If stem cell-based therapies are developed, we will likely confront a difficult problem of justice: for biological reasons alone, the new therapies might benefit only a limited range of patients. In fact, they might benefit primarily white Americans, thereby exacerbating long-standing differences in health and health care.
The nanomedicine field is fast evolving toward complex, “active,” and interactive formulations. Like many emerging technologies, nanomedicine raises questions of how human subjects research (HSR) should be conducted and the adequacy of current oversight, as well as how to integrate concerns over occupational, bystander, and environmental exposures. The history of oversight for HSR investigating emerging technologies is a patchwork quilt without systematic justification of when ordinary oversight for HSR is enough versus when added oversight is warranted. Nanomedicine HSR provides an (...) occasion to think systematically about appropriate oversight, especially early in the evolution of a technology, when hazard and risk information may remain incomplete. This paper presents the consensus recommendations of a multidisciplinary, NIH-funded project group, to ensure a science-based and ethically informed approach to HSR issues in nanomedicine, and to integrate HSR analysis with analysis of occupational, bystander, and environmental concerns. We recommend creating two bodies, an interagency Human Subjects Research in Nanomedicine (HSR/N) Working Group and a Secretary's Advisory Committee on Nanomedicine (SAC/N). HSR/N and SAC/N should perform 3 primary functions: (1) analysis of the attributes and subsets of nanomedicine interventions that raise HSR challenges and current gaps in oversight; (2) providing advice to relevant agencies and institutional bodies on the HSR issues, as well as federal and federal-institutional coordination; and (3) gathering and analyzing information on HSR issues as they emerge in nanomedicine. HSR/N and SAC/N will create a home for HSR analysis and coordination in DHHS (the key agency for relevant HSR oversight), optimize federal and institutional approaches, and allow HSR review to evolve with greater knowledge about nanomedicine interventions and greater clarity about attributes of concern. (shrink)
We report on the deliberations of an interdisciplinary group of experts in science, law, and philosophy who convened to discuss novel ethical and policy challenges in stem cell research. In this report we discuss the ethical and policy implications of safety concerns in the transition from basic laboratory research to clinical applications of cell-based therapies derived from stem cells. Although many features of this transition from lab to clinic are common to other therapies, three aspects of stem cell biology pose (...) unique challenges. First, tension regarding the use of human embryos may complicate the scientific development of safe and effective cell lines. Second, because human stem cells were not developed in the laboratory until 1998, few safety questions relating to human applications have been addressed in animal research. Third, preclinical and clinical testing of biologic agents, particularly those as inherently complex as mammalian cells, present formidable challenges, such as the need to develop suitable standardized assays and the difficulty of selecting appropriate patient populations for early phase trials. We recommend that scientists, policy makers, and the public discuss these issues responsibly, and further, that a national advisory committee to oversee human trials of cell therapies be established. **NB we did not reccommend a NAC, we think it might be appropriate**. (shrink)
Euthanasia and physician assisted-suicide are terms used to describe the process in which a doctor of a sick or disabled individual engages in an activity which directly or indirectly leads to their death. This behavior is engaged by the healthcare provider based on their humanistic desire to end suffering and pain. The psychiatrist's involvement may be requested in several distinct situations including evaluation of patient capacity when an appeal for euthanasia is requested on grounds of terminal somatic illness or when (...) the patient is requesting euthanasia due to mental suffering. We compare attitudes of 49 psychiatrists towards euthanasia and assisted suicide with a group of 54 other physicians by means of a questionnaire describing different patients, who either requested physician-assisted suicide or in whom euthanasia as a treatment option was considered, followed by a set of questions relating to euthanasia implementation. When controlled for religious practice, psychiatrists expressed more conservative views regarding euthanasia than did physicians from other medical specialties. Similarly female physicians and orthodox physicians indicated more conservative views. Differences may be due to factors inherent in subspecialty education. We suggest that in light of the unique complexity and context of patient euthanasia requests, based on their training and professional expertise psychiatrists are well suited to take a prominent role in evaluating such requests to die and making a decision as to the relative importance of competing variables. (shrink)
