Until very recently, the lack of health insurance has been viewed primarily as a problem of financial risk for uninsured individuals. This article documents far broader adverse effects, drawn from the work of the Institute of Medicine Committee on the Consequences of Uninsurance. It also synthesizes the Committee’s key findings, conclusions, and recommendations.In early 2004, following 3½ years of study, the IOM Committee on the Consequences of Uninsurance recommended that “...the President and Congress develop a strategy to achieve universal insurance (...) coverage and establish a firm and explicit schedule to reach this goal by 2010.” The Committee presented 5 principles to be used to assess various proposals for extending coverage or to guide the design of a new strategy, specifying that health care coverage should be universal, continuous, affordable to individuals and families, and affordable and sustainable for society. (shrink)

Until very recently, the lack of health insurance has been viewed primarily as a problem of financial risk for uninsured individuals. This article documents far broader adverse effects, drawn from the work of the Institute of Medicine Committee on the Consequences of Uninsurance. It also synthesizes the Committee’s key findings, conclusions, and recommendations.In early 2004, following 3½ years of study, the IOM Committee on the Consequences of Uninsurance recommended that “...the President and Congress develop a strategy to achieve universal insurance (...) coverage and establish a firm and explicit schedule to reach this goal by 2010.” The Committee presented 5 principles to be used to assess various proposals for extending coverage or to guide the design of a new strategy, specifying that health care coverage should be universal, continuous, affordable to individuals and families, and affordable and sustainable for society. (shrink)

Policy often focuses on reducing health care disparities through interventions at the patient and provider level. While unquestionably important, system-wide reforms to reduce uninsurance, improve geographic availability of services, increase workforce diversity, and promote clinical best practices are essential for progress in reducing disparities.

As this nation embarks on new efforts to reform the U.S. health system, we face a critical unfinished agenda from the mid- 1960s: persistent racial, ethnic, and socioeconomic disparities in health and health care. Medicaid, Medicare, and Community Health Centers — public programs with very different legislative histories and financing mechanisms — were the first federally funded, nationwide efforts to improve health care access for low-income and elderly Americans. Members of racial and ethnic minority groups also greatly benefited from these (...) efforts because recipients of federal funds, such as Medicare, were required to comply with the newly passed Civil Rights Act of 1964, which barred racial discrimination. Unquestionably, government played a major role in the gains in health care access that have occurred in the last half century. Yet today all Americans do not have the same opportunities for health, access to care, or quality of care when they receive it. (shrink)

It is often assumed that it seems to each of us as though time flows, or passes. On that assumption it follows either that time does in fact pass, and then, pretty plausibly, we have mechanisms that detect its passage, or that time does not pass, and we are subject to a pervasive phenomenal illusion. If the former is the case, we are faced with the explanatory task of spelling out which perceptual or cognitive mechanism (or combination thereof) allows us (...) to detect and track time’s passage (§2.1) If the latter, then we are faced with the task of explaining how, and why, we are subject to a pervasive phenomenal illusion (§2.2). There is, however, a third, somewhat less discussed, explanatory project. Rather than assuming that it seems to each of us as though time passes, and then attempting to explain why it seems that way, we jettison that assumption. According to these views it does not seem to us as though time passes; instead, we come to falsely believe that it seems to us as though time passes (§3). This view requires that we explain how we come to have systematically false beliefs about the way our experiences seem to us. This paper aims to motivate this third explanatory strategy and say something about what kind of cognitive mechanisms might be responsible for our having a false belief that it seems as though time passes, (§3.1) and why we might have evolved (some of) those mechanisms (§3.2). In particular, the paper does not aim to argue for this view: rather, it aims to present it as a viable contender alongside other more common views. (shrink)

Used as the basis of the program at the Equinox Holistic Alternative School in Toronto, The Holistic Curriculum advocates for an integrative approach to teaching and learning with a focus on developing a deep connection between mind and body.

After offering an opening consideration of the hazards of neoliberalism, I address the general shape of the crisis of care that has evolved under its auspices. Two aspects of this crisis require greater attention: the moral precarity of caregivers and the relational harms of neoliberal capitalism. Thus, I first consider the moral precarity that caregivers experience by drawing on a concept that originates in scholarly work on the experiences of healthcare workers and combat veterans, namely, moral injury. Through this concept, (...) we can see how caregivers in late-stage capitalism face a seemingly unavoidable violation of their own significant moral beliefs. Second, I examine how the crisis of care results not only in individual harms of moral injury but also in harms to relationships themselves, as I continue to track the impact of moral injury on our intrapersonal and interpersonal lives. Ultimately, I argue that an important facet of the crisis of care is how it operates as a crisis of relationality in which our intrapersonal and interpersonal connections are placed under practical and moral strain. In taking a broader view, we can see how the fraying of particular intrapersonal and interpersonal connections can accumulate, resulting in the unraveling of wider webs of interdependency, just when we need them most. Throughout the paper, I zero in on the moral implications of the crisis of care driven by neoliberalism, featuring the damages that caregivers and their relationships sustain when situated in morally precarious ways. In doing so, I drive home the point that the crisis of care under neoliberalism is as much a moral and relational crisis as it is a political and economic one. (shrink)

