Many philosophers have thought that aggregates of small, broadly dispersed evils don’t pose the same sort of challenge to theism that horrendous evils like the Nazi Holocaust do. But there are interesting arguments that purport to show that large enough aggregates of small evils are morally and axiologically equivalent to horrendous evils. Herein lies an intriguing and overlooked strategy for defending theism. In short: small evils, or aggregates of such evils, don’t provide decisive evidence against theism; there’s no relevant difference (...) between horrendous evils and aggregates of small evils; hence horrendous evils must not provide decisive evidence against theism, either. (shrink)

A prominent defence of a market in organs from living donors says that if we truly care about people in poverty, we should allow them to sell their organs. The argument is that if poor vendors would have voluntarily decided to sell their organs in a free market, then prohibiting them from selling makes them even worse off, at least from their own perspective, and that it would be unconscionably paternalistic to substitute our judgements for individuals' own judgements about what (...) would be best for them. The author shows that this ‘Laissez-Choisir Argument’ for organ selling rests on a mistake. This is because the claim that it would be better for people in poverty to sell their organs if given the option is consistent with the claim that it would be even better for them to not have the option at all. The upshot is that objections to an organ market need not be at all paternalistic, since we need not accept that the absence of a market makes those in poverty any worse off, even from their own point of view. The author goes on to argue that there are strong theoretical and empirical reasons for believing that people in poverty would in fact be harmed by the introduction of a market for live donor organs and that the harm constitutes sufficient grounds for prohibiting a market. (shrink)

For females without a functioning womb, the only way to become a biological parent is via assisted gestation—either surrogacy or uterus transplantation (UTx). This paper examines the comparative impact of these options on two types of putative ‘womb‐givers’: people who provide gestational surrogacy and those who donate their uterus for live donation. The surrogate ‘leases’ their womb for the gestational period, while the UTx donor donates their womb permanently via hysterectomy. Both enterprises involve a significant degree of self‐sacrifice (...) and medical risk in order to enable another person(s) to become a parent by either providing gestational labour or enabling the other person to undertake gestation themselves. In this paper, we explore the burdens and the benefits from the perspective of the womb‐giver in order to inform ethical debate about assisted gestation. This is a perspective that is often neglected in the bioethical discourse. With both surrogacy and UTx, when success follows the womb‐giver’s sacrifice, the key benefit is delivered to the intending parent(s), but as this article examines, the womb‐giver may also enjoy some unique (relational) benefits as a result of their sacrifice. Ultimately, the choice of how a womb‐giver lends assistance in gestation will impact on their bodily autonomy; some will prefer to carry a pregnancy and others to donate their uterus. We argue that the perspective of the womb‐giver is crucial and thus far has not been afforded sufficient consideration in ethical discussion. (shrink)

This is an excellent article, probably the best there is in defence of prohibiting the sale of organs, and it deserves a much fuller discussion of detail than there is space for here.1 My concerns, however, are with generalities rather than detail. Although some such argument might justify prohibition of organ selling in particular places and at particular times, it is difficult to see how it could support the kind of general, universal policy currently accepted by most advocates of prohibition.Whenever (...) the subject of organ selling is discussed, it is useful to keep in mind the natural history of the debate. Prohibition was instituted by most governments and professional bodies just about as quickly as possible after it was discovered that payment for kidneys was going on, and was a direct response to feelings of moral outrage. It all happened without time for debate. It was only later, as challenges appeared, that justifications began to be produced; and when they did they followed a pattern long familiar to philosophers, and more recently recognised by moral psychologists, of determined efforts to find a justification for the initial intuition that organ selling must be wrong. New arguments kept appearing in the cause as earlier attempts were shown to fail, and many were so weak that they could not have seemed plausible unless their advocates had already been committed to their conclusion. This does not mean, of course, that a good justification could never be produced. It does, however, suggest a widespread feeling that organ selling must be intrinsically …. (shrink)

In debates over the legitimacy of markets for live human organs, much hinges on the moral standing of desperate exchanges. Can people in desperate circumstances genuinely choose to sell their organs? Alternatively if they do choose to sell, then surely is it their choice? While sales are banned in most of the Western world due to fears that the poor will be exploited, advocates of these markets find such prohibition unconscionably paternalistic; and from the standpoint of contemporary liberal theory, (...) paternalism is anathema. Is it possible to provide grounds for blocking such desperate exchanges which are not at the same time paternalistic?In ‘Imposing Options on People in Poverty: the Harm of a Live Donor Organ Market', Simon Rippon argues that some options in the market do in fact harm. According to Rippon, if we focus on possible negative consequences of increasing an agent's options, one can develop an argument against human organ markets which is not paternalistic or focused on the idea of exploitation. Whether his account is, as stated, non-paternalistic is an open question, but his analysis of the implications of increased commercial options provides an illuminating and original critique of the human organ markets.Rippon labels his opponents' view the ‘Laissez-choisir Argument’ . According to LC, blocking exchanges …. (shrink)

Smoking remains the leading cause of preventable disease and death in the United States, killing approximately 480,000 people each year. This crushing health burden falls disproportionately, and recent CDC data shows that large disparities in adult cigarette smoking remain. One factor in these disparities is the use of flavors. Menthol cigarettes and other flavored tobacco products are used at higher rates by vulnerable populations including youth and young adults, African Americans, women, Hispanics and Asian Americans. This is no accident; the (...) tobacco industry has long targeted these same groups. Given FDA's failure to act to ban flavored tobacco products, states and municipalities are considering taking matters into their own hands to protect their communities from these dangerous products. The authors will explore state and local authority to restrict the sales of these products and review the evidence base indicating that removing flavored tobacco products – and menthol combustible products in particular - from the market would significantly reduce the toll of illness and death caused by these products. (shrink)