There is wide agreement that the derivation and use of human embryonic stem cells from embryos remaining after infertility treatment morally require the informed consent of the IVF patients who undertook the treatment. However, there continues to be controversy over whether hESC research involving leftover embryos created with eggs or sperm from third-party donors requires the consent of these donors. In the United States, the lack of consensus on this issue manifests itself in a conflict between two entities that play (...) an important role in hESC research policy: the National Institutes of Health, which federally funds the research, and the National Academy of Sciences, which has produced.. (shrink)
Decision making capacity (DMC) is a fundamental concept grounding the principle of respect for autonomy and the practice of obtaining informed consent. DMC must be determined and documented every time a patient undergoes a hospital procedure and for routine care when there is reason to believe decision making ability is compromised. In this paper we explore a path toward ethically informed development and implementation of a hospital policy related to DMC assessment. We begin with a review of the context of (...) DMC assessment before discussing some considerations relevant to policy creation by healthcare ethics committees. The discussion concludes in a presentation of a typology of capacity assessment policies, which draws upon a sampling of currently used hospital policies to illustrate relevant ethical considerations. (shrink)
Andrew Tooke's 1691 English translation of Samuel Pufendorf's De officio hominis et civis, published as The Whole Duty of Man According to the Law of Nature, brought Pufendorf's manual fo statist natural law into English politics at a moment of temporary equilibrium in the unfinished contest between Crown and Parliament for the rights and powers of sovereignty. Drawing on the authors' re-edition of The Whole Duty of Man, this article describes and analyses a telling instance of how--by translation--the core (...) political terms and concepts of the German natural jurist's 'absolutist' formulary were reshaped for reception in the different political culture of late seventeenth-century England. (shrink)
CONTENT Some preliminary comments Introduction of my approach epistemologically different worlds”: paragraphs of my works 2002-2008 -/- I. Physics, Cognitive Neuroscience, Philosophy Chapter 1 Did Sean Carroll’s ideas (2016) (California Institute of Technology, USA) (within the wrong framework, the “universe”) plagiarize my ideas (2002-2010) (within the EDWs framework) on quantum mechanics, the relationship between Einstein relativity and quantum mechanics, life, the mind-brain problem, etc.? Chapter 2 The unbelievable similarities between Frank Wilczek’s ideas (2016) (Nobel Prize in Physics) and my ideas (...) (2002-2008, etc.) (Philosophy of Mind and Quantum Mechanics) Chapter 3 The unbelievable similarities between Hugo F. Alrøe and Egon Noe’s (Department of Agroecology, Aarhus University, Denmark) ideas (2017, USA) and my ideas (2002-2008) (Bohr's complementarity extended to ontology) Chapter 4 Similarities between Adam Frank’s ideas (2016 or 2017?, University of Rochester in New York , USA) (“Minding matter - The closer you look, the more the materialist position in physics appears to rest on shaky metaphysical ground”) and my ideas (2005, 2008) -/- II. Physics Chapter 5 The unbelievable similarities between Radu Ionicioiu (Physics, University of Bucharest, Romania) and Daniel R. Terno’s ideas (2011) (Physics, Macquarie University, Sydney, Australia) and my ideas (Quantum Mechanics) Chapter 6 The strong similarity between Pikovski Igor, Zych Magdalena, Costa Fabio, and Brukner Časlav’s ideas (June 2015) and my ideas regarding the Schrodinger’s cat’s interactions with its environment (the gravitation of Earth) (both entities being macro-objects) (Quantum Mechanics) Chapter 7 The strong similarity between Elisabetta Caffau’s ideas (2015, Center for Astronomy at the University of Heidelberg and the Paris Observatory) and my ideas (2011, 2014) regarding the appearance of Big Bang in many places (Cosmology) Chapter 8 Did Wolfram Schommers (2015, University of Texas at Arlington, USA & Karlsruhe Institute of Technology, Germany) plagiarize my ideas? (Physics) Chapter 9 The strong similarities between Dylan H. Mahler, Lee Rozema, Kent Fisher, Lydia Vermeyden, Kevin J. Resch, Howard M. Wiseman, and Aephraim Steinberg’s ideas (2016, USA) and my ideas (Quantum Mechanics) Chapter 10 The unbelievable similarities between Bill Poirier’s ‘Many Interacting Worlds’ (2016) and my EDWs (Quantum Mechanics) -/- III. Cognitive Neuroscience and Philosophy of Mind Chapter 11 Did David Ludwig (2015, Philosophy, University of Amsterdam) plagiarize many of my ideas? (Philosophy (of Mind) Chapter 12 Did