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D. M. MacKay [42]Douglas MacKay [39]Alfred F. MacKay [26]D. S. Mackay [25]
L. A. MacKay [25]Kathryn MacKay [19]Donald M. Mackay [16]E. Anne Mackay [12]

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Douglas MacKay
University of North Carolina, Chapel Hill
Kathryn MacKay
University of Sydney
John Mackay
University of Wisconsin, Madison
3 more
  1. Four Faces of Fair Subject Selection.Katherine Witte Saylor & Douglas MacKay - 2020 - American Journal of Bioethics 20 (2):5-19.
    Although the principle of fair subject selection is a widely recognized requirement of ethical clinical research, it often yields conflicting imperatives, thus raising major ethical dilemmas regarding participant selection. In this paper, we diagnose the source of this problem, arguing that the principle of fair subject selection is best understood as a bundle of four distinct sub-principles, each with normative force and each yielding distinct imperatives: (1) fair inclusion; (2) fair burden sharing; (3) fair opportunity; and (4) fair distribution of (...)
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  2. Information, Mechanism and Meaning.Donald M. Mackay - 1972 - Synthese 24 (3):472-474.
  3.  43
    Public Health Virtue Ethics.Kathryn MacKay - 2022 - Public Health Ethics 15 (1):1-10.
    This paper proposes that public health is the sort of institution that has a role in producing structures of virtue in society. This proposal builds upon work that describes how virtues are structured by the practices of institutions, at the collective or whole-of-society level. This work seeks to fill a gap in public health ethics when it comes to virtues. Mainstay moral theories tend to incorporate some role for virtues, but within public health ethics this role has not been fully (...)
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  4.  40
    Cerebral organization and the conscious control of action.Donald M. MacKay - 1966 - In John C. Eccles (ed.), Brain and Conscious Experience. Springer. pp. 422--445.
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  5.  77
    Mind-like behaviour in artefacts.D. M. Mackay - 1953 - British Journal for the Philosophy of Science 3 (12):352-353.
  6.  74
    The Ethics of Organ Donor Registration Policies: Nudges and Respect for Autonomy.Douglas MacKay & Alexandra Robinson - 2016 - American Journal of Bioethics 16 (11):3-12.
    Governments must determine the legal procedures by which their residents are registered, or can register, as organ donors. Provided that governments recognize that people have a right to determine what happens to their organs after they die, there are four feasible options to choose from: opt-in, opt-out, mandated active choice, and voluntary active choice. We investigate the ethics of these policies' use of nudges to affect organ donor registration rates. We argue that the use of nudges in this context is (...)
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  7.  46
    The ‘tyranny of reproduction’: Could ectogenesis further women’s liberation?Kathryn MacKay - 2020 - Bioethics 34 (4):346-353.
    This paper imagines what the liberatory possibilities of (full) ectogenesis are, insofar as it separates woman from female reproductive function. Even before use with human infants, ectogenesis productively disrupts the biological paradigm underlying current gender categories and divisions of labour. I begin by presenting a theory of women’s oppression drawn from the radical feminisms of the 1960s, which sees oppression as deeply rooted in biology. On this view, oppressive social meanings are overlaid upon biology and body, as artefacts of culture (...)
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  8.  21
    The problems of flexibility, fluency, and speed–accuracy trade-off in skilled behavior.Donald G. MacKay - 1982 - Psychological Review 89 (5):483-506.
  9.  27
    Complementarity.P. K. Feyerabend & D. M. MacKay - 1958 - Aristotelian Society Supplementary Volume 32 (1):75-122.
  10.  50
    Do we “control” our brains?Donald M. MacKay - 1985 - Behavioral and Brain Sciences 8 (4):546-546.
  11. Standard of Care, Institutional Obligations, and Distributive Justice.Douglas MacKay - 2015 - Bioethics 29 (4):352-359.
    The problem of standard of care in clinical research concerns the level of treatment that investigators must provide to subjects in clinical trials. Commentators often formulate answers to this problem by appealing to two distinct types of obligations: professional obligations and natural duties. In this article, I investigate whether investigators also possess institutional obligations that are directly relevant to the problem of standard of care, that is, those obligations a person has because she occupies a particular institutional role. I examine (...)
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  12. Opt-out and Consent.Douglas MacKay - 2015 - Journal of Medical Ethics 41 (10):1-4.