_Wild/lives_ draws on myth, popular culture and analytical psychology to trace the machinations of 'trickster' in contemporary film and television. This archetypal energy traditionally gravitates toward liminal spaces – physical locations and shifting states of mind. By focusing on productions set in remote or isolated spaces, Terrie Waddell explores how key trickster-infused sites of transition reflect the psychological fragility of their willing and unwilling occupants. In differing ways, the selected texts – _Deadwood, Grizzly Man, Lost, Solaris, The Biggest Loser, Amores (...) Perros and Repulsion_ – all play with inner and outer marginality. As this study demonstrates, the dramatic potential of transition is not always geared toward resolution. Prolonging the anxiety of change is an increasingly popular option. Trickster moves within this wildness and instability to agitate a form of dialogue between conscious and unconscious processes. Waddell's imaginative interpretation of screen material and her original positioning of trickster will inspire students of media, cinema, gender and Jungian studies, as well as academics with an interest in the application of Post-Jungian ideas to screen culture. (shrink)

Recently, Canada’s National Post described in detail the death by lethal injection of a 94-year-old man, living alone, who had multiple medical problems but was not terminally ill. His son helped find a physician willing to administer lethal medication soon after his father told him he “wasn’t planning on adding another digit” to his age. The physician who complied with the request is a leading advocate for assisted death in Canada, who reportedly has been responsible for more than 30 life-terminating (...) acts within the few months since the law was passed in June 2016. The son of the man who died by active euthanasia declared, “Dad got the death he wanted.” Should a legal option of... (shrink)

We simultaneously live in two worlds—our internal world of thoughts, values, desires, and experiences; and our external world in which we are born, and perform actions. Modernity, despite successfully developing our external world, has failed to develop our internal world. This has resulted in our lower nature being unleashed and a crisis of morals and values taking over society. This paper, drawing from the “science of consciousness” as detailed in the Indian tradition, looks at the nature of modernity and (...) how we can address the challenges being posed by it, by training our consciousness to higher levels. (shrink)

Jean Porter, a noted moral theologian, has argued that Karl Rahner’s influential theory of the fundamental option is of little practical use in actually attempting to live a holy and virtuous life. Thomas Aquinas’ account of the infused virtue of charity, she claims, offers a richer account of the Christian moral life and so is of greater practical use. This essay challenges this assertion by placing Rahner’s notion of fundamental option into dialogue with Thomistic caritas. It argues that the (...) actions that Porter takes to be characteristic of charity—itself a controversial proposition—are themselves in need of greater specification and so not as “concrete” as Porter would have one believe. Beneficence, almsgiving, and fraternal correction must be interpreted in light of diverse historical and cultural circumstances. Rahner recognizes this problem and so is legitimately hesitant to over-specify the demands of neighbor love. Further the Thomistic account of virtues with its commitment to the unity of the virtues is not able to resolve the problem of the “flawed saint” or the virtuous non-believer’s prospects for salvation in the way Rahner’s account can. Thus the Thomistic program is far less detailed than Porter suggests and it involves considerable theological and pastoral costs. (shrink)

Michael J. Zimmerman offers a conceptual analysis of the moral ‘ought’ that focuses on moral decision-making under uncertainty. His central case, originally presented by Frank Jackson, concerns a doctor who must choose among three treatments for a minor ailment. Her evidence suggests that drug B will partially cure her patient, that one of either drug A or C would cure him completely, but that the other drug would kill him. Accepting the intuition that the doctor ought to choose drug B, (...) Zimmerman argues that moral obligation consists in performing the action that is ‘prospectively best,’ that is ‘that which, from the moral point of view, it is most reasonable for the agent to choose’ given the evidence available to her at the time.Zimmerman defends his Prospective View of moral obligation against two main competitors in the long, first chapter of the book. According to the Objective View, a person ought to choose what is, in fact, the best option. The doctor ought to give her patient whichever drug will actually cure him. The fact that the doctor cannot know whether this is drug …. (shrink)