While the contemporary philosophical literature is replete with discussion of the control or freedom required for moral responsibility, only more recently has substantial attention been devoted to the knowledge or awareness required, otherwise called the epistemic condition. This area of inquiry is rapidly expanding, as are the various positions within it. This chapter introduces two major positions: the reasonable expectation view and the quality of will view. The chapter then explores two dimensions of the epistemic condition that serve as fault (...) lines along which these two views diverge. The first dimension concerns different kinds of ignorance. The second concerns what agents can be directly blameworthy for. The chapter closes by sketching a novel approach that incorporates advantages of opposing positions on this topic. (shrink)

This chapter contains section titled: Acknowledgements Notes.

The turn of the century saw a significant increase in the amount of attention being paid by philosophers to empirical issues about moral character. Dating back at least to Plato and Aristotle in the West, and Confucius in the East, philosophers have traditionally drawn on empirical data to some extent in their theorizing about character. One of the main differences in recent years has been the source of this empirical data, namely the work of social and personality psychologists on morally (...) relevant thought and action. -/- This entry briefly examines four recent empirical approaches to moral character. It will draw on the psychology literature where appropriate, but the main focus will be on the significance of that work for philosophers interested in better understanding moral character. The four areas are situationism, the CAPS model, the Big Five model, and the VIA. The remainder of this entry devotes a section to each of them. (shrink)

Let us call non-presentist dynamism any view according to which (a) a single moment of time is objectively present and (b) which time is objectively present changes and (c) objectively non-present times exist, and at least some of these are occupied by objects, events, or properties. Non-presentist dynamism has an advantage over presentist dynamism—the view that only present objects, properties, and events exist, and that which objects, properties and events there are, changes—in the truthmaking arena. Presentists have trouble finding plausible (...) truthmakers for past (and future) tensed propositions, since no past, (or future) objects, properties, or events exist, which could make true said propositions. Hence presentists have to resort to one of two strategies. According to the first, nothing makes past (or future) tensed propositions true, though some are true nonetheless. For some class of propositions, the truth of said propositions does not in any way depend on ontology. This strategy rejects even the fairly weak requirement that for any proposition P, and worlds w and v, if P is true in w but not in v, then either something exists in v but not in w or else some n-tuple of things stands in some fundamental relation in v but not in w . Call this account No Truthmaker: -/- No Truthmaker: There are no truthmakers for past-tensed truths. -/- Embracing No Truthmaker is typically taken to be a cost of presentism. According to the second strategy, some presently existing thing makes true past-tensed truths. Advocates of this strategy embrace anti-aboutness truthmaking, the view that while all truths are grounded in being, the truth of a proposition need not grounded in the thing(s) the proposition is about. Since past things do not exist, past-tensed propositions are made true by something other than what they are about. Such presentists endorse some version of Present Record Truthmaking. (shrink)

This paper maps out various options for thinking about two issues: the structural relationship between practical wisdom and the moral virtues, and the various functions of practical wisdom. With the help of a case study of the virtue of honesty, three main concerns are raised for what I call the Standard Model of practical wisdom. Two other models, the Socratic Model and the Fragmentation Model, are also critically evaluated. I end by taking seriously an eliminativist approach according to which the (...) trait of practical wisdom does not exist. (shrink)

This paper reviews current debates in social epistemology about the relations ‎between ‎knowledge ‎and consensus. These relations are philosophically interesting on their ‎own, but ‎also have ‎practical consequences, as consensus takes an increasingly significant ‎role in ‎informing public ‎decision making. The paper addresses the following questions. ‎When is a ‎consensus attributable to an epistemic community? Under what conditions may ‎we ‎legitimately infer that a consensual view is knowledge-based or otherwise ‎epistemically ‎justified? Should consensus be the aim of scientific inquiry, and (...) if so, what ‎kind of ‎consensus? How should dissent be handled? It is argued that a legitimate inference ‎that a ‎theory is correct from the fact that there is a scientific consensus on it requires taking ‎into ‎consideration both cognitive properties of the theory as well as social properties of ‎the ‎consensus. The last section of the paper reviews computational models of ‎consensus ‎formation.‎. (shrink)

