Background: Medical tourism, thought of as patients seeking non-emergency medical care outside of their home countries, is a growing industry worldwide. Canadians are amongst those engaging in medical tourism, and many are helped in the process of accessing care abroad by medical tourism brokers - agents who specialize in making international medical care arrangements for patients. As a key source of information for these patients, brokers are likely to play an important role in communicating the risks and benefits of undergoing (...) surgery or other procedures abroad to their clientele. This raises important ethical concerns regarding processes such as informed consent and the liability of brokers in the event that complications arise from procedures. The purpose of this article is to examine the language, information, and online marketing of Canadian medical tourism brokers' websites in light of such ethical concerns. Methods: An exhaustive online search using multiple search engines and keywords was performed to compile a comprehensive directory of English-language Canadian medical tourism brokerage websites. These websites were examined using thematic content analysis, which included identifying informational themes, generating frequency counts of these themes, and comparing trends in these counts to the established literature. Results: Seventeen websites were identified for inclusion in this study. It was found that Canadian medical tourism broker websites varied widely in scope, content, professionalism and depth of information. Three themes emerged from the thematic content analysis: training and accreditation, risk communication, and business dimensions. Third party accreditation bodies of debatable regulatory value were regularly mentioned on the reviewed websites, and discussion of surgical risk was absent on 47% of the websites reviewed, with limited discussion of risk on the remaining ones. Terminology describing brokers' roles was somewhat inconsistent across the websites. Finally, brokers' roles in follow up care, their prices, and the speed of surgery were the most commonly included business dimensions on the reviewed websites. Conclusion: Canadian medical tourism brokers currently lack a common standard of care and accreditation, and are widely lacking in providing adequate risk communication for potential medical tourists. This has implications for the informed consent and consequent safety of Canadian medical tourists. (shrink)
In this essay, James Scott Johnston claims that a dispute over moral teleology lies at the basis of the debate between John Dewey and Robert M. Hutchins. This debate has very often been cast in terms of perennialism, classicism, or realism versus progressivism, experimentalism, or pragmatism. Unfortunately, casting the debate in these terms threatens to leave the reader with the impression that Dewey and Hutchins were simply talking past each other, that one was wrongheaded while the other correct, or (...) that they held incommensurable ideological standpoints. Such an understanding obscures a deeper conflict that divided these two men and overlooks the depth of the differences in their moral outlooks. Johnston argues that both thinkers knew very well what morally significant principles and practices were at stake in the debate and, further, that this awareness, rather than the question of which foundation for education was better for students, informed their responses to one another. (shrink)
Field-ground reversal underlies Islamic art's use of repeating geometric patterns or tessellations. Encounter with field-ground reversal suggests the notion of ‘oscillationism’ to mean willingness to oscillate between two equally plausible opposites rather than to affirm one or the other of them. This article explores oscillationism as a move for confronting theories of evil and for assessing the merits of foundationalism without succumbing to cognitive dissonance. The article goes on to examine F.D.E. Schleiermacher's suggestion of 1799 that the infinitude of God (...) calls for more, not fewer religions. His reversal of Christian and Muslim assumptions puts contemporary debate in the theology of religions into a postmodernist perspective. Without supplying fresh answers, the spiritual practice of oscillationism provides a fresh way to frame some of the weightiest questions. (shrink)
One of the more superficially perplexing features of Lacan’s notion of objet petit a is the fact that he simultaneously characterizes it as both non-specularizable (i.e., incapable of being captured in spatio-temporal representations) and specular (i.e., incarnated in visible avatars). This assignment of the apparently contradictory attributes of visibility and invisibility to object a is a reflection of this object’s strange position at the intersection of transcendental and empirical dimensions. Indeed, this object, which Lacan holds up as his central psychoanalytic (...) discovery, raises important philosophical questions about the transcendental-empirical distinction, arguably short-circuiting in interesting, productive ways this dichotomy and many of its permutations. This article seeks to achieve two aims: one, to clarify how and why Lacan situates object a between the specular and the non-specular; and, two, to extract from the results of this clarification a preliminary sketch of a post-Lacanian transcendentalism that is also thoroughly materialist. (shrink)
