À l’été 2014, les mouvements Black Lives Matter et Free Palestine convergent. C’est l’occasion pour la théoricienne transdisciplinaire Jasbir K. Puar de réfléchir à la dévalidation forcée des populations racialisées. S’appuyant sur les théories handies décoloniales et crip-of-color, Puar considère la manière dont les corps non-blancs sont exclus de la reconnaissance du handicap. Alors que les meurtres policiers de personnes noires aux États-Unis touchent une large majorité de personnes noires handicapées, et alors que la destruction systématique des hôpitaux palestiniens par (...) Israël apparaît comme une stratégie d’affaiblissement de la population, Puar développe les outils théoriques intersectionnels pour nommer « le droit de mutiler » exercés par les États modernes/coloniaux contre les populations qu’ils subjuguent. Appelant à ne pas se satisfaire des rhétoriques de l’empuissancement et de la fierté handie, ce texte (qui sert d’avant-propos au livre éponyme, Le droit de mutiler. Débilité, capacité, handicap ) jette les fondations théoriques d’une coalition antivalidiste/antiraciste contre les brutalités policières et néocoloniales. (shrink)

This article discusses feminist engagement in the judicial process in the light of the changing constitutional landscape in the U.K. It considers feminist activism in the courts and the potential that third party interventions provide for feminists to influence judicial decision making under the Human Rights Act 1998. The impact of the intervention by women’s groups in the case of R. v. A. (No. 2) is discussed. Despite the disappointing decision, it is argued that the intervention was a worthwhile endeavour. (...) Third party interventions are important if feminists are to hold on to the gains they have made through the legislative process. Interventions also offer an opportunity to build a litigation strategy that will help shape the development of the case law under the Human Rights Act 1998. (shrink)

This article considers, from a feminist perspective, the introduction of the European Equal Treatment Amendment Directive (E.T.A.D.) and its impact on the law of sexual harassment in the United Kingdom. Since feminists identified sexual harassment as a problem for women in the 1970s, feminist legal scholars have focused their attention on the law as a means of redressing it. Bringing claims in the U.K. has been difficult because of the absence of a definition of sexual harassment and reliance in the (...) Sex Discrimination Act 1975 on a comparator approach. These problems are illustrated by the recent House of Lords decision in Pearce v. Governing Body of Mayfield Secondary School(2003). The failure of the House of Lords in Pearce to understand sexual harassment as an issue of substantive equality for women makes the introduction of the European law all the more the pressing. The author discusses the implications of the changes embodied in the E.T.A.D. in the light of feminist theory. She argues that the changes envisaged constitute welcome developments which will make it easier to remedy workplace sexual harassment. However, it is also likely that problems will remain for women in establishing sexual harassment claims, particularly if concepts of reasonableness and unwelcome behaviour continue to form part of the legal definition. (shrink)

I argue that the many worlds explanation of quantum computation is not licensed by, and in fact is conceptually inferior to, the many worlds interpretation of quantum mechanics from which it is derived. I argue that the many worlds explanation of quantum computation is incompatible with the recently developed cluster state model of quantum computation. Based on these considerations I conclude that we should reject the many worlds explanation of quantum computation.

According to the Gottesman–Knill theorem, quantum algorithms that utilize only the operations belonging to a certain restricted set are efficiently simulable classically. Since some of the operations in this set generate entangled states, it is commonly concluded that entanglement is insufficient to enable quantum computers to outperform classical computers. I argue in this article that this conclusion is misleading. First, the statement of the theorem is, on reflection, already evident when we consider Bell’s and related inequalities in the context of (...) a discussion of computational machines. This, in turn, helps us to understand that the appropriate conclusion to draw from the Gottesman–Knill theorem is not that entanglement is insufficient to enable a quantum performance advantage, but rather that if we limit ourselves to the operations referred to in the Gottesman–Knill theorem, we will not have used the resources provided by an entangled quantum system to their full potential. (shrink)

