I end with another parable, but it is also a true story. Harvey Gushing, the famous surgeon after whom the Gushing Lectures are named, made an international reputation in his allegiance to quality. He badgered his profession to a higher standard of self-effacement and railed against the debasement of clinical skills and overemphasis on research and pursuit of personal gain. We honor him to this day because those were, and remain, important points. Yet, Harvey Gushing served as a surgeon during (...) World War I and at Ypres. Although the Allied mortality was as much as 50,000 soldiers a day, not counting the wounded, Gushing refused to operate on any more than two patients each day, arguing that to do so would have lowered his standard of care for his patients a – standard that made sense in one time but that became strikingly insensitive, and I suggest even unethical, in another when confronted with a different reality. (shrink)

The single greatest challenge facing managers in the developed countries of the world is to raise the productivity of knowledge and service workers. This challenge, which will dominate the management agenda for the next several decades, will ultimately determine the competitive performance of companies. Even more important, it will determine the very fabric of society and the quality of life of every industrialized nation. … Unless this challenge is met, the developed world will face increasing social tensions, increasing polarization, increasing (...) radicalization, possibly even class war. (shrink)

Too often, the limits of our language are the limits of our thinking. “If thought corrupts language, language can also corrupt thought,” warned George Orwell. How we label something too often controls how we think about it. We get particular concepts in our head and they are hard to change. They govern how we think and how we act. “Disease” and “death” used to be considered as “God's will,” and it took hundreds of years and no small number of martyrs (...) to get that corrected. It was very hard to develop modern medicine when so many subjects were thought of as outside of human control. Similarly, the number of children a woman had was thought to be “God's will,” and that has made the development of contraception controversial to this day. Human control over any part of human destiny is usually opposed vigorously. Humankind has the tendency to confuse the familiar with the necessary. (shrink)

President Clinton, already facing formidable obstacles in reforming the health care system, denies that it will involve any rationing. This is politically understandable, but wrong. Infinite needs are rapidly overtaking finite resources. Most health providers recognize that the genius of modern medicine has outpaced our ability to pay. But the public still has unlimited expectations and a blind faith that everything can be provided to everyone by simply eliminating "waste, fraud, and abuse." Rationing is inherent in any health care system. (...) As government undertakes to define what is "medically necessary or appropriate," it will unavoidably undertake a series of rationing decisions. Health care is being transformed from a private good to a public good. Government, when it reforms the health care system, must inevitably ask: How do we buy the most health for the public? Keywords: Clinton Health Plan, public good, rationing CiteULike Connotea Del.icio.us What's this? (shrink)

Richard Lamm is an eloquent and insistent advocate for healthcare reform. In his paper, he argues that if reform is to be effective, a radical metamorphosis in the values underlying our present system must take place. “New realities” have made the “old values” unsustainable. Unless they are replaced by “new values,” we face a future of disastrous overspending, gross inequities in accessibility, poorer health for many, and more expensive dying.

Since its publication in 1994, Richard McKirahan's _Philosophy Before Socrates_ has become the standard sourcebook in Presocratic philosophy. It provides a wide survey of Greek science, metaphysics, and moral and political philosophy, from their roots in myth to the philosophers and Sophists of the fifth century. A comprehensive selection of fragments and testimonia, translated by the author, is presented in the context of a thorough and accessible discussion. An introductory chapter deals with the sources of Presocratic and Sophistic texts (...) and the special problems of interpretation they present. In its second edition, this work has been updated and expanded to reflect important new discoveries and the most recent scholarship. Changes and additions have been made throughout, the most significant of which are found in the chapters on the Pythagoreans, Parmenides, Zeno, Anaxagoras, and Empedocles, and the new chapter on Philolaus. The translations of some passages have been revised, as have some interpretations and discussions. A new Appendix provides translations of three Hippocratic writings and the Derveni papyrus. (shrink)

By a thorough study of the Posterior Analytics and related Aristotelian texts, Richard McKirahan reconstructs Aristotle's theory of episteme--science. The Posterior Analytics contains the first extensive treatment of the nature and structure of science in the history of philosophy, and McKirahan's aim is to interpret it sympathetically, following the lead of the text, rather than imposing contemporary frameworks on it. In addition to treating the theory as a whole, the author uses textual and philological as well as philosophical material (...) to interpret many important but difficult individual passages. A number of issues left obscure by the Aristotelian material are settled by reference to Euclid's geometrical practice in the Elements. To justify this use of Euclid, McKirahan makes a comparative analysis of fundamental features of Euclidian geometry with the corresponding elements of Aristotle's theory. Emerging from that discussion is a more precise and more complex picture of the relation between Aristotle's theory and Greek mathematics--a picture of mutual, rather than one-way, dependence. Originally published in 1992. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905. (shrink)

. Moral systems are described as systems of indirect reciprocity, existing because of histories of conflicts of interest and arising as outcomes of the complexity of social interactions in groups of long‐lived individuals with varying conflicts and confluences of interest and indefinitely iterated social interactions. Although morality is commonly defined as involving justice for all people, or consistency in the social treatment of all humans, it may have arisen for immoral reasons, as a force leading to cohesiveness within human groups (...) but specifically excluding and directed against other human groups with different interests. (shrink)

This book is a succinct introduction to the orienting of attention.