Medical tourism is a practice, whereby individuals travel across national borders with the intention of receiving medical care. Medical tourists are motivated to travel abroad by a number of factors, including the affordability of care abroad, access to treatments not available at home, and wait times for care at home. In this article, we share the findings of interviews conducted with 32 Canadian medical tourists with the aim of developing a better understanding of medical tourism, the ethical issues it raises (...) for public health within Canada and other source countries for medical tourists, and to identify research gaps and policy responses to this practice. While patient and academic perspectives overlap in several regards, we suggest areas in which academic consideration of the ethical issues raised by medical tourism can be informed by patient perspectives. (shrink)
Machine generated contents note: Introduction. -- Prologue: From the Standard Model to a Sense of Justice. -- 1: The Terrain of Justice. -- 2: Teleology and Tutelage in Plato's Republic. -- 3: Aristotle's Theory of Justice. -- 4: From Nature to Artifice: Aristotle to Hobbes. -- 5: The Emergence of Utility. -- 6: Kant's Theory of Justice. -- 7: The Idea of Social Justice. -- 8: The Theory of Justice as Fairness. -- Epilogue: From Social Justice to Global Justice? -- (...) Source Notes. -- Glossary of Names. -- Index. (shrink)
It is not immediately clear from Wittgenstein’s Tractatus how to connect his idea there of an object with the logical ontologies of Frege and Russell. Toward clarification on this matter, this paper compares Russell’s and Wittgenstein’s versions of the thesis of an atomic fact that it is a complex composition. The claim arrived at is that whilst Russell (at times at least) has one particular of the elements of a fact – the relation – responsible for the unity of the (...) whole, for Wittgenstein the unity of a fact is the product of copulative powers inherent in all its elements. All kinds of constituents of Tractarian facts – all kinds (forms) of object – are, to use Fregean terminology, unsaturated. (shrink)
INTRODUCTION: EXPLORING THE FUTURE OF GEOGRAPHY RJ Johnston Geographers, not for the first time, are undertaking a critical reappraisal of their discipline ...
The idea of the inner is central to our conception of a person and is at the heart of all interaction. But how should we understand this concept, and what do we mean when we wonder what is going on inside our heads? This accessible and non-technical guide to Wittgenstein provides insight into his work in this area and on the problem of the inner. Using Wittgenstein's recently published writings on the philosophy of psychology, together with unpublished material, Paul (...) class='Hi'>Johnston presents a thorough account of a subject that was central to Wittgenstein's later work. He shows that Wittgenstein's arguments involve a radical re-thinking of our understanding of the inner and present a challenge to contemporary views which has yet to be fully appreciated or understood. Wittgenstein demonstrates how a Wittgensteinian approach can dissolve age-old problems about the nature of consciousness and the relationship between the mind, the body, and the soul. The resulting picture of the inner, with its stress on the crucial role of language, sheds light on the direction of Wittgenstein's work and presents a stimulating and controversial alternative to more fashionable positions on the subject. (shrink)
The Contradictions of Modern Moral Philosophy is a highly original and radical critique of contemporary moral theory. Johnston skillfully demonstrates how much of recent moral philosophy runs aground on the issue of whether we can make correct moral judgements. His analysis begins with an insightful discussion of the divisions within moral philosophy. On one hand many philosophers deny that it is possible to make correct judgements on other peoples actions; on the other, they remain preoccupied with distinguishing between what (...) is "right" and "wrong". Paul Johnston shows how much recent moral philosophy consists of unsuccessful attempts to eliminate this contradiction. (shrink)
My task in this paper is to demonstrate, contra Nel Noddings, that Kantian ethics does not have an expectation of treating those closest to one the same as one would a stranger. In fact, Kantian ethics has what I would consider a robust statement of how it is that those around us come to figure prominently in the development of one's ethics. To push the point even further, I argue that Kantian ethics has an even stronger claim to treating those (...) closest to oneself as imperative than Noddings and sentiment-based ethical theory in general, proposes. (shrink)
