Two major safety net providers – community health centers and public hospitals – continue to play a key role in the health care system even in the wake of coverage reform. This article examines the gains and threats they face under the Affordable Care Act.

Millions of Americans are dependent on what is often called the “safety net.” These loosely-organized networks of health and social service providers serve the many Americans who are uninsured, dependent on public coverage, or for a variety of reasons unable to access other private systems of care. The Institute of Medicine report, America’s Health Care Safety Net: Intact but Endangered, called attention to both the fragility and the resilience of this health care safety net. The IOM report underscored the critical (...) importance of the safety net to the health and well-being of millions of individuals and called for efforts to strengthen it and improve the nation’s ability to monitor its viability. Given this central role, any health care reform efforts need to be fully informed by an understanding of what the safety net includes, how it is financed, and how it is responding to a series of challenges it now faces. (shrink)

Millions of Americans are dependent on what is often called the “safety net.” These loosely-organized networks of health and social service providers serve the many Americans who are uninsured, dependent on public coverage, or for a variety of reasons unable to access other private systems of care. The Institute of Medicine report, America’s Health Care Safety Net: Intact but Endangered, called attention to both the fragility and the resilience of this health care safety net. The IOM report underscored the critical (...) importance of the safety net to the health and well-being of millions of individuals and called for efforts to strengthen it and improve the nation’s ability to monitor its viability. Given this central role, any health care reform efforts need to be fully informed by an understanding of what the safety net includes, how it is financed, and how it is responding to a series of challenges it now faces. (shrink)

Abstractabstract:What lessons can Catholic theology learn from Shinran (1173–1263), one of the leading Japanese proponents of Pure Land Buddhism, in matters regarding the universality and particularity of religions? How can Catholic theology move from Christological and ecclesiological exclusivism to a position that acknowledges religious pluralism? This essay attempts an answer to these questions by comparing the shift in Catholic pre-Vatican II theology of religion from exclusivism to pluralistic inclusivism to Shinran's abandonment of his monastic life and its practices at the (...) Tendai monastery of Enryakuji on Mount Hiei in 1201 at the age of twenty-nine and adoption of the teaching of Hōnen (1133–1212) on the recitation of the Nembutsu is all that is required for rebirth in the Pure Land.Part I of the essay gives an exposition of the Catholic theology of Christ as the unique and universal Savior, the church as the necessary and universal sign and instrument of salvation, the reversal of ecclesiological exclusivism by Vatican II's affirmation of the possibility of salvation for non-Christians, and the theological developments in Catholic theology that lead to Vatican II's inclusivist theology of religion.Part II begins with a narrative of Shinran's journey toward religious pluralism starting from his rejection of the monastic tradition and its practices to gain rebirth in the Pure Land and his six-year discipleship of Hōnan from whom he learned that salvation cannot be earned by one's effort and that salvation is available to all. Next follows an exposition of Shinran's teaching under four expressions: kyō, gyō, shin, and shō. Central to Shinran's teaching and three-stage conversion is the Amida Buddha's Primal Vow or Eighteenth Vow to save all sentient beings, which is the "other-power" and not the "self-power" that saves. Finally, attention is drawn to the kind of people that followed Shinran's teaching.Part III studies the areas where Catholic theology can learn from Shinran and Shin Buddhism by drawing the parallels between Shinran's context and that of Catholic theologians that require a new interpretation of traditional teachings on Christ and the church, between the Primal Vow and the Holy Spirit, and between Shinran's targeted audience and the "poor" for whom God has a preferential love. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Conversations from the Shin Buddhist-Muslim-Christian Workshops, 2016–2019:IntroductionDennis HirotaIn 2016, members of the Research Center for World Buddhist Cultures at Ryukoku University initiated a project that came to be titled "Conversations in Comparative Theology: Shin Buddhism, Christianity, Islam." The basic plan called for a small number of scholars of the three traditions to meet to present papers on shared themes and discuss vital topics in their own traditions. (...) The hope was that participants would, through the presentations, reflect critically on issues within their own tradition in the light of the theological thinking of other traditions.The first meeting was held at Ryukoku University in 2016. The planning for the project was joined, at various stages, by Perry Schmidt-Leukel of Münster University, Peter Phan of Georgetown University, and David Matsumoto of the Institute of Buddhist Studies, all of whom hosted a meeting at their home institution. In all, four meetings were held in four consecutive years in Kyoto, Münster, Washington, D.C., and Berkeley.For the first three meetings, panels were organized around set themes, with one panelist presenting for each tradition. The themes for all the panels were largely determined at the outset of the project. They were intended to be topics of major significance with broad resonance across the traditions. It was anticipated that each topic would be viewed as harboring issues requiring current deliberation. In this respect, some of the panel topics were more fruitful than others.The panel topics for the first meeting were: (i) Buddha's teaching, revelation, truth; (ii) universality and exclusivism; (iii) myth and history; and (iv) Amida, Allah, Trinity.The panel topics for the second meeting: (i) karmic evil, sin, suffering, and predestination; (ii) practice, prayer, and transformation; (iii) repentance and forgiveness, aspiration, and hope; and (iv) human existence.The topics for the third meeting: (i) wisdom-compassion, divine love/mercy, and transcendence; (ii) shinjin, nembutsu, surrender/faith, remembrance, and the prophetic voice; (iii) Amida's directing of virtue; grace, justice, and moral life; and (iv) naturalness (jinen), fitra, spirit. [End Page 239]At the final meeting, participants presented revised or augmented papers reflecting their experience during the entire project. The eight articles gathered here were originally written as part of the project at various points during the four-year course of its proceedings.Readers will be able to determine the success of the project itself by the merits or limitations of the contributions. It may be useful, however, to offer a reflection on the meetings as a whole. Students of religion experienced in interreligious, intercultural, or comparative theological dialogue will recognize some of the difficulties surrounding the project. I will mention simply that a tension or polarity of concerns quickly emerged that might be characterized as the distance between "comparative" approaches, on the one hand, and more traditional "theological" practices, on the other hand. We learned that students of religion engage in comparison based on diverse hermeneutical presuppositions, and that theological reflection within religious communities of discourse can vary widely as well.Another challenge, at least initially, was limited knowledge of other traditions. This may have inclined presenters to focus on clarifying concepts in their own tradition or highlighting points of convergence with other traditions. This tendency seems heightened when three traditions are involved, although participants were not required to include all three in their research. The basic goal of the project was to foster work in constructive theological treatments of pressing issues in our respective traditions by means of critical engagement with another tradition. This goal may be ambitious, but we learned it is worth the effort. [End Page 240]Dennis HirotaRyukoku UniversityCopyright © 2022 University of Hawai'i Press... (shrink)