Living organ donation has developed into an important therapeutic option in transplantation medicine. However, there are some medico-ethical problems that come along with the increasing reliance on this organ source. One of these concerns is based on the observation that many more women than men function as living organ donors. Whereas discrimination and differential access have been extensively discussed in the context of cadaveric transplantation and other areas of health care, the issue of gender imbalance in living organ donation has (...) received less attention. This paper presents relevant data from the Eurotransplant and UNOS transplantation systems and discusses possible explanations for the documented gender discrepancies. The conclusion calls for are view of existing practice guidelines in order to secure effective protection of particularly vulnerable potential donors and an equitable donor-recipient-ratio in living organ donation. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Living the Truth: Is Aquinas’s Ethical Theory a “Personal” One?John HofbauerThere is treasure to be mined from the philosophy of St. Thomas Aqui-nas and, in particular, from his ethical insights. It is my contention that, at its very roots, Aquinas’s ethical theory is eminently personal, and that today’s generation of college students would benefit greatly from a close reading of it. At their deepest levels, the youth of today (...) do not want to be coddled: they desire a challenge, a “call to arms” so to speak—something that will inspire them and lead them out of the sometimes suffocating circle of self-interest and self-pity that surrounds so many of them. Aquinas’s ethical theory is different from most modern and contemporary ethical theories. For he roots it in the real, in a real “person,” and I think that today’s youth should at least be made aware of the existence of such a deeply personal ethic. They deserve to be made aware of a real option for a way of life that offers the realistic possibility of deliverance from themselves, and one which, as well, offers definite answers to specific questions that they encounter as their life’s story plays itself out.As long as our youth are made aware of this uniquely personalist option which Aquinas offers them, they can choose to take it or leave it at their own good pleasure. And many of them will leave it, for the time being, as they search for other (typically more hedonistic) ways to find personal self-satisfaction and self-fulfillment. But at least they will know that it is out there (“it” has been called the “maximalist view,” the “path of greatest resistance”), waiting for them to heed its unique call to them on a personal level. Additionally, they will have the consolation of knowing that there really is a distinctly different way of life which, while it does not coddle them, offers them a meaningful opportunity for self-sacrifice and, ultimately, self-fulfillment, as long as the initially difficult choices are made.In this paper, we will concentrate, initially, on the personal “transcendence” [End Page 17] that takes place in Aquinas’s ethical theory. We will be looking at the ways in which this focus on the “other” can empower the moral agent to keep inordinate “selfishness” out of her primary motivation for acting. Afterward, we will look at those specific moments of a moral action which facilitate and give meaning to this personal “selflessness.” The last section of this paper will take a more “selfish” turn by focusing on the qualities of that lasting state of happiness which becomes the reward for the person whose primary focus has been on a transcendent personal “Good,” a “Good” which also happens to be what Aquinas considers as the “Greatest Good” (the “Good” which, from every viewpoint, is subjectively perceived by the person as the greatest objective good).If our students were to become acquainted with some of Aquinas’s ideas regarding ethics as a means to the end of possessing the greatest Good and the greatest happiness, they might be surprised to find themselves open to the possibility of adopting these ethical insights as their own. They may find in them the challenge and the inspiration to become who they really are, that noble “true self” that lies beneath the surface of self-indulgence and self-pity. They may also find in Aquinas some answers to the many questions they often ask about the destiny of the human person. Indeed, they may discover the reasons why some definitions linking success to eternal happiness are superior to definitions that are tied solely to “self-fulfillment,” “self-realization,” and the attainment of worldly possessions. And finally, they might realize that there is at least one philosopher who does not “pull any punches”—for Aquinas claims that we can know not only reality (what “is” the case), but he claims, as well, that we can know what obligations (what “ought” to be done) can be derived from that knowledge of reality. Let us now look at some of the specific ways in which Aquinas... (shrink)

The intricate appearances produced by various lineages of biota have long been viewed as calling for a rational explanation. Biologists are capable of interpreting still just a relatively small part of the overall range of organismal forms and patterns. In fact, we can explain only those for which we find a functional role. Kalevi Kull’s current initiative, which aims at establishing biosemiotic foundations of aesthetics and introduction of concepts such as semiotic fitting, may help us elucidate various hitherto largely neglected (...) aspects of self-expressive domains of life. Given that organisms are active autonomous agents, I suggest that some cases of semiotic fitting may be facilitated by semiotic co-option, a process where a trait is newly interpreted as meaningful within the umwelt of a living being and further adopted for a particular role. Clarification of connections between semiotic co-option and semiotic fitting may aid our attempts to better understand the role of meaning-attributive processes via which the aesthetic faculties of animate things come into existence. (shrink)

Intended for use in the introduction to ethics course, this text is designed to engage today's practical-minded student in more fundamental questions. The book ranges from ideals in living to contemporary moral problems, exploring and analyzing both areas in order to stimulate deeper reflection.