I argue that our judgements regarding the locally causal models that are compatible with a given constraint implicitly depend, in part, on the context of inquiry. It follows from this that certain quantum no-go theorems, which are particularly striking in the traditional foundational context, have no force when the context switches to a discussion of the physical systems we are capable of building with the aim of classically reproducing quantum statistics. I close with a general discussion of the possible implications (...) of this for our understanding of the limits of classical description, and for our understanding of the fundamental aim of physical investigation. _1_ Introduction _2_ No-Go Results _2.1_ The CHSH inequality _2.2_ The GHZ equality _3_ Classically Simulating Quantum Statistics _3.1_ GHZ statistics _3.2_ Singlet statistics _4_ What Is a Classical Computer Simulation? _5_ Comparing the All-or-Nothing GHZ with Statistical equalities _6_ General Discussion _7_ Conclusion. (shrink)

A growing number of commentators have, in recent years, noted the important affinities in the views of Immanuel Kant and Niels Bohr. While these commentators are correct, the picture they present of the connections between Bohr and Kant is painted in broad strokes; it is open to the criticism that these affinities are merely superficial. In this essay, I provide a closer, structural, analysis of both Bohr's and Kant's views that makes these connections more explicit. In particular, I demonstrate the (...) similarities between Bohr's argument, on the one hand, that neither the wave nor the particle description of atomic phenomena pick out an object in the ordinary sense of the word, and Kant's requirement, on the other hand, that both ‘mathematical’ (having to do with magnitude) and ‘dynamical’ (having to do with an object's interaction with other objects) principles must be applicable to appearances in order for us to determine them as objects of experience. I argue that Bohr's ‘complementarity interpretation’ of quantum mechanics, which views atomic objects as idealizations, and which licenses the repeal of the principle of causality for the domain of atomic physics, is perfectly compatible with, and indeed follows naturally from a broadly Kantian epistemological framework. (shrink)

A primary goal of quantum computer science is to find an explanation for the fact that quantum computers are more powerful than classical computers. In this paper I argue that to answer this question is to compare algorithmic processes of various kinds and to describe the possibility spaces associated with these processes. By doing this, we explain how it is possible for one process to outperform its rival. Further, in this and similar examples little is gained in subsequently asking a (...) how-actually question. Once one has explained how-possibly, there is little left to do. (shrink)

The principle of 'information causality' can be used to derive an upper bound---known as the 'Tsirelson bound'---on the strength of quantum mechanical correlations, and has been conjectured to be a foundational principle of nature. In this paper, however, I argue that the principle has not to date been sufficiently motivated to play this role; the motivations that have so far been given are either unsatisfactorily vague or else amount to little more than an appeal to intuition. I then consider how (...) one might begin to successfully motivate the principle. I argue that a compelling way of so doing is to understand it as a generalisation of Einstein's principle of the mutually independent existence---the 'being-thus'---of spatially distant things, interpreted as a special methodological principle. More specifically: I describe an argument, due to Demopoulos, to the effect that the quantum-mechanical no-signalling condition can be viewed as a generalisation, appropriate to an irreducibly statistical theory such as quantum mechanics, of the Einsteinian principle. And I then argue that a compelling way to motivate information causality is to in turn consider it as a further generalisation of the Einsteinian principle that is appropriate to a theory of communication. I nevertheless describe important obstacles that must yet be overcome if the project of establishing information causality as a foundational principle of nature is to succeed. (shrink)

There is a deeply entrenched view in philosophy and physics, the closed systems view, according to which isolated systems are conceived of as fundamental. On this view, when a system is under the influence of its environment this is described in terms of a coupling between it and a separate system which taken together are isolated. We argue against this view, and in favor of the alternative open systems view, for which systems interacting with their environment are conceived of as (...) fundamental, and the environment's influence is represented via the dynamical equations that govern the system's evolution. Taking quantum theories of closed and open systems as our case study, and considering three alternative notions of fundamentality: (i) ontic fundamentality, (ii) epistemic fundamentality, and (iii) explanatory fundamentality, we argue that the open systems view is fundamental, and that this has important implications for the philosophy of physics, the philosophy of science, and for metaphysics. (shrink)