This book, a member of the Series in Affective Science, is a unique interdisciplinary sequence of articles on the cognitive neuroscience of emotion by some of ...

Does media coverage of politics undermine democratic deliberation? By covering the “horse race” instead of the issues, the media encourage people to believe that politicians place self‐interest above the public interest. The media also affect which issues people consider important, and negative advertisements discourage political participation. People learn from the media only because they know so little about politics. Were democracy deliberative, these media effects would undermine it. But democracy is not a deliberation but a contest that relies on the (...) ability of the media to shape public opinion. The evidence for media effects is strong, but the media cannot be undermining a form of democracy that does not and cannot exist, and they do sustain the form that does. (shrink)

In this article, I argue that, in showing inconsistency of beliefs, Socratic elenchus is showing incompatibility of the desires those beliefs express. This thesis explains Socrates’ claim that, in refuting Callicles, he is also restraining his desires. The beliefs in question are about the best kind of life to lead; such beliefs express the second order desire to lead a life in which certain sorts of first order desires are satisfied. Socrates’ elenchus shows that Callicles is caught between two incompatible (...) second order desires: a desire to lead of life of enormous pleasure and a desire to lead a life in which his love of honor is satisfied. Socrates does not succeed with Callicles because the way out of this dilemma depends on a type of desire not found in the moral psychology of the Gorgias, i.e., a desire whose satisfaction is pleasure unmixed with pain, described in Republic 583c-585e and Philebus 50e-52b. (shrink)

The relations between different areas of knowledge have been a subject of interest to philosophers as well as to scientists and mathematicians from antiquity. While recent work in this direction has been largely concerned with the question whether one branch of knowledge can be reduced to another , the questions which exercised the Greek philosophers on these matters have a different starting point. Taking for granted that there are a number of distinct areas of knowledge, they proceeded to consider a (...) variety of relations which they observed to hold among the sciences as they knew them; the question of the priority of one science to another is a recurrent theme. In fact, three sorts of orderings were noticed, and the associated conceptions of priority are interesting. Only one of them is the concern of the present paper, though, and I shall briefly describe the remaining two only for purposes of contrast. (shrink)

A collection of essays from major scholars in the field as well as from people in a wide range of other disciplines to which the Timaeus and its reception have been of relevance, from architecture and film studies to physics.

In Republic ix, Socrates begins his argument that deceptive pleasure causes insatiable desire by citing the error that cessation of pain is the greatest pleasure. Some interpret this error as an illusion, experiencing pleasure when there is no pleasure; but illusion cannot explain insatiable desire. Our interpretation explains insatiable desire—and Socrates’ restatement of wisdom and justice to include pleasures, which links the knowledge of unchanging reality with these virtues.

This first volume in the Rutgers Series on Self and Social Identity presents a sophisticated and detailed analysis of some of the most fundamental issues facing scholars interested in studying self and identity. Chapters written by a world-class set of social scientists, from the fields of psychology, sociology, and anthropology, represent the diverse issues, perspectives, and controversies inherent in the recent wave of interest in the self, and suggest productive avenues of analysis and empirical research.

A number of studies in the apparent motion literature were examined using the cognitive penetrability criterion to determine the extent to which beliefs affect the perception of apparent motion. It was found that the interaction between the perceptual processes mediating apparent motion and higher order processes appears to be limited. In addition, perceptual and inferential beliefs appear to have different effects on perceived motion optimality and direction. Our findings suggest that the system underlying apparent motion perception has more than one (...) stage and is informationally encapsulated from cognitive factors. (shrink)

Hegel presents two very different accounts of the initial categorization of essence in his Science of Logic and his later Encyclopedia Logic, thereby raising the question of whether this discrepancy undermines the univocal necessity of systematic logic. A close examination of these arguments reveals that the Science of Logic account captures a necessary ordering that is incompletely presented in the Encyclopedia. The details are provided for comprehending why the logic of essence must begin with a contrast of the essential and (...) the unessential, how this reverts to illusory being, and why identity depends upon the transformation of refl ection from being positing to being external to being determining in character. Significantly, the self-developing nature of these logical developments calls into question the foundationalism entailed by any privileging of the categories of essence. (shrink)