    A chief objection to opt-out organ donor registration policies is that they do not secure people's actual consent to donation, and so fail to respect their autonomy rights to decide what happens to their organs after they die. However, scholars have recently offered two powerful responses to this objection. First, Michael B Gill argues that opt-out policies do not fail to respect people's autonomy simply because they do not secure people's actual consent to donation. Second, Ben Saunders argues that opt-out (...)
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  13.  47
    Symposium: Mentality in Machines.J. O. Wisdom, R. J. Spilsbury & D. M. Mackay - 1952 - Aristotelian Society Supplementary Volume 26 (1):1-86.
  14. Government Policy Experiments and the Ethics of Randomization.Douglas MacKay - 2020 - Philosophy and Public Affairs 48 (4):319-352.
    Governments are increasingly using randomized controlled trials (RCTs) to evaluate policy interventions. RCTs are often understood to provide the highest quality evidence regarding the causal efficacy of an intervention. While randomization plays an essential epistemic role in the context of policy RCTs however, it also plays an important distributive role. By randomly assigning participants to either the intervention or control arm of an RCT, people are subject to different policies and so, often, to different types and levels of benefits. In (...)
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  15.  23
    Intertwined Interests in Expanded Prenatal Genetic Testing: The State’s Role in Facilitating Equitable Access.Kathryn MacKay, Zuzana Deans, Isabella Holmes, Ainsley J. Newson & Lisa Dive - 2022 - American Journal of Bioethics 22 (2):45-47.
    In their analysis of how much fetal genetic information prospective parents should be able to access, Bayefsky and Berkman determine that parents should only be able to access information th...
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  16. Mr. Donnellan and humpty dumpty on referring.Alfred F. MacKay - 1968 - Philosophical Review 77 (2):197-202.
  17.  96
    The ethics of public policy RCTs: The principle of policy equipoise.Douglas MacKay - 2017 - Bioethics 32 (1):59-67.
    In this article, I ask whether a principle analogous to the principle of clinical equipoise should govern the design and conduct of RCTs evaluating the effectiveness of policy interventions. I answer this question affirmatively, and introduce and defend the principle of policy equipoise. According to this principle, all arms of a policy RCT must be, at minimum, in a state of equipoise with the best proven policy that is also morally and practically attainable and sustainable. For all arms of a (...)
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  18. Freedom of Action in a Mechanistic Universe.Donald MacCrimmon Mackay - 1967 - London,: Cambridge University Press.
     
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  19. Immigrant Selection, Health Requirements, and Disability Discrimination.Douglas MacKay - 2018 - Journal of Ethics and Social Philosophy 14 (1).
    Australia, Canada, and New Zealand currently apply health requirements to prospective immigrants, denying residency to those with health conditions that are likely to impose an “excessive demand” on their publicly funded health and social service programs. In this paper, I investigate the charge that such policies are wrongfully discriminatory against persons with disabilities. I first provide a freedom-based account of the wrongness of discrimination according to which discrimination is wrong when and because it involves disadvantaging people in the exercise of (...)
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  20.  85
    The Duty to Rescue and Investigators' Obligations.Douglas MacKay & Tina Rulli - 2017 - Kennedy Institute of Ethics Journal 27 (1):71-105.
    The duty to rescue is a highly plausible and powerful ethical principle. It requires agents to assist others in extreme need in cases where doing so does not conflict with some weighty moral aim; requires little personal sacrifice; and is likely to significantly benefit the recipients.1 As a general obligation, it binds all persons simply qua persons, and it is owed to all persons simply qua persons. Clinical investigators working in low-income countries frequently encounter sick or destitute people to whom (...)
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  21. Are Skill-Selective Immigration Policies Just?Douglas MacKay - 2016 - Social Theory and Practice 42 (1):123-154.
    Many high-income countries have skill-selective immigration policies, favoring prospective immigrants who are highly skilled. I investigate whether it is permissible for high-income countries to adopt such policies. Adopting what Joseph Carens calls a " realistic approach " to the ethics of immigration, I argue first that it is in principle permissible for high-income countries to take skill as a consideration in favor of selecting one prospective immigrant rather than another. I argue second that high-income countries must ensure that their skill-selective (...)
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  22.  22
    Paying for Fairness? Incentives and Fair Subject Selection.Douglas MacKay & Rebecca L. Walker - 2021 - American Journal of Bioethics 21 (3):35-37.