Although computation and the science of physical systems would appear to be unrelated, there are a number of ways in which computational and physical concepts can be brought together in ways that illuminate both. This volume examines fundamental questions which connect scholars from both disciplines: is the universe a computer? Can a universal computing machine simulate every physical process? What is the source of the computational power of quantum computers? Are computational approaches to solving physical problems and paradoxes always fruitful? (...) Contributors from multiple perspectives reflecting the diversity of thought regarding these interconnections address many of the most important developments and debates within this exciting area of research. Both a reference to the state of the art and a valuable and accessible entry to interdisciplinary work, the volume will interest researchers and students working in physics, computer science, and philosophy of science and mathematics. (shrink)

Combining physics, mathematics and computer science, quantum computing and its sister discipline of quantum information have developed in the past few decades from visionary ideas to two of the most fascinating areas of quantum theory. General interest and excitement in quantum computing was initially triggered by Peter Shor (1994) who showed how a quantum algorithm could exponentially “speed-up” classical computation and factor large numbers into primes far more efficiently than any (known) classical algorithm. Shor’s algorithm was soon followed by several (...) other algorithms that aimed to solve combinatorial and algebraic problems, and in the years since theoretical study of quantum systems serving as computational devices has achieved tremendous progress. Common belief has it that the implementation of Shor’s algorithm on a large scale quantum computer would have devastating consequences for current cryptography protocols which rely on the premise that all known classical worst-case algorithms for factoring take time exponential in the length of their input (see, e.g., Preskill 2005). Consequently, experimentalists around the world are engaged in attempts to tackle the technological difficulties that prevent the realisation of a large scale quantum computer. But regardless whether these technological problems can be overcome (Unruh 1995; Ekert and Jozsa 1996; Haroche and Raimond 1996), it is noteworthy that no proof exists yet for the general superiority of quantum computers over their classical counterparts. -/- The philosophical interest in quantum computing is manifold. From a social-historical perspective, quantum computing is a domain where experimentalists find themselves ahead of their fellow theorists. Indeed, quantum mysteries such as entanglement and nonlocality were historically considered a philosophical quibble, until physicists discovered that these mysteries might be harnessed to devise new efficient algorithms. But while the technology for harnessing the power of 50–100 qubits (the basic unit of information in the quantum computer) is now within reach (Preskill 2018), only a handful of quantum algorithms exist, and the question of whether these can truly outperform any conceivable classical alternative is still open. From a more philosophical perspective, advances in quantum computing may yield foundational benefits. For example, it may turn out that the technological capabilities that allow us to isolate quantum systems by shielding them from the effects of decoherence for a period of time long enough to manipulate them will also allow us to make progress in some fundamental problems in the foundations of quantum theory itself. Indeed, the development and the implementation of efficient quantum algorithms may help us understand better the border between classical and quantum physics (Cuffaro 2017, 2018a; cf. Pitowsky 1994, 100), and perhaps even illuminate fundamental concepts such as measurement and causality. Finally, the idea that abstract mathematical concepts such as computability and complexity may not only be translated into physics, but also re-written by physics bears directly on the autonomous character of computer science and the status of its theoretical entities—the so-called “computational kinds”. As such it is also relevant to the long-standing philosophical debate on the relationship between mathematics and the physical world. (shrink)

There has been a long-standing and sometimes passionate debate between physicists over whether a dynamical framework for quantum systems should incorporate not completely positive (NCP) maps in addition to completely positive (CP) maps. Despite the reasonableness of the arguments for complete positivity, we argue that NCP maps should be allowed, with a qualification: these should be understood, not as reflecting ‘not completely positive’ evolution, but as linear extensions, to a system’s entire state space, of CP maps that are only partially (...) defined. Beyond the domain of definition of a partial-CP map, we argue, much may be permitted. (shrink)

According to the Argument for Autonomous Mental Disorder, mental disorder can occur in the absence of brain disorder, just as software problems can occur in the absence of hardware problems in a computer. This article argues that the AAMD is unsound. I begin by introducing the “natural dysfunction analysis” of disorder, before outlining the AAMD. I then analyze the necessary conditions for realizer autonomous dysfunction. Building on this, I show that software functions disassociate from hardware functions in a way that (...) mental functions do not disassociate from brain functions. It follows that mental disorders are brain disorders necessarily. (shrink)