Georg Northoff (2011-214, Psychoanalysis, Institute of Mental Health Research, Canada) plagiarize my ideas? (Cognitive Neuroscience) Chapter 13 The unbelievable similarities between Kalina Diego Cosmelli, Legrand Dorothée and Thompson Evan’s ideas (2011, USA) and my ideas (Cognitive Neuroscience) Chapter 14 Did Theise and Menas (2016, Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, USA) and Kafatos C. Menas (Department of Medicine, Icahn School of Medicine at Mount Sinai, New York; Schmid College of Science & Technology, Chapman University, Orange, CA, USA) plagiarize my ideas of Physics and Cognitive Neuroscience and Philosophy (the mind-brain problem, quantum mechanics, etc.) from 2002-2008? -/- IV. Philosophy Chapter 15 Did Markus Gabriel plagiarize (2013, Philosophy, Bonn University, Germany) my ideas (2002-2008)? (Philosophy) Chapter 16 The unbelievable similarities between Andrew Newman’s ideas (University of Nebraska, at Omaha, USA) (2013) and my ideas (Ontology) Chapter 17 The unbelievable similarities between Alexey Alyushin (2010, Moscow, Russia) and my ideas (Ontology) -/- V. Others Chapter 18 The unbelievable similarities between other people’s ideas (after 2013) (for instance, Tahko E. Tuomas (University of Helsinki, Finland 2016), Côté B. Gilbert (Sudbury, Ontario, Canada 2013), Dan Siegel (Mindsight Institute, USA, 2016) and my ideas (2002-2008) -/- Conclusion Bibliography . (shrink)
The Oxford Monographs On Criminal Law And Justice series aims to cover all aspects of criminal law and procedure including criminal evidence. the scope of the series is wide, encompassing both practical and theoretical works. Series Editor: Professor Andrew Ashworth, Vinerian Professor of English Law, All Souls College, Oxford. This volume is a thematic collection of essays on sentencing theory by leading writers. The essays fall into three groups. Part I considers the underlying justifications for the imposition of punishment (...) by the State, and examines the relationship between victims, offenders and the State. Part II addresses a number of areas of sentencing policy that have given rise to particular difficulty, such as the sentencing of drug offenders, the rationale for discounting sentences for multiple offenders, the existence of special sentencing for young offenders, and cases where the injury done to the victim is of a different magnitude from what might have been expected. Part III raises various questions about the unequal impact on offenders of different sentencing measures, and examines the extent to which sentences should be adjusted to take account of these different impacts and of broader social inequalities. This volume is dedicated to Professor Andrew von Hirsch, whose continuing work on sentencing theory provided the stimulus for the collection. (shrink)
Book Symposium on Andrew Feenberg’s Between Reason and Experience: Essays in Technology and Modernity Content Type Journal Article Pages 203-226 DOI 10.1007/s13347-011-0017-8 Authors Inmaculada de Melo-Martín, Division of Medical Ethics, Weill Cornell Medical College, New York, NY 10065, USA David B. Ingram, Loyola University Chicago, 6525 North Sheridan Road, Chicago, IL 60626, USA Sally Wyatt, e-Humanities Group, Royal Netherlands Academy of Arts and Sciences (KNAW) & Maastricht University, Cruquiusweg 31, 1019 AT Amsterdam, The Netherlands Yoko Arisaka, Forschungsinstitut für Philosophie (...) Hannover, Gerberstrasse 26, 30169 Hannover, Germany Andrew Feenberg, School of Communication, Simon Fraser University at Harbour Centre, 515 West Hastings Street, Vancouver, BC V6B 5K3, Canada Journal Philosophy & Technology Online ISSN 2210-5441 Print ISSN 2210-5433 Journal Volume Volume 24 Journal Issue Volume 24, Number 2. (shrink)
In An Essay upon Civil Government , Andrew Michael Ramsay mounted a sustained attack upon the development throughout English history of popular government. According to Ramsay, popular involvement in sovereignty had led to the decline of society and the revolutions of the seventeenth century. In his own time, Parliament had become a despotic instrument of government, riven with faction and driven by a multiplicity of laws that manifested a widespread corruption in the state. Ramsay's solution to this degeneracy was (...) the extirpation of Parliament, and its substitution with a monarchy moderated by an aristocratic senate. Ramsay's adoption of certain “Country” elements, including a return to the first principles of the constitution, claimed to reflect the principles of contemporary French aristocratic theory which called for the reform of government through the nobility. In his desire to exclude popular government, and reverse the decline of the state, however, Ramsay utilised the theory with which Bossuet had defended Louis XIV's absolute France. Intriguingly, traces of the natural law system which fortified Ramsay's theory can be found in Viscount Bolingbroke's subsequent attack on Walpole's Whig ministry and the corruption of the state. (shrink)