    In their Target Article, “Promoting Ethical Payment in Human Infection Challenge Studies,” Lynch et al. propose a framework for ethical payment to research participants and apply it to the c...
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  23.  8
    Rules and Resistance: A Commentary on “An Archeology of Corruption in Medicine”.Kathryn MacKay - 2021 - Journal of Bioethical Inquiry 19 (1):123-127.
    In the paper “An archeology of corruption in medicine”, Miles Little, Wendy Lipworth, and Ian Kerridge present an account of corruption and describe its prevalent forms in medicine. In presenting an individual-focused account of corruption found within “social entities”, Little et al. argue that these entities are corruptible by nature and that certain individuals are prone to take advantage of the corruptibility of social entities to pursue their own ends. The authors state that this is not preventable, so the way (...)
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  24.  6
    On the Logical Indeterminacy of a Free Choice.D. M. MacKay - 1960 - Atti Del XII Congresso Internazionale di Filosofia 3:249-256.
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  25.  63
    Quantifying over Possibilities.John Mackay - 2013 - Philosophical Review 122 (4):577-617.
    A person of average height would assert a truth by the conditional ‘if I were seven feet tall, I would be taller than I am,’ in which an indicative clause ‘I am’ is embedded in a subjunctive conditional. By contrast, no one would assert a truth by ‘if I were seven feet tall, I would be taller than I would be’ or ‘if I am seven feet tall, I am taller than I am’. These examples exemplify the fact that whether (...)
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  26.  33
    Fair subject selection in clinical research: formal equality of opportunity.Douglas MacKay - 2016 - Journal of Medical Ethics 42 (10):672-677.
    In this paper, I explore the ethics of subject selection in the context of biomedical research. I reject a key principle of what I shall refer to as the standard view. According to this principle, investigators should select participants so as to minimise aggregate risk to participants and maximise aggregate benefits to participants and society. On this view, investigators should exclude prospective participants who are more susceptible to risk than other prospective participants. I argue instead that investigators should select subjects (...)
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  27. On the logical indeterminacy of a free choice.D. M. MacKay - 1960 - Mind 69 (273):31-40.
  28. Chapter 3 Efficiency and Wellbeing.Douglas MacKay - manuscript
    A principal rationale for public policy is to address market failures. Pareto efficiency is therefore a highly common and relatively non-controversial evaluative criterion for many policy analyses and is discussed at length in policy analysis texts. This makes sense, for Pareto improvements involve making at least one person better off without making anyone worse off. Who could object to that? But does efficiency deserve the prominence it enjoys in public policy? Is one policy option better than another, at least in (...)
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  29. Rawlsian Justice and the Social Determinants of Health.Jayna Fishman & Douglas MacKay - 2018 - Journal of Applied Philosophy 36 (4):608-625.
    In this article, we suggest that the evidence regarding the social determinants of health calls for a deep re‐thinking of our understanding of distributive justice. Focusing on John Rawls's theory of distributive justice in particular, we argue that a full reckoning with the social determinants of health requires a re‐working of Rawls's principles of justice. We argue first that the social bases of health – a Rawlsian conception of the social determinants of health – should be considered a social primary (...)
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  30.  74
    Explaining the Actuality Operator Away.John Mackay - 2017 - Philosophical Quarterly 67 (269):709-21.
    I argue that ‘actually’ does not have a reading according to which it is synonymous with the actuality operator of modal logic, and propose an alternative account of ‘actually’. The cases that have been thought to show that ‘actually’ is synonymous with the actuality operator are modal and counterfactual sentences in which an embedded clause's evaluation is held fixed at the world of the context. In these cases, though, this embedded clause's evaluation is not due to the presence of ‘actually’. (...)
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  31.  79
    Authenticity and Normative Authority: Addressing the Agency Dilemma with Values of One’s Own.Kathryn MacKay - 2019 - Journal of Social Philosophy 51 (3):349-370.
  32.  15
    Reflections on Responsibility and the Prospect of a Long Life.Kathryn MacKay - 2019 - Public Health Ethics 12 (2):130-132.