In a contractual firm–stakeholder relationship the participants are expected to act according to the agreement and for mutual benefit. By acting against the agreement at the expense of the other participant, however, may result in higher individual profits within a short period of time. Building on the unlocked iterated prisoner’s dilemma (PD) setting, Scanlon’s [Scanlon, T.␣M.: 1998, What We Owe to Each Other (Belknap Press of Harvard University Press, Cambridge, Mass)] version of contractualism, and the social dilemma literature, this article (...) considers what types of behaviors should be followed by both parties in an established firm–stakeholder relationship in order to reach an outcome that is defensible both in terms of morality and viability. It is argued that a normative foundation, which advises firms and stakeholders to ground their behavior on principles that could not reasonably be rejected by others, forms a basis for moral and viable behavior that can be expressed in the form of a strategic rule that excludes defection and utilizes the option to exit in response to the other participant’s defection. Then, a set of testable propositions is developed that describe how a firm and its stakeholders can further promote moral and viable relationships. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Lives Saved, With a Little Help from FriendsPrasanta TripathyIn November 2000, Jharkhand was carved out of Bihar, a state in eastern India, to be a separate state to fulfill the aspirations of its people and [End Page 109] allay their feeling of alienation. It was a good time for me to reflect on how best I could contribute. In 2002 Ekjut, a registered development organization, was set up by (...) myself and other like-minded colleagues. Ekjut, which means "togetherness," was the outcome of a longstanding desire to do something on our own, something that was close to my heart—doing something for and with the people I had grown up with. An invisible cord kept me attached to this region of India and after stints with a few development organizations within and outside the state, my wife, Nirmala, and I decided to relocate to a village near my hometown, Chakradharpur.Chakradharpur is a small railway township in South Bihar where I spent all my childhood and days of schooling. Beyond the periphery of this township and its satellite market place, live indigenous people, the Adivasi, in villages and hamlets. Even as children we could appreciate the government policy that protected them in the sense that their ancestral lands could not be acquired by Dikus, the non-tribal people living in the towns and cities. The un-spoilt bounties of nature protected and preserved by the original inhabitants of the land—the Adivasi people—was there for all of us to see and enjoy.A rumor that a doctor couple was building a nursing home led to a regular flow of men, women and children to our unfinished home with all kinds of ailments, including medical emergencies. It was becoming increasingly difficult to cope with the workload of constructing the house and at the same time—overwhelming to see children dying in our home, which was never meant to be the hospital that the villagers thought it to be. They were reluctant to visit the government hospitals, which were primarily meant to serve poor people and their attitude could be summarized in just one word—fatalism. We wanted this to change—they somehow needed to understand their rights and entitlements. The public health care system had to be strengthened and Nitmala and I wondered how our work could make this happen.The Adivasi people were soon to become partnering communities with Ekjut. It did not take us long to realize how unprotected they were. We had a vague idea that we wanted to build healthier communities. Providing full-time curative care was not an option; it was also beyond our means. Knowing that strengthening the health system would take time, we hoped that our community-based work would strengthen the demand side, since even the minimum services that were available were grossly under-utilized.India is home to about 10 million tribal people. We had seen and also knew that their health status was poor and that tribal people have the disproportionate burden of child mortality, malnutrition, malaria and death in childbirth. But we could not find a reliable existing data base that could guide our work. The health status of women and children soon became Ekjut's main concern.We wanted our work to generate knowledge that would be relevant in a wider context. Adivasis are not a monolithic entity and our evidence needed to grow from working with several different tribal groups. We needed to build our research capabilities and willingness to work with several different indigenous groups, as well as, the poor people living alongside them in different districts. A collaboration with University College of London was soon to follow. Professor Anthony Costello who was my teacher more than a decade back, invited me to partner with his department and jointly bid for a grant. This grant was likely to come at the confluence of several interesting developments. First, the self-help group movement in India had made a substantial jump and such groups existed in almost every village. Second, a grassroots organization called PRADAN was working with women's groups to strengthen their livelihoods in several states of India including our district. PRADAN shared with... (shrink)

Even where willingness-to-pay as a measure of welfare impact is adjusted for diminishing marginal utility, welfare economics is shown to favour policies that add to the life expectancy or that enhance the quality of life of persons who are already better-off. I propose an alternative, Equal Respect methodology, under an axiomatic claim that at the point of decision the prospective life years of all individuals are of equal intrinsic social value. This justifies equal valuation of risk mitigation across all persons; (...) similarly, all appraised impacts should be scaled to accord equal respect to difficult but no-less-valuable lives. (shrink)

It is commonplace in cognitive science that concepts are individuated in terms of the roles they play in the cognitive lives of thinkers, a view that Jerry Fodor has recently been dubbed ‘Concept Pragmatism’. Quinean critics of Pragmatism have long argued that it founders on its commitment to the analytic/synthetic distinction, since without such a distinction there is plausibly no way to distinguish constitutive from non-constitutive roles in cognition. This paper considers Fodor’s empirical arguments against analyticity, and in particular his (...) arguments against lexical decomposition and definitions, and argues that Concept Pragmatists have two viable options with respect to them. First, Concept Pragmatists can confront them head-on, and argue that they do not show that lexical items are semantically primitive or that lexical concepts are internally unstructured. Second, Pragmatists may accept that these arguments show that lexical concepts are atomic, but insist that this need not entail that Pragmatism is false. For there is a viable version of Concept Pragmatism that does not take lexical items to be semantically structured or lexical concepts to be internally structured. Adopting a version of Pragmatism that takes meaning relations to be specified by inference rules, or meaning postulates, allows one to accept the empirical arguments in favor of Concept Atomism, while at the same time deny that such arguments show that there are no analyticities. The paper concludes by responding to Fodor’s recent objection that such a version of Concept Pragmatism has unhappy consequences concerning the relation between concept constitution and concept possession. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Living the Truth: Is Aquinas’s Ethical Theory a “Personal” One?John HofbauerThere is treasure to be mined from the philosophy of St. Thomas Aqui-nas and, in particular, from his ethical insights. It is my contention that, at its very roots, Aquinas’s ethical theory is eminently personal, and that today’s generation of college students would benefit greatly from a close reading of it. At their deepest levels, the youth of today (...) do not want to be coddled: they desire a challenge, a “call to arms” so to speak—something that will inspire them and lead them out of the sometimes suffocating circle of self-interest and self-pity that surrounds so many of them. Aquinas’s ethical theory is different from most modern and contemporary ethical theories. For he roots it in the real, in a real “person,” and I think that today’s youth should at least be made aware of the existence of such a deeply personal ethic. They deserve to be made aware of a real option for a way of life that offers the realistic possibility of deliverance from themselves, and one which, as well, offers definite answers to specific questions that they encounter as their life’s story plays itself out.As long as our youth are made aware of this uniquely personalist option which Aquinas offers them, they can choose to take it or leave it at their own good pleasure. And many of them will leave it, for the time being, as they search for other (typically more hedonistic) ways to find personal self-satisfaction and self-fulfillment. But at least they will know that it is out there (“it” has been called the “maximalist view,” the “path of greatest resistance”), waiting for them to heed its unique call to them on a personal level. Additionally, they will have the consolation of knowing that there really is a distinctly different way of life which, while it does not coddle them, offers them a meaningful opportunity for self-sacrifice and, ultimately, self-fulfillment, as long as the initially difficult choices are made.In this paper, we will concentrate, initially, on the personal “transcendence” [End Page 17] that takes place in Aquinas’s ethical theory. We will be looking at the ways in which this focus on the “other” can empower the moral agent to keep inordinate “selfishness” out of her primary motivation for acting. Afterward, we will look at those specific moments of a moral action which facilitate and give meaning to this personal “selflessness.” The last section of this paper will take a more “selfish” turn by focusing on the qualities of that lasting state of happiness which becomes the reward for the person whose primary focus has been on a transcendent personal “Good,” a “Good” which also happens to be what Aquinas considers as the “Greatest Good” (the “Good” which, from every viewpoint, is subjectively perceived by the person as the greatest objective good).If our students were to become acquainted with some of Aquinas’s ideas regarding ethics as a means to the end of possessing the greatest Good and the greatest happiness, they might be surprised to find themselves open to the possibility of adopting these ethical insights as their own. They may find in them the challenge and the inspiration to become who they really are, that noble “true self” that lies beneath the surface of self-indulgence and self-pity. They may also find in Aquinas some answers to the many questions they often ask about the destiny of the human person. Indeed, they may discover the reasons why some definitions linking success to eternal happiness are superior to definitions that are tied solely to “self-fulfillment,” “self-realization,” and the attainment of worldly possessions. And finally, they might realize that there is at least one philosopher who does not “pull any punches”—for Aquinas claims that we can know not only reality (what “is” the case), but he claims, as well, that we can know what obligations (what “ought” to be done) can be derived from that knowledge of reality. Let us now look at some of the specific ways in which Aquinas... (shrink)

