematic treatment of this sadly neglected aspect of Sellars’s work and demonstrates that his ethical theory— just like his more widely discussed epistemology— has much to contribute to current debates. (shrink)

Discussions of conservatism in epistemology often fail to demonstrate that the principle of conservatism is supported by epistemic considerations. In this paper, I hope to show two things. First, there is a defensible version of the principle of conservatism, a version that applies only to what I will call our basic beliefs. Those who deny that conservatism is supported by epistemic considerations do so because they fail to take into account the necessarily social, diachronic and self-correcting nature of our epistemic (...) practice. Second, I will attempt to show how our basic beliefs are justified via this principle of conservatism. (shrink)

Many naturalistically-minded philosophers want to accomplish a naturalistic reduction of normative (e.g. moral and epistemic) claims. Mindful of avoiding the naturalistic fallacy, such philosophers claim that they are not reducing moral and epistemic concepts or definitions. Rather, they are only reducing the extension of these normative terms, while admitting that the concepts possess a normative content that cannot be naturalistically reduced. But these philosophers run into a serious problem. I will argue that normative claims possess two dimensions of normativity. I (...) will further argue that certain of the reductionist’s commitments require that these two dimensions of normativity be given a naturalistic reduction, while the other of the reductionist’s commitments make such a reduction impossible. Thus, the reductionist’s commitments both require and forbid a reductionist account of morality and epistemology. Thus, as we will see, reductionism is torn between two incompatible requirements, and must fail. (shrink)

Recent defenders of the divine command theory like Adams and Alston have confronted the Euthyphro dilemma by arguing that although God’s commands make right actions right, God is morally perfect and hence would never issue unjust or immoral commandments. On their view, God’s nature is the standard of moral goodness, and God’s commands are the source of all obligation. I argue that this view of divine goodness fails because it strips God’s nature of any features that would make His goodness (...) intelligible. An adequate solution to the Euthyphro dilemma may require that God be constrained by a standard of goodness that is external to Himself -- itself a problematic proposal for many theists. (shrink)

Picturing is a poorly understood element of Sellars’s philosophical project. We diagnose the problem with picturing as follows: on the one hand, it seems that it must be connected with action in order for it to do its job. On the other hand, the representational states of a picturing system are characterized in descriptive and seemingly static terms. How can static terms be connected with action? To solve this problem, we adopt a concept from recent work in Sellarsian metaethics: the (...) idea of a material practical inference, which (we argue) features centrally in how we picture. The key distinction is that the picturing of nonhuman animals involves only Humean material practical inference, in which representational states are corrected only by feedback from the environment and not from discursive interactions. The resulting view shows that Sellars’s contributions to practical philosophy (especially theory of action and metaethics) cannot be separated from his contributions to philosophy of mind, language, and cognitive science. Further, the view makes it clear that picturing is neither a version of the Given, nor is it a fifth wheel to inferential role in explaining representation, but is essential to Sellars’s model of how animals—including humans—represent their environment. (shrink)

No contemporary compatibilist account of free will can be complete unless it engages with the consequence argument. I will argue that Wilfrid Sellars offered an ingenious version of compatibilism that can be used to refute the consequence argument. Unfortunately, owing to the opacity of Sellars’s writings on free will, his solution has been neglected. I will reconstruct his view here, demonstrating how it represents a powerful challenge to the consequence argument and tying it to some recent developments in the compatibilist (...) literature. (shrink)

One important strand of Sellars’s attack on classical foundationalism from Empiricism and the Philosophy of Mind is his thesis about the priority of is-talk over looks-talk. This thesis has been criticized extensively in recent years, and classical foundationalism has found several contemporary defenders. I revisit Sellars’s thesis and argue that is-talk is epistemically prior to looks-talk in a way that undermines classical foundationalism. The classical foundationalist claims that epistemic foundations are constituted by the agent’s set of looks-judgments. However, I argue (...) that only a subset of these looks-judgments are even candidates to serve as foundations for the agent’s empirical knowledge, and membership in this subset is determined by the agent’s theory of how the world is. Thus, the epistemic force of the looks-judgments in this subset is dependent on the agent’s theory of how the world is. This means that these looks-judgments aren’t foundational at all, as the agent’s theory of how the world is is epistemically is prior to the epistemic status of these looks-judgments. This is the sense in which judgments about how the world is are epistemically prior to judgments about how things look. This conclusion allows concrete elaboration of another of Sellars’s well-know claims: “I do wish to insist that the metaphor of ‘foundation’ is misleading in that it keeps us from seeing that if there is a logical dimension in which other empirical propositions rest on observation reports, there is another logical dimension in which the latter rest on the former”. (shrink)