_Utilitarianism_ is a classic work of ethical theory, arguably the most persuasive and comprehensible presentation of this widely influential position. While he didn’t invent utilitarianism, John Stuart Mill offered its clearest expression and strongest defense, and he expanded the theory to account for the variety in quality that we find among pleasures and pains. The complete text of the 1871 edition is included, along with selections from Jeremy Bentham’s An Introduction to the Principles of Morals and Legislation. Andrew Bailey’s (...) detailed introduction examines the context of Mill’s writing and offers guidelines on how to read the text accurately and critically. The complete text of the 1871 edition of _Utilitarianism_ is presented here, with footnote annotations added to clarify unfamiliar references and terminology for the student reader. A detailed introduction by the editor is divided into brief digestible parts discussing the context of the text and offering guidelines on how to read it accurately and critically. This edition has its origin in the acclaimed _Broadview Anthology of Social and Political Thought_ and adheres to the anthology’s format and high standard of accuracy and accessibility. (shrink)
Andrew Collier is the boldest defender of objectivity - in science, knowledge, thought, action, politics, morality and religion. In this tribute and acknowledgement of the influence his work has had on a wide readership, his colleagues show that they have been stimulated by his thinking and offer challenging responses. This wide-ranging book covers key areas with which defenders of objectivity often have to engage. Sections are devoted to the following: 'objectivity of value', 'objectivity and everyday knowledge', 'objectivity in political (...) economy', 'objectivity and reflexivity', 'objectivity, postmodernism and feminism', 'objectivity and nature'. The diverse contributions range from social and political thought to philosophy, reflecting the central themes of Collier's work. (shrink)
This is a reply to commentaries on my book, The Character of Consciousness, by Benj Hellie, Christopher Peacocke, and Susanna Siegel. The reply to Hellie focuses on issues about acquaintance and transparency. The reply to Peacocke focuses on externalism about spatial experience. The reply to Siegel focuses on whether there can be Frege cases in perceptual experience.
This is a draft of what became a contribution to a virtual symposium on Susanna Siegel's "The Content of Visual Experience". It takes issue with her claims, and arguments, that perceptual experience has representational content.
Andrew Wayne discusses some recent attempts to account, within a Bayesian framework, for the "common methodological adage" that "diverse evidence better confirms a hypothesis than does the same amount of similar evidence". One of the approaches considered by Wayne is that suggested by Howson and Urbach and dubbed the "correlation approach" by Wayne. This approach is, indeed, incomplete, in that it neglects the role of the hypothesis under consideration in determining what diversity in a body of evidence is relevant (...) diversity. In this paper, it is shown how this gap can be filled, resulting in a more satisfactory account of the evidential role of diversity of evidence. In addition, it is argued that Wayne's criticism of the correlation approach does not indicate a serious flaw in the approach. (shrink)
In 1905 two different etiologic agents for syphilis were proposed in Berlin, one, the Cytorrhyctes luis, by John Siegel, the other, Spirochaete pallida, by Fritz Schaudinn. Both scientists were pupils of Franz Eilhard Schulze, and were outsiders to the Berlin medical establishment. Both belonged to the same thought collective, used the same thought style, and started from the same supposition that the etiologic agent of syphilis must be a protist. Both used the same morphological approach, the same microscopes and (...) the same stains. Both presented their findings in the same societies, used the same rhetoric, published in the same journals, used the same arguments to criticise each other's shortcomings. Both were backed by powerful institutions and enlisted the support of prestigious patrons. Within half a year, the scientific community at large had in its overwhelming majority accepted Schaudinn's results and rejected those of Siegel. Social forces thus cannot be shown to have played any role in deciding the issue. Ludwik Fleck's suggestion that 'appropriate influence' and a 'proper measure of publicity throughout the thought collective' would have been sufficient for Siegel's ideas to win the day is untenable. (shrink)
Andrew H. Gleeson has written an essay commenting on an exchange between Dewi Z. Phillips and me, arguing that I was mistaken to dismiss Phillips’ criticism of the standard definition of omnipotence as unsuccessful. Furthermore, he charges Swinburne, me, and analytic theists in general, with an excessive anthropomorphism that obliterates the distinction between Creator and creature. In response, I contend that all of Gleeson’s criticisms are unsound.
