Authoritarian governments are characterised by political systems with concentrated and centralised power. Healthcare is a critical component of any state. Given the powers of an authoritarian regime, we consider the opportunities they possess to derive good health outcomes. The 2019 Varsity Medical Ethics Debate convened on the motion: ‘This house believes authoritarian government is the route to good health outcomes’ with Oxford as the Proposition and Cambridge as the Opposition. This article summarises and extends key arguments made during the 11th (...) annual debate between medical students from the Universities of Oxford and Cambridge. By contrasting the principles underlying authoritarianism and democracy, it enables a discussion into how they translate into healthcare provision and the outcomes derived. Based on the foundation of said principles, an exploration of select cases represents examples of applications and the results. We analyse the past, present and future implications on the basis of fundamental patient-centred care. (shrink)

In this article I defend a new argument against moralist theories of legitimacy and in favour of realist theories. Moralist theories, I argue, are vulnerable to ideological and wishful thinking because they do not connect the demands of legitimacy with the interests of rulers. Realist theories, however, generally do manage to make this connection. This is because satisfying the usual realist criteria for legitimacy – the creation of a stable political order that transcends brute coercion – is usually necessary for (...) rulers to preserve their rule. (shrink)

In this article I defend a new argument against moralist theories of legitimacy and in favour of realist theories. Moralist theories, I argue, are vulnerable to ideological and wishful thinking because they do not connect the demands of legitimacy with the interests of rulers. Realist theories, however, generally do manage to make this connection. This is because satisfying the usual realist criteria for legitimacy – the creation of a stable political order that transcends brute coercion – is usually necessary for (...) rulers to preserve their rule. (shrink)

This new volume explores terrorism and strategic terror, examining how the public responds to terrorist attacks, and what authorities can do in such situations. The book uses a unique interdisciplinary approach, which combines the behavioural sciences and international relations, in order to further the understanding of the 'terror' generated by strategic terror. The work examines five contemporary case studies of the psychological and behavioural effects of strategic terror, from either terrorist attacks or aerial bombardment. It also looks at how risk-communication (...) and public-health strategies can amplify or reduce psychological and behavioural responses, and considers whether behavioural effects translate into political effects, and what governments can do to relieve this. Ultimately, the study argues that the public is not prone to panic, but can change their behaviours to reduce their perceived risk of being exposed to a terrorist attack. This book will be of much interest to students of terrorism studies, homeland security, social psychology and politics in general. (shrink)

In the nineteenth century, astronomers thought that a planet between Mercury and the Sun was causing perturbations in the orbit of Mercury, and they introduced ‘Vulcan’ as a name for such a planet. But they were wrong: there was, and is, no intra-Mercurial planet. Still, these astronomers went around saying things like (2) Vulcan is a planet between Mercury and the Sun. Some philosophers think that, when nineteenth-century astronomers were theorizing about an intra-Mercurial planet, they created a hypothetical planet.

Accoding to G.E. Moore, something''s intrinsic valuedepends solely on its intrinsic nature. Recently Thomas Hurka andShelly Kagan have argued, contra Moore, that something''s intrinsic valuemay depend on its extrinsic properties. Call this view the ConditionalView of intrinsic value. In this paper I demonstrate how a Mooreancan account for purported counterexamples given by Hurka and Kagan. I thenargue that certain organic unities pose difficulties for the ConditionalView.

Abstract:This article sets out two central theses. Both theses primarily involve a fundamental criticism of current contractarian business ethics (CBE), but if these can be sustained, they also constitute two boundary conditions for any future contractarian theory of business ethics. The first, which I label the self-discipline thesis, claims that current CBE would gain considerably in focus if more attention were paid to the logic of the social contract argument. By this I mean the aims set by the theorist and (...) method of reasoning by which normative conclusions are drawn in the contract model. The second, to which I refer as the domain-specificity thesis, argues that current CBE needs to be better adapted to its field of application and the specific goals which it aims to establish. I will substantiate these two theses on the basis of a comparative analysis of CBE with two earlier families of social contract theories. (shrink)

It is often said that while we have a strong reason not to create someone who will be badly off, we have no strong reason for creating someone who will be well off. In this paper I argue that this asymmetry is incompatible with a plausible principle of independence of irrelevant alternatives, and that a more general asymmetry between harming and benefiting is difficult to defend. I then argue that, contrary to what many have claimed, it is possible to harm (...) or benefit someone by bringing her into existence. (shrink)

Sometimes people desire that their lives go badly, take pleasure in their lives going badly, or believe that their lives are going badly. As a result, some popular theories of welfare are paradoxical. I show that no attempt to defend those theories from the paradox fully succeeds.