Amie Thomasson’s work provides numerous ways to rethink and improve our approach to metaphysics. This chapter is my attempt to begin to sketch why I still think the easy approach leaves room for substantive metaphysical work, and why I do not think that metaphysics need rely on any ‘epistemically metaphysical’ knowledge. After distinguishing two possible forms of deflationism, I argue that the easy ontologist needs to accept (implicitly or explicitly) that there are worldly constraints on what sorts of entities could (...) exist, and could co-exist. I argue this leaves room for a substantive role for metaphysics if (following the work of E.J. Lowe) we take metaphysics to be concerned with the possible ways that reality could be. I explain how this conception does not need to appeal to any ‘epistemically metaphysical’ knowledge, and need only make use of conceptual and/or empirical means to arrive at views on what could exist (and co-exist). Thus, the answer I propose to the question posed in the title, at least in my view, is no-one. Or, at least, no-one should be afraid of conceptual analysis. Not even metaphysicians. (shrink)

Through close examination of the texts, the author shows how 15th-century philosopher Nicholas of Cusa developed an understanding of uncertainty that opened the way for human intelligence, despite its inherent weaknesses, to find out more about ourselves, the world, and what lies beyond.

A correlational pilot study (N = 143) and an integrative data analysis of two experiments (total N = 377) provide evidence linking anger to the psychology of social hierarchy. The experiments demonstrate that the experience of anger increases the psychological accessibility of implicit cognitions related to social hierarchy: compared to participants in a control condition, participants in an anger-priming condition completed word stems with significantly more hierarchy-related words. We found little support for sex differences in the effect of anger on (...) implicit hierarchy-related cognition; effects were equivalent across male and female participants. Findings fit with functionalist evolutionary views of anger suggesting that anger may motivate the use of dominance to strive for high social rank in group hierarchies. Implications for downstream behaviour, including aggression and negotiation, are discussed. (shrink)

Emile Benvcniste may be used to introduce the topic. The French linguist begins an essay on “Euphemisms Ancient and Modern” with a paradox about the early Greek definitions of euphemism. “To speak words which augur well” is one meaning given, but another is “to maintain silence”. This initial contradiction is further compounded by yet a third expression, “to shout in triumph”. The dilemma is. however, easily dissolved. To speak words which augur well implies, for special occasions, an exhortation even to (...) shout triumphantly, “to assent by an, auspicious outcry”: it further implies, again depending on the circumstances, “to avoid words which augur ill”, hence, if necessary, to say nothing. As one definition explains “avoid all unlucky words during sacred rites: hence, as the surest mode of avoiding them, keep a religious silence” (original emphasis). Paradox terminates; we are merely dealing with “a euphemism for a euphemism” taking an expression of Benveniste out of context. (shrink)

Abstract Theories are metaphysically equivalent just if there is no fact of the matter that could render one theory true and the other false. In this paper I argue that if we are judiciously to resolve disputes about whether theories are equivalent or not, we need to develop testable criteria that will give us epistemic access to the obtaining of the relation of metaphysical equivalence holding between those theories. I develop such ?diagnostic? criteria. I argue that correctly inter-translatable theories are (...) metaphysically equivalent, and what we need are ways of determining whether a putative translation is correct or not. To that end I develop a number of tools we can employ to discern whether a translation is a correct one. (shrink)

Miller analyzes the relationship between consent and autonomy by offering three pictures. For autonomy, Miller distinguishes between procedural, substantive, and weak substantive autonomy. The corresponding views of consent are what Miller has termed as consensual minimalism, consensual idealism, and consensual realism. The requirements of sexual consent under consensual minimalism are a voluntary informed agreement. However, feminist critiques reveal the inadequacies of this simple position. Consensual idealism, which corresponds with substantive autonomy, offers a robust picture where consent and (...) autonomy must be based on non-oppression. However, this view is considered too ideal and it ignores context. Weak substantive autonomy takes into account the context in the sexual domain. Correspondingly, consensual realism takes into account the context and still fulfills the requirements of consent. (shrink)

Temporal dynamists typically hold that it seems to us as though time robustly passes, and that its seeming so is explained by the fact that time does robustly pass. Temporal non-dynamists hold that time does not robustly pass. Some non-dynamists nevertheless hold that it seems as though it does: we have an illusory phenomenal state whose content represents robust passage. Call these phenomenal passage illusionists. Other non-dynamists argue that the phenomenal state in question is veridical and represents something other than (...) robust passage. Call this the veridical passage-less view. This paper argues in favour of the latter view over the former, by arguing that we should reject passage illusionism. (shrink)

I first summarize the main line of argument used by Harman and Doris against Aristotelian virtue ethics in particular. In section two I present what seems to me to be the most promising response to their argument. Finally in section three I briefly review and assess the other leading responses in the now sizable literature that has developed in this area.