Andrew Feenberg's Questioning Technology (1999) is his third book in a series of studies which undertake to provide critical theoretical and democratic political perspectives to engage technology in the contemporary era. In Critical Theory of Technology (1991), Feenberg draws on neo-Marxian and other critical theories of technology, especially the Frankfurt School, to criticize determinist and essentialist theories. In this ground-breaking work (which will go into its second edition in 2001), he discusses both how the labor process, science, and technology (...) are constituted as forms of domination of nature and human beings, and how they could be democratically transformed as part of a program of radical social transformation. In Alternative Modernity (1995), Feenberg turns to focus on constructivist theories and the ways in which individuals and groups can reconstruct technology to make it serve more humane and democratic goals. His most recent book draws on his earlier work while polemically developing his own positions within contemporary debates over technology. (shrink)
In his paper, ‘A critique of religious fictionalism’, Benjamin Cordry raises a series of objections to a fictionalist form of religious non-realism that I proposed in my earlier paper, ‘Can an atheist believe in God?’. They fall into two main categories: those alleging that an atheist would be unjustified in adopting fictionalism, and those alleging that fictionalism could not be successfully implemented, or practised communally. I argue that these objections can be met.
These reflections on Andrew Grosso’s recent book Personal Being highlight his philosophical construction of a concept of personhood based on themes from the writings Of Michael Polanyi and his use of this conception to express creatively elements of the traditional Christian doctrines on the trinity. Additional clarifications are sought regarding his formulations on the divine personhood of Jesus, the adequacy of his formulations on the intra-trinitarian relations, and the insightfulness of the absolute personhood of the divine. This study is (...) a helpful model for extending Polanyian insights into the realm of dogmatic theology. (shrink)
Andrew Dickson White played a pivotal role in constructing the image of a necessary, and even violent, confrontation between religion and science that persists to this day. Though scholars have long acknowledged that his position is more complex, given that White claimed to be saving religion from theology, there has been no attempt to explore what this means in light of his overwhelming attack on existing religions. This essay draws attention to how White's role as a historian was decisive (...) in allowing him to posit a future for religion purified of dogma by science. It argues, furthermore, that this effort is better understood as religious innovation, rather than a plea for strictly secular science. In so doing it hopes to lay the foundation for a more fruitful historical treatment of White, and a range of other figures whose devotion to science has otherwise been difficult to grasp. (shrink)
Millions of Americans, as well as millions in Europe, have used or will use a library established by Andrew Carnegie. In his lifetime Carnegie gave the equivalent of several billion dollars in today's money to establish 1,689 public libraries in the United States, Hawaii and Puerto Rico. Moreover, 660 libraries in Britain and Ireland, 125 in Canada, 17 in New Zealand, 12 in South Africa and scattered others around the world exist because of this man. 1 And this does (...) not include the extensive positive influence of the foundations and grants established by Carnegie. Aristotle would likely have called him ‘magnificent’. Carnegie had the virtue beyond mere generosity available only to those with the means and position to benefit the polis on a grand scale. Unlike generosity, magnificence involves what Irwin has called ‘the judgment and tact that are needed for large benefactions. 2 Whether ‘magnificent’ or ‘generous’ is a better term for Carnegie's character is not my major concern. Carnegie's recent biographer simply uses ‘generous’. So, for the remainder of this paper, I will use ‘generous’. 3 But was Carnegie, in fact, generous? This paper will explore both the definition of the virtue and its application to Andrew Carnegie. (shrink)
Andrew Benjamin’s book Disclosing Spaces (2004) presents a theory of painting. The theory is developed via a meticulous analysis of a series of individual artworks. The pivot of Benjamin’s theory of painting is the idea of relationality. The theory is critically reviewed with reference to the works of Edward Hopper, Gerhard Richter and Jacques-Louis David.