This paper develops a language for distinguishing more rigorously between various senses of the term ‘anthropocentrism.’ Specifically, it differentiates between:1. Perceptual anthropocentrism (which characterizes paradigms informed by sense-data from human sensory organs);2. Descriptive anthropocentrism (which characterizes paradigms that begin from, center upon, or are ordered around Homo sapiens / ‘the human’)3. Normative anthropocentrism (which characterizes paradigms that constrain inquiry in a way that somehow privileges Homo sapiens / ‘the human’ [passive normative anthropocentrism]; and which characterizes paradigms that make assumptions or (...) assertions about the superiority of Homo sapiens, its capacities, the primacy of its values, its position in the universe, and/or make prescriptions based on these assertions and assumptions [active normative anthropocentrism]). (shrink)

Many political realists reject the idea that the first task for political philosophy is to justify the existence of coercive political institutions. Instead, they say, we should begin with the factual existence of CPIs, and ask how they ought to be structured. In holding this view, they adopt a form of political naturalism that is broadly Aristotelian in character. In this article, I distinguish between two forms that this political naturalism might take - what I call a ‘strong’ form, and (...) a ‘weak’ form - and argue that both ought to be rejected. (shrink)

David Benatar argues that creating someone always harms them. I argue that his master argument rests on a conceptual incoherence.

Existing regulation of end-of-life care is flawed. Problems include poorly-designed laws, policies, ethical codes, training, and funding programs, which often are neither effective nor helpful in guiding decision-making. This leads to adverse outcomes for patients, families, health professionals, and the health system as a whole. A key factor contributing to the harms of current regulation is a siloed approach to regulating end-of-life care. Existing approaches to regulation, and research into how that regulation could be improved, have tended to focus on (...) a single regulatory instrument (e.g., just law or just ethical codes). As a result, there has been a failure to capture holistically the various forces that guide end-of-life care. This article proposes a response to address this, identifying “regulatory space” theory as a candidate to provide the much-needed holistic insight into improving regulation of end-of-life care. The article concludes with practical implications of this approach for regulators and researchers. (shrink)

At what stage of life is death worst for its victim? I hold that, typically, death is worse the earlier it occurs. Others, including Jeff McMahan and Christopher Belshaw, have argued that it is worst to die in early adulthood. In this paper I show that McMahan and Belshaw are wrong; I show that views that entail that Student’s death is worse face fatal objections. I focus in particular on McMahan’s time-relative interest account (TRIA) of the badness of death. Manuscript (...) in progress. (shrink)

This paper examines the implications of the context-sensitivity of counterfactuals for the correctness of emotions and attitudes towards death. I argue that the correctness of an attitude such as fear must be explained by appeal to its causal relations to certain preferences.

Background Voluntary assisted dying became lawful in Victoria, the first Australian state to permit this practice, in 2019 via the Voluntary Assisted Dying Act 2017 (Vic). While conscientious objection by individual health professionals is protected by the Victorian legislation, objections by institutions are governed by policy. No research has been conducted in Victoria, and very little research conducted internationally, on how institutional objection is experienced by patients seeking assisted dying. Methods 28 semi-structured interviews were conducted with 32 family caregivers and (...) one patient about the experience of 28 patients who sought assisted dying. Participants were interviewed during August-November 2021. Data from the 17 interviews (all with family caregivers) which reported institutional objection were analysed thematically. Results Participants reported institutional objection affecting eligibility assessments, medication access, and taking the medication or having it administered. Institutional objection occurred across health settings and was sometimes communicated obliquely. These objections resulted in delays, transfers, and choices between progressing an assisted dying application and receiving palliative or other care. Participants also reported objections causing adverse emotional experiences and distrust of objecting institutions. Six mediating influences on institutional objections were identified: staff views within objecting institutions; support of external medical practitioners and pharmacists providing assisted dying services; nature of a patient’s illness; progression or state of a patient’s illness; patient’s geographical location; and the capability and assertiveness of a patient and/or caregiver. Conclusions Institutional objection to assisted dying is much-debated yet empirically understudied. This research found that in Victoria, objections were regularly reported by participants and adversely affected access to assisted dying and the wider end-of-life experience for patients and caregivers. This barrier arises in an assisted dying system that is already procedurally challenging, particularly given the limited window patients have to apply. Better regulation may be needed as Victoria’s existing policy approach appears to preference institutional positions over patient’s choice given existing power dynamics. (shrink)