High levels of police corruption have been a persistent historical tendency in police services throughout the world. While the general area of concern in this book is with police corruption and anti-corruption, the focus is on certain key philosophical and ethical issues that arise for police organisations confronting corruption. On the normative account proffered in this book the principal institutional purpose of policing is the protection of legally enshrined moral rights and the principal institutional anti-corruption arrangement is what is referred (...) to as an integrity system. The latter includes oversight bodies with investigative powers and internal affairs departments as well as specific devices such as early warning indicators, professional reporting mechanisms and integrity tests. Key concepts analysed in the book include corruption, noble cause corruption and collective moral responsibility. The key ethical issues analysed include investigative independence, professional reporting, covert operations and integrity tests. (shrink)

This chapter outlines the main ideas of my book National responsibility and global justice. It begins with two widely held but conflicting intuitions about what global justice might mean on the one hand, and what it means to be a member of a national community on the other. The first intuition tells us that global inequalities of the magnitude that currently exist are radically unjust, while the second intuition tells us that inequalities are both unavoidable and fair once national responsibility (...) is allowed to operate. This conflict might be resolved either by adopting a cosmopolitan theory of justice (which leaves no room for national responsibility) or by adopting a ?political? theory of justice (which denies that questions of distributive justice can arise beyond the walls of the sovereign state). Since neither resolution is satisfactory, the chapter defends the idea of national responsibility and proposes a new theory of global justice, whose main elements are the protection of basic human rights worldwide, and fair terms of interaction between independent political communities. (shrink)

Leo Strauss’s political philosophy spurs recognition that (i) an adequate political philosophy of technology must be able to integrate domestic and geopolitical ideals that are often expressed separately; (ii) technologies alter the formation of publics around issues, which depend less on the traditional overlap between people and place, so the political concept of sovereignty must be reconsidered; and (iii) both the polis and its technologies lift individuals beyond themselves, so a political philosophy of technology must include an aspirational element: the (...) technologies we make, use, and maintain are expressions of our interests, values, and concerns. (shrink)

Introduction: Losing our heads -- Kristeva and Benjamin: melancholy and the allegorical imagination -- Kenotic art: negativity, iconoclasm, inscription -- To be and remain foreign: tarrying with l'inquietante etrangete alongside Arendt -- And Kafka -- Sublimating maman: experience, time, and the re-erotization of existence in -- Kristeva's reading of Marcel Proust -- The "Orestes Complex": thinking hatred, forgiveness, Greek tragedy, and the -- Cinema of the "thought specular" with Hegel, Freud, and Klein -- Conclusion: forging a/head.

Very roughly, the epistemic objection to the growing block theory (GBT) says that according to that theory there are many past times at which persons falsely believe they are present. Since there is nothing subjectively distinguishable about a situation in which one truly believes one is present, from a situation in which one falsely believes one is present, the GBT is a theory on which we cannot know that we are present. In their articulation and defence of the GBT, Correia (...) and Rosenkranz (C&R) argue that the epistemic objection fails miserably. In what follows I try to unpack their response to the objection, and locate it amongst others. Along the way I flag some confusions I have about how we are to think about the GBT as articulated by C&R. (shrink)

Death and morality connect in interesting ways in Disney movies. In some Disney films, heroes are defined partly by their willingness to take risks that might result in death, as long as these risks are to protect or obtain good things that make human life worth living. A related ethical issue that Disney films address with regard to death is appropriate grief. Disney films, on balance, show an awareness and respect for the cycle of human life. Perhaps that is why (...) Disney reserves some of its worst deaths for evil characters who refuse to accept the fact of their own mortality. In all of the examples, Disney illustrates the connection many philosophers maintain between courage, cowardice, and death. Disney and Pixar films are so rich and popular that people should use them to engage in difficult conversations about death and other subjects. (shrink)

Inside Out takes people on a journey into terrain not often explored in animated films – the inner workings of the developing 11‐year‐old self. Inside Out takes a girl's emotional development as important, primary, and worthy of attention. Along the way, audiences come to appreciate that even though emotions often feel singular, solitary, and intense, some aspects of emotions are universal and cut across age, gender, and culture. The movie also highlights the social dimension of emotional expressiveness. The directors were (...) originally going to include many more emotions than the five core emotions they depict: joy, sadness, anger, disgust, and fear. The choice to focus on five primary emotions allows people to better appreciate how emotions are central to selfhood and how one's emotions influence his/her memories and self‐understanding. (shrink)