    In this commentary on Brown and colleagues’ paper, entitled ‘Against Moral Responsibilisation of Health: Prudential Responsibility and Health Promotion’, I highlight the tension between individual responsibility—even when this is prudential and not moral—and systemic factors that impact people's health. Brown and colleagues and I agree that individuals are frequently held inappropriately responsible for health-related behaviours or diseases that have become associated with the so-called ‘lifestyle’ diseases. We further agree that health is an instrumental value to people, allowing them to achieve (...)
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  33.  70
    Calculating qalys: Liberalism and the value of health states.Douglas MacKay - 2017 - Economics and Philosophy 33 (2):259-285.
    The value of health states is often understood to depend on their impact on the goodness of people's lives. As such, prominent health states metrics are grounded in particular conceptions of wellbeing – e.g. hedonism or preference satisfaction. In this paper, I consider how liberals committed to the public justification requirement – the requirement that public officials choose laws and policies that are justifiable to their citizens – should evaluate health states. Since the public justification requirement prohibits public officials from (...)
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  34. Designing a Just Soda Tax.Douglas MacKay & Alexandria Huber-Disla - forthcoming - Economics and Philosophy:1-21.
    Soda taxes are controversial. While proponents point to their potential health benefits and the public projects that could be funded with their revenue, critics argue that they are paternalistic and regressive. In this paper, we explore the prospects for designing a just soda tax, one that appropriately balances the often-competing ethical considerations of promoting social welfare, respecting people’s autonomy, and ensuring distributive fairness. We argue that policymakers have several paths forward for designing a just soda tax, but that the considerations (...)
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  35.  17
    Mindlike behaviour in artefacts.D. M. Mackay - 1951 - British Journal for the Philosophy of Science 2 (6):105-121.
  36. Basic Income, Cash Transfers, and Welfare State Paternalism.Douglas MacKay - 2019 - Journal of Political Philosophy 27 (4):422-447.
    Journal of Political Philosophy, EarlyView.
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  37. Chapter 2 Identifying Policy Problems.Douglas MacKay - manuscript
    Policy analyses begin with a systematic overview of the policy problem they address. This includes a comprehensive discussion of the nature and context of the problem, and the institutional and behavioral factors responsible for its emergence. Problem statements must also explain why the status quo is bad or undesirable, why it is something that governments, rather than private actors, should address, and establish that the relevant government institutions have the legitimacy to intervene. In this chapter, I provide an overview of (...)
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  38.  27
    Radical Feminism.Finn Mackay - 2015 - Theory, Culture and Society 32 (7-8):332-336.
    How has feminism changed in the UK since the 1960s? This was the question I set out to explore in my research on the British Women’s Liberation Movement, published as Radical Feminism: Feminist Activism in Movement. I found that the motivations and aspirations of activists today were similar to those reported by feminists of the Second Wave; but the methods and tactics were more professionalized and there was less of a focus on women-only space.
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  39. Public Policy Experiments without Equipoise: When is Randomization Fair?Douglas MacKay & Emma Cohn - 2023 - Ethics and Human Research 45 (1):15-28.
    Government agencies and nonprofit organizations have increasingly turned to randomized controlled trials (RCTs) to evaluate public policy interventions. Random assignment is widely understood to be fair when there is equipoise; however, some scholars and practitioners argue that random assignment is also permissible when an intervention is reasonably expected to be superior to other trial arms. For example, some argue that random assignment to such an intervention is fair when the intervention is scarce, for it is sometimes fair to use a (...)
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  40.  64
    A Feminist Analysis of Anti-Obesity Campaigns: Manipulation, Oppression, and Autonomy.Kathryn MacKay - 2017 - International Journal of Feminist Approaches to Bioethics 10 (2):61-78.
    A few years ago, the New York City Department of Health introduced a public health campaign entitled “Cut Your Portions, Cut Your Risk”, a series of posters in which images of food in increasingly large portion sizes appear. In one example, three packets of french fries are featured; in another, cheeseburgers are shown. In a red box in each, the text, in large, all-capital letters in English and Spanish, reads “Portions have grown,” and, below this, in all capitals, “so has (...)
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  41.  74
    Subjunctive conditionals’ local contexts.John Mackay - 2019 - Linguistics and Philosophy 42 (3):207-221.
    Philippe Schlenker gives a method of deriving local contexts from an expression’s classical semantics. In this paper I show that this method, when applied to the traditional variably strict semantics for subjunctive conditionals of Robert Stalnaker, David Lewis, and Angelika Kratzer, delivers an empirically incorrect prediction. The prediction is that the antecedent of a conditional should have the whole domain of possible worlds as its local context and therefore should be allowed to have only necessary presuppositions. In the later part (...)