Most realist theories of legitimacy are internalist theories, meaning that they regard legitimacy as a function of how subjects view their own rulers. However, some realists seek to qualify their internalism by holding that legitimacy is not simply a matter of whether subjects accept their rulers’ exercise of power. According to one such view, legitimacy requires that rulers’ power be ‘acceptable’ to subjects, in the sense that it can be justified on the basis of values that they accept. Call this (...) acceptability internalism. In this article, I argue that realists should reject acceptability internalism. I first argue that acceptability internalism has the disadvantage of separating the concept of legitimacy from the interests of rulers. I then consider two arguments in favour of acceptability internalism, and argue that both should be rejected. (shrink)

In my dissertation (UCLA 2002), I argue that, by appropriating Fregean resources, Millians can solve the problems that empty names pose. As a result, the debate between Millians and Fregeans should be understood, not as a debate about whether there are senses, but rather as a debate about where there are senses.

Is business intimately related to ethics or can the two be separated? I argue that examining this question by focusing on how the two areas might be separated is logically flawed. Examining how business and ethics are connected, however, can bear fruit. This examination shows that business is a proper subset of ethics. Understanding this intimate connection has two practical benefits. It removes the seemingly incommensurable conflict between financial and ethical responsibilities of managers and it gives us new and positive (...) insights into Milton Friedman’s view that the social responsibility of business is to increase its profits. (shrink)

In my time at The Hastings Center, the projects I've worked on have intersected in fascinating ways, but one through line has impressed me as especially important: centering the experiences and needs of people and communities most affected by the issue at hand.

The development of technologies for gene editing in the wild has the potential to generate tremendous benefit, but also raises important concerns. Using some form of public deliberation to inform decisions about the use of these technologies is appealing, but public deliberation about them will tend to fall back on various forms of heuristics to account for limited personal experience with these technologies. Deliberations are likely to involve narrative reasoning—or reasoning embedded within stories. These are used to help people discuss (...) risks, processes, and fears that are otherwise difficult to convey. In this article, we identify three forms of collective narrative that are particularly relevant to debates about modifying genes in the wild. Our purpose is not to privilege any particular narrative, but to encourage people involved in deliberations to make these narratives transparent. Doing so can help guard against the way some narratives—referred to here as “crafted narratives”—may be manipulated by powerful elites and concentrated economic interests for their own strategic ends. (shrink)

I review the book “Making Prehistory: Historical Science and the Scientific Realism Debate” by Derek Turner. Turner suggests that philosophers should take seriously the historical sciences such as geology when considering philosophy of science issues. To that end, he explores the scientific realism debate with the historical sciences in mind. His conclusion is a view allied to that of Arthur Fine: a view Turner calls the natural historical attitude. While I find Turner’s motivations good, I find his characterisation of the (...) historical sciences unconvincing. I say why in a section at the end of the review. The result is that I am unpersuaded by his thesis. (shrink)

We revisit the foundations of positive model theory, introducing h-inductive sentences. These allow a considerably simplified presentation of positive model theory, as well as a characterisation of Hausdorff cats by an amalgamation property of their h-inductive theory.

We prove that under reasonable assumptions, every cat (compact abstract theory) is metric, and develop some of the theory of metric cats. We generalise Morley's theorem: if a countable Hausdorff cat T has a unique complete model of density character Λ ≥ ω₁, then it has a unique complete model of density character Λ for every Λ ≥ ω₁.

In “Tropes and Ordinary Physical Objects”, Kris McDaniel argues that ordinary physical objects are fusions of monadic and polyadic tropes. McDaniel calls his view “TOPO”—for “Theory of Ordinary Physical Objects”. He argues that we should accept TOPO because of the philosophical work that it allows us to do. Among other things, TOPO is supposed to allow endurantists to reply to Mark Heller’s argument for perdurantism. But, we argue in this paper, TOPO does not help endurantists do that; indeed, we argue (...) that anyone who accepts TOPO should reject endurantism. (shrink)

Millianism and Fregeanism agree that a sentence that contains a name expresses a structured proposition but disagree about whether that proposition contains the object that the name refers to (Millianism) or rather a mode of presentation of that object (Fregeanism). Various problems – about simple sentences, propositional‐attitude ascriptions, and sentences that contain empty names – beset each view. To solve these problems, Millianism can appeal to modes of presentation, and Fregeanism can appeal to objects. But this raises a further problem: (...) namely, to explain why the proposition expressed by a sentence that contains a name matters in some cases but not in others. (shrink)