In biosemiotics, living beings are not conceived of as the passive result of anonymous selection pressures acted upon through the course of evolution. Rather, organisms are considered active participants that influence, shape and re-shape other organisms, the surrounding environment, and eventually also their own constitutional and functional integrity. The traditional Darwinian division between natural and sexual selection seems insufficient to encompass the richness of these processes, particularly in light of recent knowledge on communicational processes in the realm of life. Here, (...) we introduce the concepts of semiotic selection and semiotic co-option which in part represent a reinterpretation of classical biological terms and, at the same time, keep explanations sensitive to semiosic processes taking place in living nature. We introduce the term ‘semiotic selection’ to emphasize the fact that actions of different semiotic subjects (selectors) will produce qualitatively different selection pressures. Thereafter, ‘semiotic co-option’ explains how semiotic selection may shape appearance in animals through remodelling existing forms and relations. Considering the event of co-option followed by the process of semiotic selection enables us to describe the evolution of semantic organs. (shrink)

Kidney transplantation is the most efficacious and cost-effective treatment for end-stage renal disease. However, the treatment’s accessibility is limited by a chronic shortage of transplantable kidneys, resulting in the death of numerous patients worldwide as they wait for a kidney to become available. Despite the implementation of various measures the disparity between supply and needs continues to grow. This paper begins with a look at the current treatment options, including various sources of transplantable kidneys, for end-stage renal disease. We (...) propose, in accordance with others, the introduction of compensated kidney donation as a means of addressing the current shortage. We briefly outline some of the advantages of this proposal, and then turn to examine several of the ethical arguments usually marshaled against it in a bid to demonstrate that this proposal indeed passes the ethics test. Using available data of public opinions on compensated donation, we illustrate that public support for such a program would be adequate enough that we can realistically eliminate the transplant waiting list if compensation is introduced. We urge a pragmatic approach going forward; altruism in living kidney donation is important, but altruism only is an unsuccessful doctrine. (shrink)

This thesis provides an ethical analysis of imprisonment as a mode of punishment. Consisting in an introduction and four papers the thesis addresses several important questions concerning imprisonment from a number of different perspectives and theoretical starting points. One overall conclusion of this thesis is that imprisonment, as a mode of punishment, deserves more attention from moral and legal philosophers. It is also concluded that a more complete ethical assessment of prison conditions and prison management requires a broader focus. It (...) must include an explicit discussion of both how imprisonment directly affects prison inmates and its negative side-effects on third parties. Another conclusion is that ethical discussions on prison conditions should not be too easily reduced to a question about how harsh or lenient is should be. Paper 1 argues that prisoners have a right to privacy. It is argued that respect for inmates’ privacy is related to respect for them as moral agents. Consequently, respect for inmates’ privacy is called for by different established philosophical theories about the justification of legal punishment. Practical implications of this argument are discussed and it is argued that invasion of privacy should be minimized to the greatest extent possible, without compromising other important values or the rights to safety and security. It is also proposed that respect for privacy should be part of the objective of creating and upholding a secure environment. Paper 2 discusses whether the collateral harm of imprisonment to the children and other close family members of prison inmates may give rise to special moral obligations towards them. Several collateral harms, including decreased psychological wellbeing, financial costs, loss of economic opportunities, and intrusion and control over their private lives, are identified. Two perspectives in moral philosophy, consequentialism and deontology, are then applied in order to assess whether these harms are permissible. It is argued that from either perspective it is hard to defend the claim that allowing for these harms are morally permissible. Consequently, imprisonment should be used only as a last resort. Where it is deemed necessary, it gives rise to special moral obligations. Using the notion of residual obligation, these obligations are then categorized and clarified. Paper 3 focuses on an argument that has figured in the philosophical debate on felon disenfranchisement. This argument states that as a matter of democratic self-determination, a legitimate democratic collective has the collective right to decide whether to disenfranchise felons as a way of defining their political identity. Yet, such a collective’s right to self-determination is limited, since the choice to disenfranchise anyone must be connected to normative considerations of political significance. This paper defends this argument against three charges that has been raised to it. In doing so it also explores under what circumstances felon disenfranchisement can be permissible. Paper 4 explores the question of whether prison inmates suffering from ADHD should be administered psychopharmacological intervention for their condition. The theoretical starting point for the discussion is the communicative theory of punishment, which understands criminal punishment as a form of secular penance. Viewed through the lens of the communicative theory it is argued that the provision of pharmacological treatment to offenders with ADHD need not necessarily be conceived of as an alternative to punishment, but as an aid to achieving the penological ends of secular penance. Thus, in this view offenders diagnosed with ADHD should have the option to undergo pharmacological treatment. (shrink)

