In recent months, Covid‐19 has devastated African American communities across the nation, and a Minneapolis police officer murdered George Floyd. The agents of death may be novel, but the phenomena of long‐standing epidemics of premature black death and of police violence are not. This essay argues that racial health and health care disparities, rooted as they are in systemic injustice, ought to carry far more weight in clinical ethics than they generally do. In particular, this essay examines palliative and end‐of‐life (...) care for African Americans, highlighting the ways in which American medicine, like American society, has breached trust. In the experience of many African American patients struggling against terminal illness, health care providers have denied them a say in their own medical decision‐making. In the midst of the Covid‐19 pandemic, African Americans have once again been denied a say with regard to the rationing of scarce medical resources such as ventilators, in that dominant and ostensibly race‐neutral algorithms sacrifice black lives. Is there such thing as a “good” or “dignified” death when African Americans are dying not merely of Covid‐19 but of structural racism? (shrink)

Laura Specker Sullivan's article “Trust, Risk, and Race in American Medicine” is a philosophically grounded and highly practical call for medical professionals to take on the task of comprehending the sources of patients’ mistrust. This is not only a clinical competence but also a moral obligation, in particular, when mistrust is warranted—as with African American patients who rely on medical institutions that have breached and continue to breach the trust of their communities. While Specker Sullivan focuses on how clinicians can (...) signal comprehension once it has already been attained, I wish to step back and examine the nature of the efforts to gain knowledge. The effort to comprehend requires, at a minimum, the following actions: educating oneself about medical racism, examining one's implicit biases, and engaging, with empathic curiosity, with the patient or family members in the clinical encounter at hand. (shrink)

Whose Keeper? is a profound and creative treatise on modernity and its challenge to social science. Alan Wolfe argues that modern liberal democracies, such as the United States and Scandinavia, have broken with traditional sources of mortality and instead have relied upon economic and political frameworks to define their obligations to one another. Wolfe calls for reinvigorating a sense of community and thus a sense of obligation to the larger society.

The Y‐box proteins are the most evolutionarily conserved nucleic acid binding proteins yet defined in bacteria, plants and animals. The central nucleic acid binding domain of the vertebrate proteins is 43% identical to a 70‐amino‐acid‐long protein (CS7.4) from E. coli. The structure of this domain consists of an antiparallel fivestranded β‐barrel that recognizes both DNA and RNA. The diverse biological roles of these Y‐box proteins range from the control of the E. coli cold‐shock stress response to the translational masking of (...) messenger RNA in vertebrate gametes. This review discusses the organization of the prokaryotic and eukaryotic Y‐box proteins, how they interact with nucleic acids, and their biological roles, both proven and potential. (shrink)

The authors develop an axiomatic theory of nonexistent objects and and give a formal semantics for the language of the theory.

The way of Zen.--Nature, man, and woman.--Psychotherapy East and West.

There seems no good reason for doctors to work in secret. Individual users of healthcare and the community in general, which ultimately bears the cost, are perfectly entitled to know how their health services and health providers are performing. The promulgation of surgical report cards has been hailed by some as a liberating step in the right direction. This paper seeks to analyse, from a clinician’s perspective, the evolution and limitations of report cards. Ultimately, the importance of report cards will (...) not be their immediate utility, which is minimal, but as a first step in a much wider and far more important debate about how we meaningfully measure the quality of health services and providers (including managers and bureaucrats), the likely cost of such an enterprise, how much we are willing and able to pay and how we reconcile the competing needs of information versus clinical and preventive care when all are competing for the same and inadequate pool of resources. (shrink)

Boyer & Petersen (B&P) argue that a “rudimentary exchange psychology” is responsible for many of people's folk-economic beliefs that are at odds with the consensus views of economists. However, they focus primarily on macroeconomic beliefs. I argue that the same rudimentary exchange psychology could be expected to produce fairly accurate microeconomic intuitions. Existing evidence supports this prediction.

This study explores the way that belief systems, interactions with social or experimental environments, and skills at the “control” level in decision‐making shape people's behavior as they solve problems. It is argued that problem‐solvers' beliefs (not necessarily consciously held) about what is useful in mathematics may determine the set of “cognitive resources” at their disposal as they do mathematics. Such beliefs may, for example, render inaccessible to them large bodies of information that are stored in long‐term memory and that are (...) easily retrieved in other circumstances. In other cases, individuals' reactions to an experimental setting (fear of failure, or the desire to “look mathematical” while being videotaped) may induce behavior that is almost pathological—and at the same time, so consistent that it can be modeled. In general, such “environmental” factors establish the context within which individuals access and utilize the information potentially at their disposal.Protocols illustrating these points are presented and discussed. A model based on an axiomatization of students' beliefs about plane geometry is outlined, and is shown to correspond closely to their problem‐solving performance. A framework is offered for analyzing problem‐solving performance at three qualitatively different levels: access to cognitive resources stored in LTM, executive or control decision‐making, and belief systems. (shrink)

The goal of this paper is to defend open theism vis-à-vis its main competitors within the family of broadly classical theisms, namely, theological determinism and the various forms of non-open free-will theism, such as Molinism and Ockhamism. After isolating two core theses over which open theists and their opponents differ, I argue for the open theist position on both points. Specifically, I argue against theological determinists that there are future contingents. And I argue against non-open free-will theists that future contingency (...) is incompatible with the future’s being epistemically settled for God. This paper is a follow-up to the author’s Rhoda (Religious Studies, 2008) which was delivered during the APA Pacific 2007 Mini-Conference on Models of God. (shrink)