The archive can take many forms but all are marked by a connective sequence: archive, memory, the past, narrative. The author explores this sequence through an account of her engagement with four different types of archive, constructing a phenomenology of the archive which highlights the promises and seductions offered to the researcher. Postmodern questioning may throw in doubt older conceptions, whereby the archive is used to legitimate knowledge claims about the past of a nomological nature. However, in a context where (...) intellectuals become interpreters rather than legislators, the role of the archive as repository of inert meanings is strengthened rather than weakened; using the archive helps us to understand the dialectical nature of the relationship between past and present and our own positioning within this. (shrink)

This book offers a thorough technical elaboration and philosophical defense of an objectivist informational interpretation of quantum mechanics according to which its novel content is located in its kinematical framework, that is, in how the theory describes systems independently of the specifics of their dynamics. -/- It will be of interest to researchers and students in the philosophy of physics and in theoretical physics with an interest in the foundations of quantum mechanics. Additionally, parts of the book may be used (...) as the basis for courses introducing non-physics majors to quantum mechanics, or for self-study by those outside of the university with an interest in quantum mechanics. (shrink)

Sabellianism, the doctrine that the Persons of the Trinity are roles that a single divine being plays either simultaneously or successively, is commonly thought to entail that the Father is the Son. I argue that there is at least one version of Sabellianism that does not have this result and meets the requirements for a minimally decent doctrine of the Trinity insofar as it affirms that each Person of the Trinity is God and that the Trinity of Persons is God (...) while maintaining monotheism without undermining the distinctness of Persons. (shrink)

This chapter is about Grete Hermann, a philosopher-mathematician who productively and mutually beneficially interacted with the founders of quantum mechanics in the early period of that theory's elaboration. Hermann was a neo-Kantian philosopher. At the heart of Immanuel Kant's critical philosophy lay the question of the conditions under which we can be said to know something objectively, a question Hermann found to be particularly pressing in quantum mechanics. Hermann's own approach to Neo-Kantianism was Neo-Friesian. Jakob Friedrich Fries, like Kant, had (...) understood critical philosophy to be an essentially epistemic project. Fries departed from Kant in his account of the elements involved in our cognition. In this chapter it is discussed how, beginning from a neo-Friesian understanding of critical philosophy, Hermann is led to conclude that quantum mechanics shows us that physical knowledge is fundamentally split; that the objects of quantum mechanics are only objects from a particular perspective and in the context of a particular physical interaction. It will be seen how Hermann's solution to the problem of objectivity in quantum mechanics is a natural one from a neo-Friesian point of view, even though it disagrees with those offered by more orthodox versions of Kantian doctrine. (shrink)

The prior issue of Krisis (42:1) published Critical Naturalism: A Manifesto, with the aim to instigate a debate of the issues raised in this manifesto – the necessary re-thinking of the role (and the concept) of nature in critical theory in relation to questions of ecology, health, and inequality. Since Krisis considers itself a place for philosophical debates that take contemporary struggles as starting point, it issued an open call and solicited responses to the manifesto. This is one of the (...) sixteen selected responses, which augment, specify, or question the assumptions and arguments of the manifesto. (shrink)

Justin Garson has recently advanced a Generalised Selected Effects Theory of biological proper function. According to Garson, his theory spells trouble for the Dysfunction Account of Disorder. This paper argues that Garson’s critique of the Dysfunction Account from the Generalised Theory fails, and that we should reject the Generalised Theory outright. I first show that the Generalised Theory does not, as Garson asserts, imply that neurally selected disorders are not dysfunctional. Rather, it implies that they are both functional and dysfunctional. (...) I argue on this basis that the Generalised Theory yields conflicting functional norms, and we that should reject it outright on these grounds. (shrink)