In “Friendship Amongst the Self-Sufficient: Epicurus” (this Journal, Vol. 2, No. 2, June 2001), Andrew Mitchell explores the Epicurean view of the relationship between self-sufficiency and friendship by contrasting it with the views of Aristotle and the Stoics. Epicurus, Aristotle, and the Stoics do indeed have interestingly different views on friendship that are well worth comparing. Yet Mitchell’s characterization of Aristotelian friendship is misleading, his account of Stoic friendship is inaccurate, and his interpretation of Epicurean friendship is curiously imaginative (...) but ultimately rather strange. (shrink)
Harvey Siegel's epistemologically-informed conception of critical thinking is one of the most influential accounts of critical thinking around today. In this article, I seek to open up an account of critical thinking that goes beyond the one defended by Siegel. I do this by re-reading an opposing view, which Siegel himself rejects as leaving epistemology ‘pretty much as it is’. This is the view proposed by Charles Taylor in his paper ‘Overcoming Epistemology’. Crucially, my aim here is (...) not to defend Taylor's challenge to epistemology per se, but rather to demonstrate how, through its appeal to certain key tropes within Heideggerian philosophy, Taylor's paper opens us towards a radically different conception of thinking and the human being who thinks. Indeed, as will be argued, it is through this that Taylor and Heidegger come to offer us the resources for re-thinking the nature of critical thinking—in a way that exceeds the epistemological, and does more justice to receptive and responsible conditions of human thought. (shrink)
Intellectual historian Andrew Jewett sets an enormous task for himself: to trace the history and context of science and values relations over the course of some hundred-odd years of U.S. history. He does this to further an argument that science was once explicitly connected to the study of human values, and that the story that explains how science became value neutral is a contingent one. It could have happened differently, he argues, and it should have. Furthermore, because that history (...) is contingent, we are free to still change our academic habits and to allow the social sciences to be sciences alongside the natural and physical sciences. The reason this would be worth doing, according to Jewett, is.. (shrink)
In this paper, we respond to Andrew Avins's recent review of methods whose use he advocates in clinical trials, to make them more ethical. He recommends in particular, “unbalanced randomisation”. However, we argue that, before such a recommendation can be made, it is important to establish why unequal randomisation might offer ethical advantages over equal randomisation, other things being equal. It is important to make a pragmatic distinction between trials of treatments that are already routinely available and trials of (...) restricted treatments. We conclude that unequal randomisation could, indeed, be an ethical compromise between protecting the interests of participants and those of society. (shrink)
Harvey Siegel's (1985) attempts to revive the traditional epistemological formulation of the rationality of science. Contending that "a general commitment to evidence" is constitutive of method and rationality in science, Siegel advances its compatibility with specific, historically attuned formulations of principles of evidential support as a virtue of his aprioristic candidate for science's rationality. In point of fact, this account is compatible with virtually any formulation of evidential support, which runs afoul of Siegel's claim that scientific beliefs (...) must be evaluated with respect to their rationality. The unwelcome consequence of Siegel's view is that most any belief, scientific or pseudoscientific, can be defended as rational. Indeed, if we want to furnish a warrant for rational choice, we must turn to the very historically informed principles of evidential support that are dismissed by Siegel as providing a misleading portrait of science's rationality. (shrink)
This paper suffers from a disconcerting generality. I need an excuse for wandering from Wittgenstein's Tractatus to Picasso's drawing of a Weeping Woman, via the philosophy of science and the theory of sense data. The thesis of the paper is that I have such an excuse. These are all areas where the concept of representation either exists in its own right, or has been found to be illuminating by philosophers. An important question is whether it could be the same concept (...) in all these cases. I wish to claim that there is an illuminating common concept, even though to find it may require some fairly drastic modifications of some of the philosophical theses that are involved. (shrink)
A central strand in philosophical debate over the just distribution of resources attempts to juggle three competing imperatives: helping those who are worst off, helping those who will benefit the most, and then – beyond this – determining when to aggregate such ‘worst off’ and ‘benefit’ claims, and when instead to treat no such claim as greater than that which any individual by herself can exert. Yet as various philosophers have observed, ‘we have no satisfactory theoretical characterization’ as to how (...) to weigh each of the three imperatives against one another, we find it ‘difficult to state. . . precise or comprehensive conclusions’, and we do not yet have a ‘metric for integrating the three measures’. In what follows, I offer an approach to weighing the three criteria against one another that yields resolutions – in Hard Cases of the ‘saving one infant's life versus replacing ten elderly people's hips’ sort – that are cardinally definitive, intuitively satisfactory and theoretically justified. (shrink)