Plantinga famously argues against evidentialism that belief in God can be properly basic. But the epistemology of cognitive faculties such as perception and memory which produce psychologically non-inferential beliefs shows that various inferentially justified theoretical beliefs are epistemically prior to our memory and perceptual beliefs, preventing the latter from being epistemically basic. Plantinga's analogy between the sensus divinitatis and these cognitive faculties suggests that the deliverances of the sensus divinitatis cannot be properly basic either. Objections by and on behalf of (...) Plantinga to this argument are considered. (shrink)

Drawing on a rich pragmatist tradition, this book offers an account of the different kinds of ‘oughts’, or varieties of normativity, that we are subject to contends that there is no conflict between normativity and the world as science describes it. The authors argue that normative claims aim to evaluate, to urge us to do or not do something, and to tell us how a state of affairs ought to be. These claims articulate forms of action-guidance that are different in (...) kind from descriptive claims, with a wholly distinct practical and expressive character. This account suggests that there are no normative facts, and so nothing that needs any troublesome shoehorning into a scientific account of the world. This work explains that nevertheless, normative claims are constrained by the world, and answerable to reason and argumentation, in a way that makes them truth-apt and objective. (shrink)

In his book Mind and World, John McDowell grapples with the problem that the world must and yet seemingly cannot constrain our empirical thought. I first argue that McDowell’s proposed solution to the problem throws him onto the horns of his own, intractable dilemma, and thus fails to solve the problem of rational constraint by the world. Next, I will argue that Wilfrid Sellars, in a series of articles written in the 1950s and 1960s, provides the tools to solve the (...) dilemma McDowell sets before us. We will see how, borrowing from Sellars and certain neo-Sellarsians, we can solve the problem of rational constraint by perception without resorting to a McDowellian quasi-enchantment of the world. (shrink)

The divine purpose theory —according to which that human life is meaningful to the extent that it fulfills some purpose or plan to which God has directed us—encounters well-known Euthyphro problems. Some theists attempt to avoid these problems by appealing to God’s essential goodness, à la the modified divine command theory of Adams and Alston. However, recent criticisms of the modified DCT show its conception of God’s goodness to be incoherent; and these criticisms can be shown to present an analogous (...) set of problems for the DPT. Further, the argument can be extended to any account of meaningfulness according to which the value of what humans do can only be conferred by God. Thus, it would seem that there is no tenable version of the view that meaningfulness is conferred on human life by some act or attitude of God’s. (shrink)

Most philosophers now concede that libertarianism has failed as an account of free will. Assuming the correctness of this concession, that leaves compatibilism and hard determinism as the only remaining choices in the free will debate. In this paper, I will argue that hard determinism turns out to be a form of compatibilism, and therefore, compatibilism is the only remaining position in the free will debate. I will attempt to establish this conclusion by arguing that hard determinists will end up (...) punishing or rewarding the same acts (and omissions) that the compatibilists punish and reward. Next, I will respond to several objections that attempt to pry apart hard determinism and compatibilism. It will emerge not only that hard determinism and compatibilism are identical at the practical level, but also that the key terms employed by the hard determinist have the same meaning as equivalent terms ("free," "morally responsible," and "retributive punishment") employed by the compatibilist. I conclude that hard determinism genuinely is a form of compatibilism. (shrink)

Many authors have argued that emotions serve an epistemic role in our moral practice. Some argue that this epistemic connection is so strong that creatures who do not share our affective nature will be unable to grasp our moral concepts. I argue that even if this sort of incommensurability does result from the role of affect in morality, incommensurability does not in itself entail relativism. In any case, there is no reason to suppose that one must share our emotions and (...) concerns to be able to apply our moral concept successfully. Finally, I briefly investigate whether the moral realist can seek aid and comfort from Davidsonian arguments to the effect that incommensurability in ethics is in principle impossible, and decide that these arguments are not successful. I conclude that the epistemic role our emotions play in moral discourse does not relativize morality. (shrink)