In this study there are presented a series of aspects concerning the religious behavior of the Romanian population. By using quantitative analysis we have identified a series of religious key factors which can be used by parties and politicians to obtain votes during election campaigns. The obtained results highlight the fact that people with a lower level of education are more receptive to the political messages transmitted by religious means. Also, the influence of political actions and messages having a religious (...) character is more powerful at the level of the population with a lower standard of living. By means of quantitative analysis we have also evaluated the impact of religious and ethnical fractionalization on the political representation in the national parliament. (shrink)

Any defense of universal norms involves drawing distinctions among the many things people actually desire. If it is to have any content at all, it will say that some objects of desire are more central than others for political purposes, more indispensable to a human being's quality of life. Any wise such approach will go even further, holding that some existing preferences are actually bad bases for social policy. The list of Central Human Capabilities that forms the core of my (...) political project contains many functions that many people over the ages have preferred not to grant to women, either not at all, or not on a basis of equality. To insist on their centrality is thus to go against preferences that have considerable depth and breadth in traditions of male power. Moreover, the list contains many items that women over the ages have not wanted for themselves, and some that even today many women do not pursue – so in putting the list at the center of a normative political project aimed at providing the philosophical underpinning for basic political principles, we are going against not just other people's preferences about women, but, more controversially, against many preferences (or so it seems) of women about themselves and their lives. To some extent, my approach, like Sen's, avoids these problems of paternalism by insisting that the political goal is capability, not actual functioning, and by dwelling on the central importance of choice as a good. But the notion of choice and practical reason used in the list is a normative notion, emphasizing the critical activity of reason in a way that does not reflect the actual use of reason in many lives. (shrink)

In this paper, I defend a position contrary to a popular view of distributive justice. Residents of flood-prone or otherwise hazardous areas, like the Gulf South of the United States, receive substantial amounts of aid, paid through taxes on people living elsewhere in the US, after natural disasters that frequent the region. In popular discourse, some argue that we have reason not to (re)build in high-risk or hazardous areas, like the Gulf South. Instead, these residents, and others in similarly situated (...) regions, should “relocate.” If residents choose to stay, then the government and taxpayers do not owe them financial compensation to rebuild. Against that view, I argue that egalitarians commit to compensating many such people. However, I propose broadening our understanding of ‘compensation’ and going forward, focus on agency-enhancing efforts as compensation instead of solely relying on standard post-disaster financial compensation, as current policies generally do. Later in the paper, I offer a metric and tiered system that proposes alternatives to the standard compensation and claim that agency-enhancing compensation aligns with the egalitarian’s commitment to compensate individuals following a natural disaster. I conclude that a tiered system and a broader compensation approach provides egalitarians with more options than the current standard compensation allows. (shrink)

Following the first enactment of living will legislation in California in 1976 the majority of the states of the USA have now passed similar laws. However, flaws have been identified in the way they work in practice and many states are considering reviewing their legislation. In Britain there is no legislation but the subject is currently commanding considerable interest. This paper assesses the future prospects for living wills in both the USA and Britain, analysing the different options available and (...) comparing the two countries. If patients who become permanently incompetent are to have their previous autonomous decision-making respected, there is general agreement that advance directives for health care must be introduced. The difficulty is in deciding how to implement them, and especially whether this should be by statutory or non-statutory means, the traditions in the two countries being very different in this respect. It is concluded that whichever route is taken, promoting respect for patient autonomy is as much a matter for education and persuasion of doctors as of the adoption of particular instruments. Doctors should therefore be trained in what constitutes good medical practice in this area and, to ensure that it can be carried out properly, the general level of medical facilities for these patients must also be protected and promoted. (shrink)

Objectives To investigate risk perception relating to living kidney donation, to compare the risk donors would accept with current practice and identify influential factors. Design An observational study consisting of questionnaires completed by previous living donors and the general public. Participants selected the risk they would accept from a list of options, in various scenarios. Risk communication was investigated by randomly dividing the sample and presenting risk differently. Setting Primary care (two centres) and secondary care (one centre), London. Participants (...) 175 questionnaires were sent to patients who had previously undergone living-donor nephrectomy and to members of the public consulting a general practitioner. The living-donor sample comprised 77 consecutive donors at Guy's Hospital from May 2003 to January 2005. The general-public sample was recruited from two London healthcare centres. Of the eventual 151 participants, 61 were living donors and 90 were from the general public. Main outcome measure The amount of risk a participant would accept to donate a kidney. Results 74% of participants were willing to accept a risk of death higher than 1/3000. The most commonly accepted risk was 1/2 (29%). Those presented with a ‘chance of survival’ accepted higher risks than those presented with a ‘risk of death’ (p<0.01). Greater risks were accepted when the recipient was closely related and, for some, when the recipient's prognosis was worse. No difference was observed between the living-donor and general-public groups. Conclusions Kidney donors will accept a higher risk of death than is currently quoted, especially if risks are presented in terms of chance of survival. (shrink)

