Transplantation of vital organs has been premised ethically and legally on "the dead donor rule" (DDR)—the requirement that donors are determined to be dead before these organs are procured. Nevertheless, scholars have argued cogently that donors of vital organs, including those diagnosed as "brain dead" and those declared dead according to cardiopulmonary criteria, are not in fact dead at the time that vital organs are being procured. In this article, we challenge the normative rationale for the DDR by rejecting the (...) underlying premise that it is necessarily wrong for physicians to cause the death of patients and the claim that abandoning this rule would exploit vulnerable patients. We contend that it is ethical to procure vital organs from living patients sustained on life support prior to treatment withdrawal, provided that there is valid consent for both withdrawing treatment and organ donation. However, the conservatism of medical ethics and practical concerns make it doubtful that the DDR will be abandoned in the near future. This leaves the current practice of organ transplantation based on the "moral fiction" that donors are dead when vital organs are procured. (shrink)

Conventional medical ethics and the law draw a bright line distinguishing the permitted practice of withdrawing life-sustaining treatment from the forbidden practice of active euthanasia by means of a lethal injection. When clinicians justifiably withdraw life-sustaining treatment, they allow patients to die but do not cause, intend, or have moral responsibility for, the patient's death. In contrast, physicians unjustifiably kill patients whenever they intentionally administer a lethal dose of medication. We argue that the differential moral assessment of these two practices (...) is based on a series of moral fictions – motivated false beliefs that erroneously characterize withdrawing life-sustaining treatment in order to bring accepted end-of-life practices in line with the prevailing moral norm that doctors must never kill patients. When these moral fictions are exposed, it becomes apparent that conventional medical ethics relating to end-of-life decisions is radically mistaken. (shrink)

Scientific endeavor is the pursuit of knowledge with the aim of advancing the welfare of all human beings. This endeavor is built on the ideology of science; thus, society relies on the integrity of the practice of science and of scientists themselves. The responsible conduct of research is the essence of good science; however, many of the pedagogical approaches used to instill integrity in science accentuate the negative rather than exemplify ideal professionalism. This paper makes an argument for the inculcation (...) of the appropriate conduct of research via a positive approach. We address the acclimation to the culture of science that supersedes diverse cultural backgrounds of students. We suggest techniques for the implementation of positive strategies and reinforce the benefit of approaching the teaching of ethical behavior as a competitive advantage. We highlight ways in which this approach can empower the individual scientist and the scientific community as a whole. Transmission of the culture of scientific professionalism formalizes the aims of an ideal scientific professional and encourages assimilation and identification as a member of the scientific profession. We purport that instilling scientific professionalism will spur responsible conduct of research. (shrink)

The dominant methodology in health policy for prioritizing and rationing health care resources is cost-effectiveness analysis, typically using quality adjusted life years (QALYs) or disability adjusted life years (DALYs) to measure health outcomes. The construction of these measures involves a number of moral or value choices, including: How should states of health and disability be evaluated, and whose preferences (e.g., the disabled or non-disabled) should be used? How should these evaluations reflect that prioritization will involve tradeoffs between health benefits for (...) different persons or groups? Do all QALYs count equally, no matter what age at which they are received? Should discount rates be applied to health benefits? I will show the nature of the moral issues at stake in answering these questions, and briefly argue how they should be answered. (shrink)

There is a touch of foolhardiness in the attempts to establish a precise identification for the great majority of birds mentioned by the authors of classical antiquity. Only a small minority of the ancient references and descriptions contains features which are indisputably diagnostic, while a probably not much bigger minority of the Mediterranean avifauna possesses characteristics of appearance, behaviour, or voice that would have enabled an ordinary Greek or Roman immediately to distinguish a member of one species from absolutely all (...) others, using the sole aids of his eyes, ears, and the largely inaccurate medley of lore handed down from one generation to the next. Thus any modern attempt to pin down the identity of this or that bird in an ancient author is fraught with many dangers and difficulties which must be recognized at the outset. (shrink)

Unlike some other reproductions of classic texts (1) We have not used OCR(Optical Character Recognition), as this leads to bad quality books with introduced typos. (2) In books where there are images such as portraits, maps, sketches etc We have endeavoured to keep the quality of these images, so they represent accurately the original artefact. Although occasionally there may be certain imperfections with these old texts, we feel they deserve to be made available for future generations to enjoy.