While social epistemology is a diverse field, much of it still understands knowledge as an individual status—albeit an individual status that crucially depends on various social factors (such as testimony). Further, the literature on group knowledge until now has primarily focused on limited, specialized groups that may be said to know this or that as a group. I wish to argue, to the contrary, that all knowledge-attributions ascribe a collective status; and that this follows more or less directly from an (...) essential function of entitlement-ascriptions: Ascriptions of knowledge and entitlement serve a primarily social function in that they facilitate coordination by maintaining consensus around true beliefs, true theories, and truth-producing methodologies. This conclusion will shed light on ways in which traditional theories of knowledge (such as foundationalism and coherentism) fail to capture a central function of our epistemic practice. (shrink)

Direct realist versions of foundationalism have recently been advocated by Pryor, Huemer, Alston, and Plantinga. DRF can hold either that our foundational observation beliefs are about the simple perceptible qualities of objects, or that our foundational observation beliefs are more complex ones about objects in the world. I will show that whether our observational beliefs are simple or complex, the agent must possess other epistemically significant states in order for these observational beliefs to be justified. These other states are therefore (...) epistemically prior to observation belief, and prevent them from being epistemically foundational. (shrink)

The free will theodicy places significant value on free will: free will is of such substantial value, that God’s gift of free will to humans was justified, even though this gift foreseeably results in the most monstrous of evils. I will argue that when a state criminalizes sin, it can restrict or eliminate citizens’ exercise of metaphysical free will with respect to choosing to partake in or refrain from these activities. Given the value placed on free will in the free (...) will theodicy, theists who endorse this theodicy should thus oppose the criminalization of what I will call Millian sins —that is, actions which are immoral, but which do not directly harm another person. In other words, such theists should oppose legal moralism. (shrink)

Recent critics of Sellars's argument against the Given attack Sellars's conclusion that sensations cannot play a role in the justification of observation beliefs. I maintain that Sellars can concede that sensations play a role in justifying observation reports without being forced to concede that they have the foundational status of an epistemic Given. However, Sellars's own arguments that observation reports rest, in some sense, on other empirical beliefs are not sufficiently well-developed; nor are his comments concerning internalism, which is crucial (...) to his attack on the Given. As a result, both of these aspects of Sellars's epistemology have been attacked, and their significance has gone unrecognized by many philosophers. In this paper, I will try to fill in some of the missing pieces, so that we can see that not only are Sellars's theses concerning internalism and epistemic priority correct, but they represent a devastating attack on the Given, even if Sellars concedes that sensation can play a role in justifying observation beliefs. In short, we will see that these recent arguments in support of the Given have not succeeded in reviving it. The Given remains a myth. (shrink)

This paper critically examines what I call the ‘testing theodicy,’ the widely held idea that natural evil exists in order to test our faith in God. This theodicy appears numerous times in the scriptures of all three Abrahamic faiths. After examining some of these scriptural passages, we will argue that in light of these texts, the notion of faith is best understood as some type of commitment such as trust, loyalty or piety, rather than as merely a belief in God’s (...) existence. After carefully showing the form this theodicy must take, I argue that the testing theodicy suffers from serious difficulties and fails to adequately account for the existence of natural evil. (shrink)

Much moral skepticism stems from the charge that moral facts do not figure in causal explanations. However, philosophers committed to normative epistemological discourse (by which I mean our practice of evaluating beliefs as justified or unjustified, and so forth) are in no position to demand that normative facts serve such a role, since epistemic facts are causally impotent as well. I argue instead that pragmatic reasons can justify our continued participation in practices which, like morality and epistemology, do not serve (...) the function of causal explanation. Finally, I defend this pragmatic justification of morality and epistemology against a number of objections, including the objection that it confuses practical and theoretical justification. (shrink)

It is plausible to suppose that the normativity of evaluative (e.g., moral and epistemic) judgments arises out of and is, in some sense, dependent on our actual evaluative practice. At the same time, though, it seems likely that the correctness of evaluative judgments is not merely a matter of what the underlying practice endorses and condemns; denial of this leads one into a rather objectionable form of relativism. In this paper, I will explore a social practice account of normativity according (...) to which normativity is grounded in our actual social practice of evaluation. I will show how this account allows normativity to be dependent on our actual evaluative practice, while allowing the correctness of evaluative judgments to be independent of this practice in important ways, and how the resulting temporal logic of reasons gives us a conception of morality and other sorts of evaluative discourse that is not historically local. (shrink)