It is argued that causal understanding originates in experiences of acting on objects. Such experiences have consistent features that can be used as clues to causal identification and judgment. These are singular clues, meaning that they can be detected in single instances. A catalog of 14 singular clues is proposed. The clues function as heuristics for generating causal judgments under uncertainty and are a pervasive source of bias in causal judgment. More sophisticated clues such as mechanism clues and repeated interventions (...) are derived from the 14. Research on the use of empirical information and conditional probabilities to identify causes has used scenarios in which several of the clues are present, and the use of empirical association information for causal judgment depends on the presence of singular clues. It is the singular clues and their origin that are basic to causal understanding, not multiple instance clues such as empirical association, contingency, and conditional probabilities. (shrink)

Berkeley’s likeness principle is the claim that “an idea can be like nothing but an idea”. The likeness principle is intended to undermine representationalism: the view (that Berkeley attributes to thinkers like Descartes and Locke) that all human knowledge is mediated by ideas in the mind which represent material objects. Yet, Berkeley appears to leave the likeness principle unargued for. This has led to several attempts to explain why Berkeley accepts it. In contrast to ‘metaphysical’ and ‘epistemological’ interpretations available in (...) the literature, in this paper I defend a ‘conceptual’ interpretation. I argue that Berkeley accepts the likeness principle on the basis of (i) his commitment to the transparency of ideas, and (ii) his account of resemblance which he sets out in his works on vision. Thus, I provide an explanation for Berkeley’s reasons for accepting the likeness principle which, appropriately, focuses on his views concerning ideas and likeness. (shrink)

In this important new book in the IPPP series, a group of leading thinkers in psychiatry, psychology, and philosophy offer alternative perspectives that address both the scientific and clinical aspects of psychiatric validation, emphasizing throughout their philosophical and historical considerations.

Margaret Macdonald was at the institutional heart of analytic philosophy in Britain in the mid-twentieth century. Yet, her views on the nature of philosophical theories diverge quite considerably from those of many of her contemporaries. In this paper, I focus on her 1953 article ‘Linguistic Philosophy and Perception’, a provocative paper in which Macdonald argues that the value of philosophical theories is more akin to that of poetry or art than science or mathematics. I do so for two reasons. First, (...) because it reveals just how far Macdonald’s meta- philosophical views diverged from those of many of her contemporaries. Second, because the discussion in LPP pre-empts recent literature on the nature of philosophical inquiry and the efficacy of philosophical arguments. Indeed, Macdonald’s paper is just as likely to provoke discussion today as it was in the 1950s. (shrink)

In September 2008, the European Organization for Nuclear Research (CERN) scientists successfully switched on the historic biggest physics device, the Large ...