For scientific realists, quantum mechanics is unsatisfactory because it suffers from the measurement problem. However, there are at least three promising solutions: the pilot-wave theory, the many-worlds theory, and the theory of spontaneous collapse. In this paper I argue that the measurement problem is a false problem for the realist: it was proposed as the last resort to convince the positivists that the theory is not empirically adequate. Instead realists should focus on preserving the reductive explanatory schema that had worked (...) so well in physics before, which requires a theory to have a three-dimensional ontology. Incompleteness argument to this effect have been proposed in the 1920s, but effectively ignored due to the positivistic climate, other unscientific reasons, and theorems which claimed that this project was impossible. When realists re-examined quantum mechanics in the 1950s and later, they happened to focus on the measurement problem. In this paper I speculate on what would have happened if realists instead focused on finding a three-dimensional ontology to complete quantum theory. I show that most paradoxes, puzzles and mysteries connected with quantum mechanics would have never emerge, and that many of what are now considered possible ontological interpretations of the theory would have hardly been taken as viable options. (shrink)

The ethical obligation to provide a reasonably safe discharge option from the inpatient setting is often confounded by the context of homelessness. Living without the security of stable housing is a known determinant of poor health, often complicating the safety of discharge and causing unnecessary readmission. But clinicians do not have significant control over unjust distributions of resources or inadequate societal investment in social services. While physicians may stretch inpatient stays beyond acute care need in the interest of their patients (...) who are experiencing homelessness, they must also consider the implications of using an inpatient hospital bed for someone without the attendant level of medical need. Caring for patients in an inpatient setting when they no longer require acute care means fewer beds for acute care patients. And when a patient who is experiencing homelessness declines a medically safer option such as a skilled nursing facility, then clinicians may be faced with the sole option of discharge to the street, which raises troubling questions of nonmaleficence and social justice. Here we investigate the different forms of injustice that play out when patients are discharged to the street, and offer a map of the interwoven ethical responsibilities of clinicians, hospitals, and skilled nursing facilities. (shrink)

David Boonin argues that in a choice between creating a person whose life would be well worth living and creating a different person whose life would be significantly worse, but still worth living, each option is morally permissible. I show that Boonin's argument for this view problematically implies that in a choice between creating a person whose life would be well worth living and creating another person whose life would not be worth living, each option is also morally permissible.

BackgroundOrgan donation has become one of the most effective ways to save lives and improve the quality of life for patients with end-stage organ failure. No previous studies have investigated the preferences for the different consenting options for organ donation in Egypt. This study aims to assess Egyptians’ preferences regarding consenting options for posthumous organ donation, and measure their awareness and acceptance of the Egyptian law articles regulating organ donation.MethodsA cross sectional study was conducted among 2743 participants over (...) two years. Each participant was required to rank eleven consenting options from 1 to 11, and to report his awareness and acceptance of the seven articles of the Egyptian law of organ donation.Results47% of the participants expressed willingness to donate their organs after death. This percentage increased to 78% when consenting options were explained to participants. “Informed consent by donor only” was the most preferred type of consent for one third of respondents. Awareness of the law articles regulating organ donation was relatively low ranging from 56% to 23%.ConclusionCurrently, around half of the Egyptian population agree to posthumous organ donation. This percentage could be increased significantly by raising the awareness about how the process of donation could be regulated and how the patient’s right of decision could be protected. (shrink)

This article argues against the longstanding view that William James's "Will to Believe" defends the "adoption" of certain beliefs, especially if such beliefs give rise to favourable consequences. I contend, rather, that James is resisting the cultural propensity to call for the "abandonment" of certain beliefs or propensities to believe. A failure to recognize this feature of his position has resulted from a widespread neglect of one of the three distinguishing characteristics of options and propositions which interest him in (...) his essay: their liveness'. My analysis of liveness brings out its centrality and the impact of such centrality on James's position overall. (shrink)

Highly reputable bodies have said that lying is to be avoided when speaking with people living with dementia, unless it cannot be. And yet, the evidence is that many professionals looking after people who live with dementia have been lying to them. I wish to consider an underlying philosophical justification for the moral position that allows lying under some circumstances whilst still condemning it generally. It can seem difficult to ignore the immorality of lying, but thinkers have developed arguments (...) to get around the absolute prohibition. I shall argue that in concrete circumstances the object and the intended end of an action are not as clearly distinct as has been presumed. Further, looking at how language functions allows us to appeal to speech acts and to see the illocutionary force of a statement as way to broaden its purview. We need not think that the only options are between lying and not lying; there is also the possibility, in exigent circumstances, of ‘conforming to the reality’, which would allow a more nuanced account of moral acts, where the intentional nature of the act is no longer to lie. There are, thus, extreme concrete circumstances where not to speak the truth may be excusable, even if regrettable. (shrink)