Most philosophers endorse our epistemic practice of evaluating beliefs and methods of inquiry as justified or unjustified, rational or irrational; far fewer, though, think our practice of moral evaluation is viable. I contend that this difference in attitude toward epistemic and moral practice reveals an underlying double standard. I argue that the standards set by influential moral anti-realist arguments are not met by our practices of epistemic justification, and that the adoption of these standards would therefore force us to abandon (...) such things as the distinction between rational and irrational arguments, science and pseudoscience, and the like; hence, these standards are too stringent, and ought not be adopted. In addressing J. L. Mackie's charge that moral properties would have to be queer things in virtue of their "to-be-doneness", I argue that epistemological properties are no less queer, and give a positive account of the connection between moral judgment and moral motivation that avoids the worry. I then turn to Gilbert Harman's argument that moral facts neither figure in the best causal explanations, nor are reducible to causally efficacious facts. I concede this, but argue that the same is true of epistemic and social facts, and that pragmatic reasons justify our continued participation in such discourse. I next address the contention that the constitutive role of emotion in moral discourse renders morality problematically local. I argue that emotion plays no constitutive role in morality, serving only evidential and epistemological functions which entail no incommensurability. Finally, I borrow from recent accounts of normativity to suggest that all normative discourse is of a piece, and that there is no in principle distinction between moral, epistemological, semantic, and other types of normative discourse. This suggests that these sorts of discourse all stand and fall together, and that morality is therefore just as hardy as epistemology and the like. (shrink)

This is the first volume devoted exclusively to the practical philosophy of Wilfrid Sellars. It features original essays by leading Sellars scholars that examine his ethical theory, his theory of practical reasoning, and his theory of intentional agency. While most scholarship on Sellars's philosophy has focused on his epistemology, metaphysics, or philosophy of language and mind, Sellars himself regarded his practical philosophy as central to his overall project of situating rational beings within the natural order. The chapters in this volume (...) address this neglected area of Sellars's philosophy. The chapters are divided into thematic sections covering Sellars's theory of we-intentions - influential in contemporary debates on collective intentionality - naturalism and the manifest image, and the moral point of view. Together, they demonstrate how Sellars's practical philosophy contributes to important debates in contemporary philosophy regarding, for example, expressivist approaches to moral thought and group agency in the collective intentionality literature. Ethics, Practical Reasoning, Agency: Wilfrid Sellars's Practical Philosophy will appeal to scholars and advanced students interested in Wilfrid Sellars, American philosophy, and ethics. (shrink)

Recent critics of Sellars's argument against the Given attack Sellars's conclusion that sensations cannot play a role in the justification of observation beliefs. I maintain that Sellars can concede that sensations play a role in justifying observation reports without being forced to concede that they have the foundational status of an epistemic Given. However, Sellars's own arguments that observation reports rest, in some sense, on other empirical beliefs are not sufficiently well-developed; nor are his comments concerning internalism, which is crucial (...) to his attack on the Given. As a result, both of these aspects of Sellars's epistemology have been attacked, and their significance has gone unrecognized by many philosophers. In this paper, I will try to fill in some of the missing pieces, so that we can see that not only are Sellars's theses concerning internalism and epistemic priority correct, but they represent a devastating attack on the Given, even if Sellars concedes that sensation can play a role in justifying observation beliefs. In short, we will see that these recent arguments in support of the Given have not succeeded in reviving it. The Given remains a myth. (shrink)

Many contextualist accounts in epistemology appeal to ordinary language and everyday practice as grounds for positing a low-standards knowledge (knowledgeL) that contrasts with high-standards prevalent in epistemology (knowledgeH). We compare these arguments to arguments from the height of “ordinary language” philosophy in the mid 20th century and find that all such arguments face great difficulties. We find a powerful argument for the legitimacy and necessity of knowledgeL (but not of knowledgeH). These appeals to practice leave us with reasons to accept (...) knowledgeL in the face of radical doubts raised by skeptics. We conclude by arguing that by relegating knowledgeH to isolated contexts, the contextualist fails to deal with the skeptical challenge head-on. KnowledgeH and knowledgeL represent competing, incompatible intuitions about knowledge, and we must choose between them. A fallibilist conception of knowledge, formed with proper attention to radical doubts, can address the skeptical challenge without illicit appeal to everyday usage. (shrink)