In my contribution to this Concise Collection on Margaret Cavendish, I focus on teaching Cavendish’s work in the context of philosophy (and, more specifically, Early Modern Philosophy). I have three aims. First, to explain why teaching women from philosophy’s history is crucially important to the discipline. Second, to outline my own reflections on teaching Cavendish’s philosophy. Third, to defend a specific claim about the benefits of teaching Cavendish to philosophy students; namely, that introducing biographical detail alongside philosophical ideas enriches the (...) learning experience. (shrink)

This paper provides a philosophical evaluation of the concept of handedness prevalent but largely unspoken in the scientific literature. This literature defines handedness as the preference or ability to use one hand rather than the other across a range of common activities. Using the philosophical discipline of phenomenology, I articulate and critique this conceptualization of handedness. Phenomenology shows defining a concept of handedness by focusing on hand use leads to a right hand biased concept. I argue further that a phenomenological (...) model based in spatial orientation rather than hand use provides a more inclusive concept of handedness. (shrink)

William Molyneux was born in Dublin, studied in Trinity College Dublin, and was a founding member of the Dublin Philosophical Society (DPS), Ireland’s counterpart to the Royal Society in London. He was a central figure in the Irish intellectual milieu during the Early Modern period and – along with George Berkeley and Edmund Burke – is one of the best-known thinkers to have come out of that context and out of Irish thought more generally. In 1688, when Molyneux wrote the (...) letter to Locke in which he posed the now famous question about a man born blind made to see, he was an active member of the DPS and was on familiar terms with several other key figures in Irish philosophy at the time. For the most part, Irish thinkers in the seventeenth and eighteenth centuries answered “no” to Molyneux’s question of whether a blind man made to see could distinguish, by sight alone, between a cube and a sphere. (shrink)

During the last years the demand for regionally and culturally harmonised machine design is increasingly on the agenda. The problem of localising products like machine tools instantly poses the question for new procedures that allow including the regional and cultural adaptations into the design processes of machine tool companies. How to transform the general insight into the necessity of culture- and region-adapted technologies and how to embed it into a design procedure comprising applicable design attributes is the crucial problem addressed. (...) The paper shows in an exemplary way how ambiguous design attributes can eventually be embodied in a prototype design. (shrink)

"This book is an augmented and updated translation by the author of Theorie des Subjekts: Subjectiviteat und Identiteat zwischen Moderne und Postmoderne, Teubingen, Francke-UTB, 2010 (3rd ed.)"--Title page verso.

法に対して合理的で批判的な姿勢を吹き込もうとする試み。ハート=ドゥオーキン論争以降の「法実証主義の現代的展開」を描き出す。本書ではとくに、ハートの理論的継承者であるラズおよびマーモーの議論に注目する。 .

Appropriate and balanced decision-making is sentinel to goal setting and the provision of appropriate clinical care that are attuned to preserving the best interests of the patient. Current family-led decision-making in family-centric societies such as those in Singapore and other countries in East Asia are believed to compromise these objectives in favor of protecting familial interests. Redressing these skewed clinical practices employing autonomy-based patient-centric approaches however have been found wanting in their failure to contend with wider sociocultural considerations that impact (...) care determinations. Evaluation of a number of alternative decision-making frameworks set out to address the shortcomings of prevailing atomistic and family-centric decision-making models within the confines of end-of-life care prove these alternative frameworks to be little better at protecting the best interests of vulnerable patients. As a result, we propose the Welfare Model that we believe is attentive to the relevant socio-culturally significant considerations of a particular case and better meets the needs of end-of-life care goals of preserving the welfare of patients. Employing a multi-professional team evaluation guided by regnant psychosocial, legal, and clinical standards and the prevailing practical and clinical realities of the particular patient’s setting the Welfare Model provides a clinically relevant, culturally sensitive, transparent, and evidence-based approach to care determinations. (shrink)

In der genannten Epoche werden Grundentscheidungen gefällt, welche die Fundamentalfrage der Philosophie, die Seinsfrage, in die Krisis führen, in den Nihilismus unter ontologischem, metaphysischem, epistemologischem, axiologischem Aspekt. Den Extrempositionen der Systemdenker Hegel, Schopenhauer und Schelling erwachsen in den Hegelkritikern Feuerbach, Br. Bauer, Marx und Stirner Kontrapositionen, die das Wahrheitsproblem der Beliebigkeit unterstellen. Kierkegaard klagt unter existentiellem Aspekt das Problem der Wahrheit ein. Nietzsche überholt durch Abschaffung der Wahrheit alle Positionen,was seinen Standort in der europäischen Denkgeschichte ausmacht und als Ergebnis der (...) problemgeschichtlichen Analysen zu charakterisieren ist. Die Rückgewinnung des Vernunfthorizontes setzen erst die Problemdenker N. Hartmann und M. Heidegger ins Werk durch kritische Erneuerung der Seinsfrage. (shrink)

The problem of forgotten evidence consists of a pair of scenarios originally proposed by Alvin Goldman. In the “forgotten good evidence” and “forgotten bad evidence” scenarios, subjects hold the same memory belief while irreversibly forgetting its original, though different, pieces of evidence. The two scenarios pose a series of challenges to current time slice (CTS) theories, which posit that memory beliefs are justified solely by contemporaneous states. Goldman’s two scenarios pose an apparent dilemma to CTS theories given a naïve picture (...) of how a memory belief is successfully retained while its evidence is irreversibly forgotten. In my view, however, CTS theories may find a solution to the apparent problem by carefully examining the conditions under which a memory belief is successfully retained while its evidence is completely forgotten. Namely, the two scenarios overlook an important difference between forgetting good evidence and forgetting bad evidence. (shrink)