This chapter discusses the metaphysical view referred to by Harry Silverstein as “four-dimensionalism,” but referred to in this chapter as “eternalism.” In contrast to presentism, eternalism posits that purely past and purely future objects and events exist. If a person goes out of existence at the moment of death, the problem arises as to how death is bad for its victim. According to Silverstein, this problem arises from the truth of the “Values Connect with Feelings” thesis, according to which it (...) must be possible for someone to have feelings about a thing in order for that thing to be bad for that person. The badness of death may entail eternalism, but it is for an entirely different reason. Eternalism must be true in order for there to be a time at which death is bad for its victim. These two conflicting views are discussed in this chapter. (shrink)

This article describes the feasibility of researchinto the relation between values of farmers andsustainability for the Dutch Ministry of Agricultureand the Dutch Federation of Agricultural andHorticultural Organisations.Firstly, a theoretical framework describes differentlevels of motivation behind conduct and choices. Itenables exploration and analysis of individualinterviews with small groups of conventional andecological farmers. The aim is to find out what theirbasic convictions regarding nature and sustainabilityare, and to analyze the relation between theseconvictions and the actual choices they make in theirfarming practice. The (...) research shows that for somefarmers, differences in farming practice go back to themotivation level of moral convictions about what is`good farming'. For others, the motivations for aspecific farming practice are more pragmatic or`superficial'. This knowledge can be of significancefor the process of policy making. (shrink)

The ‘consensus’ model of public reason, associated with John Rawls’s political liberalism, has been criticised for excluding certain reasons from receiving consideration where the justification of the constitutional essentials is concerned. One limitation of these criticisms is that they typically focus on the exclusion of reasons political liberals are committed to excluding, notably reasons based on religious and comprehensive views. I argue that public reason excludes some reasons, central to the interests of many oppressed groups, that public reason advocates will (...) agree should not be excluded.L’idée de raison publique comme «consensus», associée au libéralisme politique de John Rawls, a été attaquée du fait de sa supposée incapacité à permettre la prise en compte de certaines raisons dans les cas où la substance même de la constitution est en question. Une limitation de ces critiques est qu’elles se concentrent habituellement sur l’exclusion de ces raisons que les libéraux eux-mêmes s’efforcent d’exclure, en particulier des raisons fondées sur des vues globales ou religieuses. Je défends l’idée selon laquelle la raison publique exclut de fait certaines raisons, essentielles aux intérêts de nombreux groupes opprimés, que les tenants de la raison publique eux-mêmes considèreraient ne pas devoir être exclues. (shrink)

This article examines Gadamer's claim that language is fundamentally metaphorical from the perspective of Ricoeur's complementary analysis of metaphor. I argue that Gadamer's claim can only be understood in relation to a broader understanding of metaphor in which metaphor is not regarded as secondary to literal meaning. From this context one is better able to understand the connection Gadamer makes between language and ontology, which is found in his statement "Being that can be understood is language.".

Cora Diamond is among the most influential Wittgenstein commentators of recent years. One of her memorable contributions to the literature is her colorful characterization of some of the Tractatus interpretations she disagrees with – she calls them “chickening out” interpretations. “Chickening out” interpretations are ones which acknowledge Wittgenstein’s claim at 6.54 that his propositions are nonsense, but still hold that there is a deep sense in which Wittgenstein’s nonsense shows us something about reality, even if it does not say anything. (...) On Diamond’s view, the idea that there is something shown about reality which cannot be expressed is itself part of what we are meant to discard when we recognize the Tractarian propositions as nonsense. Discarding this idea of showing is part of what it means to “throw away the ladder after [we have] climbed up it” (6.54). But 6.54, the passage in the Tractatus which serves as a focus for Diamond’s austere reading of nonsense, also points out what may be a problem for Diamond.Wittgenstein begins that passage by remarking that his “propositions serve as elucidations”. Can Diamond’s account of nonsense make room for the idea that Tractarian nonsense is elucidatory? I will consider two aspects of Diamond’s reading, and show how they are in tension. To begin, I will discuss her general account of nonsense in more detail. Then, I will look at her account of nonsense as elucidatory, focusing on the concrete examples she uses to explain what it means for nonsense to elucidate. I will argue that her general account of nonsense makes her account of how nonsense elucidates problematic. (shrink)

Most philosophers seem to think that argument expression is not normally a form of intolerance. Call this the ‘argument-friendly view’ of intolerance. In this article, I argue that the case for the argument-friendly view is much weaker than commonly thought. I consider three possible arguments for the argument-friendly view and conclude that all three fail. This leaves us with a choice: either reject the argument-friendly view, or accept it as a feature of the concept of tolerance which has no rational (...) basis apart from our everyday usage of the term. (shrink)