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This paper offers critical reflection on the contemporary tendency to approach health care in instrumentalist terms. Instrumentalism is means-ends rationality. In contemporary society, the instrumentalist attitude is exemplified by the relationship between individual consumer and a provider of goods and services. The problematic nature of this attitude is illustrated by Michael Oakeshott’s conceptions of enterprise association and civil association. Enterprise association is instrumental; civil association is association in terms of an ethically delineated realm of practices. The latter offers a richer (...) ethical conception of the relation between person and society than instrumentalism does. Oakeshott’s conception is further illustrated by reflection on the connection between morality and religion that he explores in an early essay concerning “religious sensibility”. Religious sensibility turns on the acknowledgement of the vulnerability of the self to the vicissitudes of life. This vulnerability cannot be bargained over instrumentally without imperilling the self. Religious sensibility is thus a valuable resource for criticising instrumentalist attitudes. It allows for the cultivation of ethical self-understanding that is essential to comprehending the conditions in virtue of which genuine civil life is possible. These conditions need to be taken into account in health care. Health care is not simply about substantive wants. It also necessarily concerns the universal and constant condition of being prey to illness that is the common lot of all citizens. (shrink)
This volume is essential reading for students of philosophy and will be of interest to those studying in the fields of literature, religion and cultural theory.
In this book Peter Sedgwick puts forward a new case for viewing Nietzsche as an economic thinker, worthy to rank alongside Marx. Analysing Nietzsche's conception of economy, Sedgwick shows how it is taken by him to constitute the basic condition under which the 'human animal' developed. Economy, Nietzsche argues, endowed us with futurity: the ability to live with a view to long-term future possibilities rather than impulsively, as do other animals. Economy, in other words, is a defining aspect of human (...) behaviour, underpinning the ways in which we estimate value, relate to others and attain self-understanding. (shrink)
The article argues for the need for business to give a positive lead in society. There are three reasons for this. First, a large multinational can have enormous influence in a local economy, especially in the Third World. Secondly, but much more unusually, business can demonstrate how cooperative endeavour can make profits. Thirdly, business can cooperate with local or central government in education, and training. But such reasons themselves raise questions about accountability and values. The article also discusses why such (...) leadership does not happen more often, looking to the short-term practices of business as the main culprit. (shrink)