People tend to perceive ongoing continuous activity as series of discrete events. This partitioning of continuous activity may occur, in part, because events correspond to dynamic patterns that have recurred across different contexts. Recurring patterns may lead to reliable sequential dependencies in observers' experiences, which then can be used to guide perception. The current set of simulations investigated whether this statistical structure within events can be used 1) to develop stable internal representations that facilitate perception and 2) to learn when (...) to update such representations in a self-organizing manner. These simulations demonstrate that experience with recurring patterns enables a system to accurately predict upcoming stimuli within an event, to identify boundaries between such events based on transient increases in prediction error, and to use such boundaries to improve prediction about subsequent activities. (shrink)

Niche construction theory (NCT) can be applied to examine the influence of culturally constructed learning environments on the acquisition and retention of beliefs, values, role expectations, and skills. Thus, NCT provides a quantitative framework to account for cultural-historical contingency affecting development and cultural evolution. Learning in a culturally constructed environment is of central concern to many sociologists, cognitive scientists, and sociocultural anthropologists, albeit often from different perspectives. This article summarizes four pertinent theories from these fields—situated learning, activity theory, practice theory, (...) and distributed cognition. As a basis for interdisciplinary investigation, the article considers how these theories may be addressed using a cultural niche-construction framework, including the utility of an embedded model that explicitly accounts for effects of the constructed learning environment on within-individual learning dynamics in an evolutionary framework. (shrink)

This paper provides a method for characterizing space events using the framework of conceptual spaces. We focus specifically on estimating and ranking the likelihood of collisions between space objects. The objective is to design an approach for anticipatory decision support for space operators who can take preventive actions on the basis of assessments of relative risk. To make this possible our approach draws on the fusion of both hard and soft data within a single decision support framework. Contextual data is (...) also taken into account, for example data about space weather effects, by drawing on the Space Domain Ontologies, a large system of ontologies designed to support all aspects of space situational awareness. The framework is coupled with a mathematical programming scheme that frames a mathematically optimal approach for decision support, providing a quantitative basis for ranking potential for collision across multiple satellite pairs. The goal is to provide the broadest possible information foundation for critical assessments of collision likelihood. (shrink)

Bioethicists invoke a duty to rescue in a wide range of cases. Indeed, arguably, there exists an entire medical paradigm whereby vast numbers of medical encounters are treated as rescue cases. The intuitive power of the rescue paradigm is considerable, but much of this power stems from the problematic way that rescue cases are conceptualized—namely, as random, unanticipated, unavoidable, interpersonal events for which context is irrelevant and beneficence is the paramount value. In this article, I critique the basic assumptions of (...) the rescue paradigm, reframe the ethical landscape in which rescue obligations are understood, and defend the necessity and value of a wider social and institutional view. Along the way, I move back and forth between ethical theory and a concrete case where the duty to rescue has been problematically applied: the purported duty to regularly return incidental findings and individual research results in genomic and genetic research. (shrink)

A balanced, accessible discussion of whether and on what grounds animal research can be ethically justified.

abstract It is generally assumed that the link between utilitarianism and vegetarianism is relatively straightforward. However, a familiar objection to utility‐based vegetarianism maintains that, given the massive scale of animal agribusiness, any given person is causally impotent in reducing the overall number of animals raised for food and, thus, in reducing the unfathomably high quantity of disutility engendered thereby. Utilitarians have frequently responded to this objection in two ways: first, by appealing to expected utility and economic thresholds, and, secondly, by (...) appealing to publicity effects. In this paper, I will offer some reasons for thinking that, however far these responses go in the direction of ethical vegetarianism, both leave an important normative gap between the dietary prescription they are capable of underwriting and a ‘minimally‐genuine’ vegetarian obligation. What is needed to close this gap is a utility‐based reason that (1) generates an ethical prescription for minimally‐genuine vegetarianism and (2) circumvents the causal impotence objection. As I see it, there is a straightforward and auspicious reason that can perform both of the required tasks — namely, an appeal to the well‐documented welfare‐reducing effects of eating animal products upon human health. For, if causal impotence is to work as a global objection to utility‐based vegetarianism (rather than as a more local objection to certain reasons supporting that position), then it must operate as a general thesis about the incapacity for any given individual to bring about more utility solely through her own abstention from consuming animal products. However, for almost any given individual, the decision to maintain a vegetarian diet is causally potent in at least diminishing the expected disutility for herself of poorer health and a shorter life span associated with the consumption of animal products. Thus, it follows that (1) there are plausible, if not conclusive, utilitarian grounds for minimally‐genuine vegetarianism and (2) the causal impotence objection fails as a general criticism of utility‐based vegetarianism. (shrink)