Revisiting the history of relativity Content Type Journal Article DOI 10.1007/s11016-010-9466-4 Authors Lewis Pyenson, Department of History, Western Michigan University, Kalamazoo, MI 49008-5242, USA Sean F. Johnston, School of Interdisciplinary Studies, University of Glasgow, Rutherford-McCowan Building, Dumfries, Glasgow, Scotland G2 0RB, UK Alberto A. Martínez, Department of History, University of Texas at Austin, 1 University Station B7000, Austin, TX 78712-0220, USA Richard Staley, Department of the History of Science, University of Wisconsin-Madison, 226 Bradley Memorial Building, 1225 Linden Drive, Madison, (...) WI 53706-1528, USA Journal Metascience Online ISSN 1467-9981 Print ISSN 0815-0796 Journal Volume Volume 20 Journal Issue Volume 20, Number 1. (shrink)
The nuclear engineer emerged as a new form of recognised technical professional between 1940 and the early 1960s as nuclear fission, the chain reaction and their applications were explored. The institutionalization of nuclear engineering—channelled into new national laboratories and corporate design offices during the decade after the war, and hurried into academic venues thereafter—proved unusually dependent on government definition and support. This paper contrasts the distinct histories of the new discipline in the USA and UK (and, more briefly, Canada). In (...) the segregated and influential environments of institutional laboratories and factories, historical actors such as physicist Walter Zinn in the USA and industrial chemist Christopher Hinton in the UK proved influential in shaping the roles and perceptions of nuclear specialists. More broadly, I argue that the State-managed implantation of the new subject within further and higher education curricula was shaped strongly by distinct political and economic contexts in which secrecy, postwar prestige and differing industrial cultures were decisive factors. (shrink)
Background: Medical tourism involves patients travelling internationally to receive medical services. This practice raises a range of ethical issues, including potential harms to the patient's home and destination country and risks to the patient's own health. Medical tourists often engage the services of a facilitator who may book travel and accommodation and link the patient with a hospital abroad. Facilitators have the potential to exacerbate or mitigate the ethical concerns associated with medical tourism, but their roles are poorly understood. -/- (...) Methods: 12 facilitators were interviewed from 10 Canadian medical tourism companies. -/- Results: Three themes were identified: facilitators' roles towards the patient, health system and medical tourism industry. Facilitators' roles towards the patient were typically described in terms of advocacy and the provision of information, but limited by facilitators' legal liability. Facilitators felt they played a positive role in the lives of their patients and the Canadian health system and served as catalysts for reform, although they noted an adversarial relationship with some Canadian physicians. Many facilitators described personally visiting medical tourism sites and forming personal relationships with surgeons abroad, but noted the need for greater regulation of their industry. -/- Conclusion: Facilitators play a substantial and evolving role in the practice of medical tourism and may be entering a period of professionalisation. Because of the key role of facilitators in determining the effects of medical tourism on patients and public health, this paper recommends a planned conversation between medical tourism stakeholders to define and shape facilitators' roles. (shrink)
Abstract This essay tells my story of using the moral orientations of justice and care to help me think about an incident of cheating in a seminar I taught. My story takes as a starting point the idea that teaching is a relational activity and that morality fundamentally concerns relations among people. These moral orientations gave me options to think about exploring, with my students, what it means to make moral choices in our everyday life. This narrative is about my (...) own moral choice?making in this dilemma and it reveals how using these psychological constructs helped me in my reflective practice of teaching. It also reveals the conflicts I faced in attempting to solve this dilemma and the questions and conflicts which still remain. (shrink)
These comments reflect upon my doctoral study with William Poteat as a nontraditional student between 1986-92 and also upon the academy and colleageality vis a vis Poteat and “Poteatians.”.
Why is female violence a taboo? We suggest that both men and women actively contribute to the creation of this stigma. Men may benefit because nonaggressive women may make better mothers and be more faithful and fertile. Females may benefit by downplaying their aggressive nature because they will be perceived as more valuable mates and because they will be more accepted within female social groups.