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  42.  12
    Braking may be more critical than acceleration.William A. MacKay - 1989 - Behavioral and Brain Sciences 12 (2):227-228.
  43.  36
    Inferential Validity and Imperative Inference Rules.Alfred F. MacKay - 1969 - Analysis 29 (5):145 - 156.
    It would seem possible in principle … to reconstruct the ordinary sentential calculus in terms of phrastics only, and then apply it to indicatives and imperatives alike simply by adding the appropriate neustics.… It might be asked how we are to know, given two premisses in different moods, in what mood the conclusion is to be. The problem of the effect upon inferences of the moods of premisses and conclusion has been ignored by logicians who have not looked beyond the (...)
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  44. Federalism and Responsibility for Health Care.Douglas MacKay & Marion Danis - 2016 - Public Affairs Quarterly 30 (1):1-29.
    Political philosophers often formulate the problem of distributive justice as the problem of how the government ought to distribute different types of goods—for example, income or health care—to its citizens. They therefore presuppose that the government is a unitary agent that governs its citizens directly. However, although a number of governments are unitary in this way, many are federations, exhibiting a division of sovereignty between two or more levels of government having independent grounds of authority. In contrast to unitary states, (...)
     
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  45. Professor Grice's theory of meaning.Alfred F. MacKay - 1972 - Mind 81 (321):57-66.
  46.  36
    Exacerbating Inequalities? Health Policy and the Behavioural Sciences.Kathryn MacKay & Muireann Quigley - 2018 - Health Care Analysis 26 (4):380-397.
    There have been calls for some time for a new approach to public health in the United Kingdom and beyond. This is consequent on the recognition and acceptance that health problems often have a complex and multi-faceted aetiology. At the same time, policies which utilise insights from research in behavioural economics and psychology have gained prominence on the political agenda. The relationship between the social determinants of health and behavioural science in health policy has not hitherto been explored. Given the (...)
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  47.  26
    Mothers: The Invisible Instruments of Health Promotion.Kathryn L. MacKay - 2021 - Hypatia 36 (1):60-79.
    In this article, I focus on two problematic aspects of British health-promotion campaigns regarding feeding children, particularly regarding breastfeeding and obesity. The first of these is that health-promotion campaigns around “lifestyle” issues dehumanize mothers with their imagery or text, stemming from the ongoing undervaluing and objectification of mothers and women. Public health-promotion instrumentalizes mothers as necessary components in achieving its aims, while at the same time undermining their agency as persons and interlocutors by tying “mother” to particular images. This has (...)
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  48.  12
    Returning Incidental Findings in Low‐Resource Settings: A Case of Rescue?Douglas Mackay - 2018 - Hastings Center Report 48 (3):28-30.
    In a carefully argued article, Haley K. Sullivan and Benjamin E. Berkman address the important question of whether investigators have a duty to report incidental findings to research participants in low‐resource settings. They suggest that the duty to rescue offers the most plausible justification for the duty to return incidental findings, and they explore the implications of this duty for the context of research in low‐resource settings. While I think they make valuable headway on an important problem, in this commentary, (...)
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  49.  53
    Why nursing has not embraced the clinician–scientist role.Martha Mackay - 2009 - Nursing Philosophy 10 (4):287-296.
    Reasons for the limited uptake of the clinician–scientist role within nursing are examined, specifically: the lack of consensus about the nature of nursing science; the varying approaches to epistemology; and the influence of post-modern thought on knowledge development in nursing. It is suggested that under-development of this role may be remedied by achieving agreement that science is a necessary, worthy pursuit for nursing, and that rigorous science conducted from a clinical perspective serves nursing well. Straddling practice and research is a (...)
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  50.  51
    The Oxford Handbook of Research Ethics.Ana S. Iltis & Douglas MacKay (eds.) - 2020 - New York, NY, USA: Oxford University Press.
    This handbook is currently in development, with individual articles publishing online in advance of print publication. At this time, we cannot add information about unpublished articles in this handbook, however the table of contents will continue to grow as additional articles pass through the review process and are added to the site. Please note that the online publication date for this handbook is the date that the first article in the title was published online. For more information, please read the (...)
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