Decision-making capacity (DMC) is, in many ways, a central organizing concept of modern health care ethics. Patients with DMC have the moral—if not always the legal—authority to make all manner of...

Prospective parents have long been interested in knowing as much information about their children as early as possible. This interest is not—and never has been—strictly limited to significant “medi...

Many bioethicists view the primary task of bioethics as ‘value clarification’. In this article, I argue that the field must embrace two more ambitious agendas that go beyond mere clarification. The first agenda, critique, involves unmasking, interrogating, and challenging the presuppositions that underlie bioethical discourse. These largely unarticulated premises establish the boundaries within which problems can be conceptualized and solutions can be imagined. The function of critique, then, is not merely to clarify these premises but to challenge them and the (...) boundaries they define. The second agenda, integration, involves honoring and unifying what is right in competing values. Integration is the morally ideal response to value conflict, offering the potential for transcending win/lose outcomes. The function of integration, then, is to envision actions or policies that not only resolve conflicts, but that do so by jointly realizing many genuine values in deep and compelling ways. My argument proceeds in stages. After critically examining the role and dominant status of value clarification in bioethical discourse, I describe the nature and value of the two agendas, identify concrete examples of where each has been and could be successful, and explain why a critical integrative bioethics – one that appreciates the joint necessity and symbiotic potential of the two agendas – is crucial to the future of the field. The ultimate goal of all of this is to offer a more compelling vision for how bioethics might conduct itself within the larger intellectual and social world it seeks to understand and serve. (shrink)

Foucault and Religion seeks to unearth a new dimension of Foucault scholarship. Renowned Foucault scholar Jeremy Carrette reveals not simply how Foucault's work can be applied to religion but how a religious question at the heart of Foucault's own work offers a radical challenge to religious ideas. Carrette argues that Foucault offers a twofold critique of Christianity by bringing the body and sexuality into religious practice and exploring a political spirituality of the self. This first major commentary on Foucault (...) and religion opens up the diverse religious questions the philosopher raises in his work, and sheds new light on how Foucault challenges religious thinking and transforms religious understanding. (shrink)

In 1970, President Richard Nixon expressed his unambiguous support for interracial marriage; as for same-sex marriage, he exclaimed, "I can't go that far—that's the year 2000" . Nixon's prescient remark, made shortly after the Supreme Court's 1967 decision in Loving v. Virginia to overturn anti-miscegenation laws, expresses at once hesitancy for, yet resigned acceptance of, the inevitable expansion of civil marriage to include more and more kinds of loving partnerships. Nearly forty years later, Nixon's uncanny prediction appears close to being (...) realized. At the very least, many have gone where he claimed to be unable to go, adding their voices to a growing movement seeking state recognition of same-sex unions as a matter of equality, rights, and justice. And, indeed, a strong case might be made on such grounds, were the state justified in sponsoring an institution of civil marriage in the first place. (shrink)

Volume 20, Issue 7, July 2020, Page 92-94.

The pandemic creates unprecedented challenges to society and to health care systems around the world. Like all crises, these provide a unique opportunity to rethink the fundamental limiting assumptions and institutional inertia of our established systems. These inertial assumptions have obscured deeply rooted problems in health care and deflected attempts to address them. As hospitals begin to welcome all patients back, they should resist the temptation to go back to business as usual. Instead, they should retain the more deliberative, explicit, (...) and transparent ways of thinking that have informed the development of crisis standards of care. The key lesson to be learned from those exercises in rational deliberation is that justice must be the ethical foundation of all standards of care. Justice demands that hospitals take a safety‐net approach to providing services that prioritizes the most vulnerable segments of society, continue to expand telemedicine in ways that improve access without exacerbating disparities, invest in community‐based care, and fully staff hospitals and clinics on nights and weekends. (shrink)