Since its publication in 1965, Brian Barry's seminal work has occupied an important role in the revival of Anglo-American political philosophy. A number of ideas and terms in it have become part of the standard vocabulary, such as the distinction between "ideal-regarding" and "want-regarding" principles and the division of principles into aggregative and distributive. The book provided the first precise analysis of the concept of political values having trade-off relations and its analysis of the notion of the public interest has (...) also been significant. (shrink)

Fetal pain has long been a contentious issue, in large part because fetal pain is often cited as a reason to restrict access to termination of pregnancy or abortion. We have divergent views regarding the morality of abortion, but have come together to address the evidence for fetal pain. Most reports on the possibility of fetal pain have focused on developmental neuroscience. Reports often suggest that the cortex and intact thalamocortical tracts are necessary for pain experience. Given that the cortex (...) only becomes functional and the tracts only develop after 24 weeks, many reports rule out fetal pain until the final trimester. Here, more recent evidence calling into question the necessity of the cortex for pain and demonstrating functional thalamic connectivity into the subplate is used to argue that the neuroscience cannot definitively rule out fetal pain before 24 weeks. We consider the possibility that the mere experience of pain, without the capacity for self reflection, is morally significant. We believe that fetal pain does not have to be equivalent to a mature adult human experience to matter morally, and so fetal pain might be considered as part of a humane approach to abortion. (shrink)

The aim of this paper is the discussion, and in some cases also, it is hoped, the clarification, of several passages in the fragments of the comic poet Alexis, where either the traditional text has been attacked because there occurred in it an allegedly objectionable split anapaest, or alternatively an excellent emendation has been rejected because laws framed by modern scholars have wrongly been applied to the passage being emended.

It is a truism to say that the study of ornithology has made great advances in the last fifty years, and that important problems affecting the classification of certain species and their distribution have been brought much closer to solution. Classical scholars, however, still tend to rely on the identifications of ancient Greek bird-names made by a few standard works such as D'Arcy Thompson's A Glossary of Greek Birds2 or O. Keller's Die antike Tierwelt , apparently unaware that much of (...) the ornithological information given there is now badly out of date, if not sheerly inaccurate. This brief paper aims protreptically to take four bird-names out of the Peripatetic corpus on natural history: and and to produce more precise identifications in the light of modern ornithological studies. (shrink)

From these words of Athenaeus, the majority of scholars have come to the Dnclusion that the Asotodidaskalos was not, despite what Sotion says, composed by Alexis, but is a forgery; and some even go so far as to attribute the forgery to Sotion himself. Yet nowhere do they support their views with sufficient rguments; nowhere has the question, in the light of all the evidence, both sternal and internal, been fully considered. Meineke has indeed given clear reasons for his belief (...) that the play as not written by Alexis, in objecting to three usages in the cited fragment as unattic ; but these objections are not all justifiable, as Kock has lown in the case of , or together inclusive enough to make us reject the fragment out of hand. (shrink)

Gentile's philosophy merits the attention of every serious thinker, for it presents the doctrine that reality is spiritual in a more uncompromising form than is to be found elsewhere, and claims to solve on this principle all the great problems that have beset the history of metaphysic. His own name for it is Absolute or Actual Idealism . For Gentile, nothing is real but the Spirit, and by the Spirit he means the pure act of self-conscious thinking. “The subject that (...) conceives itself in conceiving All is the reality itself.” In the act of conscious thinking, the Spirit is present in its entirety as subject ; generating therein by its own creative spontaneity a world of objects, and resolving the products of this act of objectification into the womb that gave them birth. In this immanent dialectic–pure subject , pure object , subject-object –lies the rhythmic life-history of the Spirit. “Our doctrine,” writes Gentile, “is the theory of the Spirit as act which posits its object in a multiplicity of objects, resolving their multiplicity and objectivity in the unity of the subject itself.” For such a doctrine, transcendence is the enemy, the Goliath whom Gentile has gone forth to slay. He confronts us, on almost every page of his writings, with an ineluctable dilemma. Either a philosophy of sheer immanence, or reality is unknowable. (shrink)

The two basic forms of action distinguished in the preceding articles, viz., moral action, where praxis is for praxis sake, and action for a good, where praxis is for the sake of theôria, are found in close relationship to one another in human life. The part they play is rather that of abstract moments in a practical process than that of self-contained and isolable bits of conduct. No philosopher is likely to discount the importance of thus analysing the concrete into (...) its factors before he rectifies the abstraction by showing how they co-operate in actual experience. In any individual biography we can find acts and courses of action in which duty is the dominant motive, and others in which the dominant motive is desire of good. Similarly, when we compare different biographies with one another, some exemplify most strikingly the struggle for righteousness against unruly passion, others the spontaneous aspiration of the soul to attain the goal of its desire. But neither the moral law nor the summum bonum wields an exclusive sovereignty. St. Paul and Luther, in their warfare against carnal desire, drew strength from the ideal vision; nor were St. Bernard or Spinoza, for all their absorption upon union with the divine, strangers to the call of moral obligation. In the lives of ordinary men, the types of conduct are, perhaps, more evenly balanced; yet here also the distinction is discernible. Moreover, it is easy to see how, despite their intrinsic difference, they come to be associated and “by just exchange” to effect a mutual enrichment. (shrink)

(No abstract is available for this citation).