Living kidney donation provides a promising opportunity in situations where the scarcity of cadaveric kidneys is widely acknowledged. While many patients and their relatives are willing to accept its benefits, others are concerned about living kidney programs; they appear to feel pressured into accepting living kidney transplantations as the only proper option for them. As we studied the attitudes and views of patients and their relatives, we considered just how actively health care professionals should encourage living donation. We argue that (...) active interference in peoples’ personal lives is justified - if not obligatory. First, we address the ambiguous ideals of non-directivity and value neutrality in counselling. We describe the main pitfalls implied in these concepts, and conclude that these concepts cannot account for the complex reality of living donation and transplantation. We depict what is required instead as truthful information and context-relative counselling. We then consider professional interference into personal belief systems. We argue that individual convictions are not necessarily strong, stable, or deep. They may be flawed in many ways. In order to justify interference in peoples’ personal lives, it is crucial to understand the structure of these convictions. Evidence suggests that both patients and their relatives have attitudes towards living kidney donation that are often open to change and, accordingly, can be influenced. We show how ethical theories can account for this reality and can help us to discern between justified and unjustified interference. We refer to Stephen Toulmin’s model of the structure of logical argument, the Rawlsian model of reflective equilibrium, and Thomas Nagel’s representation of the particularistic position. (shrink)

This chapter describes just one of the many attributes that a worthwhile life can have, one which connects both with the experience of the satisfyingness of life and with the dilemma‐managing strategies. Several of the dilemma‐managing strategies link choices to the overall pattern of the decision‐maker's life. All of these strategies resolve dilemmas by relating the incomparable desires that produce them to more nearly comparable preferences for kinds of lives. These strategies could be crudely summarized as: take the option which (...) will give him/her the better life. Or rather, they could be summarized this way if one accepts that lives are good when they conform to plans. In the chapter, the author argues that the sense of the satisfyingness of one's life need not come from any plan or pattern to it. In all of his examples, life has been organized by its connection with a single object of concern. (shrink)

New imaging methodologies in quantitative fluorescence microscopy, such as Förster resonance energy transfer (FRET), have been developed in the last few years and are beginning to be extensively applied to biological problems. FRET is employed for the detection and quantification of protein interactions, and of biochemical activities. Herein, we review the different methods to measure FRET in microscopy, and more importantly, their strengths and weaknesses. In our opinion, fluorescence lifetime imaging microscopy (FLIM) is advantageous for detecting inter‐molecular interactions quantitatively, the (...) intensity ratio approach representing a valid and straightforward option for detecting intra‐molecular FRET. Promising approaches in single molecule techniques and data analysis for quantitative and fast spatio‐temporal protein‐protein interaction studies open new avenues for FRET in biological research. (shrink)

Live donor kidney transplantation is the best treatment option for most patients with late-stage chronic kidney disease; however, the rate of living kidney donation has declined in the United States. A consensus conference was held June 5-6, 2014 to identify best practices and knowledge gaps pertaining to live donor kidney transplantation and living kidney donation. Transplant professionals, patients, and other key stakeholders discussed processes for educating transplant candidates and potential living donors about living kidney donation; efficiencies in the (...) living donor evaluation process; disparities in living donation; and financial and systemic barriers to living donation. We summarize the consensus recommendations for best practices in these educational and clinical domains, future research priorities, and possible public policy initiatives to remove barriers to living kidney donation. (shrink)

An Indian Court recently awarded 50,000 rupees damages to a couple who gave birth to their fourth daughter. The couple were mistakenly told they were carrying a male fetus. The doctor mistook a section of the umbilical cord for a penis. The husband said: “We are already struggling to raise three children. This was a big sacrifice for us to have a fourth child. We would have had an abortion if we had known it was a girl”. The cost of (...) damages amounted to the dowry they would have to pay at the time of their daughter's marriage.This is a fictional case. But the cases of Nicholas Perruche and Lionel1 are not fictional. According to reports, damages were paid to these children on the basis of what the media has described as a “right not to be born”. Is there a “right not to be born?” Was it right to compensate Nicholas Perruche for being born with congenital rubella and Lionel for being born with Down's syndrome?HARM TO THE CHILDWhat constitutes a right is a complex question. On one interpretation, rights protect interests. This implies that a right not to be born would exist if a child had an interest in not being born. Is it ever in a child's interests not to have been born? If it were, this might imply the child is better off dead than alive, as the Collective against Handiphobia claim. Is it better to be dead than have Down's syndrome?Some people do believe that Down's syndrome constitutes a life not worth living.2 But this view seems false. Children with Down's syndrome can and often do lead happy and worthwhile lives. After all, we do not suggest that other animals have a right not to be born or a life not worth …. (shrink)

I propose that the underlying adaptation enabling the reproductive strategy of birthing live young (viviparity) is retraction of the site of fertilization within the female reproductive tract, and that this evolved as a means of postcopulatory sexual selection. There are three conspicuous aspects associated with viviparity: (i) internal development is a complex trait often accompanied by a suite of secondary adaptations, yet it is unclear how the intermediate state of this trait – egg retention – could have evolved; (ii) (...) viviparity often results in a reduction in fecundity; (iii) viviparity has evolved independently many times across a diverse array of animal groups. Focusing on the Diptera (true flies), I provide explanations for these observations. I further propose that fecundity is not traded‐off to enable potential benefits of viviparity, but rather that loss of fecundity is directly selected and egg retention is an indirect consequence – a model that provides a unifying common basis for the ubiquity of viviparity. (shrink)

The article will discuss Islamic philosophy of education to explain the role and aims of education for the Muslim Ummah (Community). It will then debate the needs of the UK Muslims with regard to the education of their children in the context of multi-locationality, and associated challenges of bringing up children while living between two different ‘ways of life’. How their concerns shape their expectations from education in the UK and their educational choices, will be argued while drawing on relevant (...) literature and research, followed by some suggestions to inform future policy regarding education of the UK Muslims. (shrink)