From the philosopher’s perspective, the interest in quantum computation stems primarily from the way that it combines fundamental concepts from two distinct sciences: Physics, in particular Quantum Mechanics, and Computer Science, each long a subject of philosophical speculation and analysis in its own right. Quantum computing combines both of these more traditional areas of inquiry into one wholly new, if not quite independent, science. Over the course of this chapter we will be discussing some of the most important philosophical questions (...) that arise from this merger and philosophical lessons to be learned. (shrink)

The philosophical tradition of liberal political thought has come to see tolerance as a crucial element of a liberal political order. However, while much has been made of the value of toleration, little work has been done on individual-level motivations for tolerant behavior. In this article, we seek to develop an account of the rational motivations for toleration and of where the limits of toleration lie. We first present a very simple model of rational motivations for toleration. Key to this (...) model is an application of David Ricardo’s model of trade to thinking about toleration. This model supports the claim that we always have reasons to be as tolerant as possible. We then explore why we do not always see tolerant attitudes in the actual world, and point to some potential preconditions for toleration that the initial model does not capture. Subsequently, we examine a more detailed model that allows us to investigate more carefully the conditions under which tolerant behavior can be rewarded. We conclude by arguing that a consideration of self-interested motivations for toleration is essential to the success of a robust theory of toleration for a diverse society, but that even this approach has its limitations. (shrink)

This bibliography seeks to offer a comprehensive overview of nuclear criticism, tracing its development from the 1984 issue of diacritics which saw the publication of Derrida's seminal article “No Apocalypse, Not Now ” to the present day. Particular attention is paid to areas of interest which are underrepresented in the available literature, and every attempt has been made to offer a resource which is wide-ranging in outlook while providing a clear sense of the central texts which have shaped and reshaped (...) what we understand as nuclear criticism. Texts focusing solely on individual works have, by and large, been excluded. Brief notes accompany some of the entries, although it has not been practical to provide these for all the works mentioned: they should be taken as a record of an individual approach to the texts in question rather than as marks of overarching significance. (shrink)

I flesh out the sense in which the informational approach to interpreting quantum mechanics, as defended by Pitowsky and Bub and lately by a number of other authors, is (neo-)Bohrian. I argue that on this approach, quantum mechanics represents what Bohr called a “natural generalisation of the ordinary causal description” in the sense that the idea (which philosophers of science like Stein have argued for on the grounds of practical and epistemic necessity) that understanding a theory as a theory of (...) physics requires that one be able to “schematise the observer” within it is elevated in quantum mechanics to the level of a postulate in the sense that interpreting the outcome of a measurement interaction, as providing us with information about the world, requires as a matter of principle, the specification of a schematic representation of an observer in the form of a ‘Boolean frame’—the Boolean algebra representing the yes-or-no questions associated with a given observable representative of a given experimental context. I argue that the approach’s central concern is with the methodological question of how to assign physical properties to what one takes to be a system in a given experimental context, rather than the metaphysical question of what a given state vector represents independently of any context, and I show how the quantum generalisation of the concept of an open system may be used to assuage Einstein’s complaint that the orthodox approach to quantum mechanics runs afoul of the supposedly fundamental methodological requirement to the effect that one must always be able, according to Einstein, to treat spatially separated systems as isolated from one another. (shrink)

This paper asks when a natural disease kind is truly 'reactive' and when it is merely associated with a corresponding social kind. I begin with a permissive account of real kinds and their structure, distinguishing natural kinds, indifferent kinds and reactive kinds as varieties of real kind characterised by super-explanatory properties. I then situate disease kinds within this framework, arguing that many disease kinds prima facie are both natural and reactive. I proceed to distinguish ‘simple dependence’, ‘secondary dependence’ and ‘essential (...) dependence’ between a natural kind and its classification, and argue that a natural kind is only really reactive, in an important sense, under conditions of essential dependence. On this basis, I offer a principled hypothesis for why psychiatric kinds tend to be more metaphysically unstable than paradigm somatic disease kinds. (shrink)

Can a materialist look for the resurrection of the dead and the life of the world to come? Dean Zimmerman’s Falling Elevator Model is a speculative account of how persons, understood as material beings, might survive in a post-mortem resurrected state—a just-so story. It assumes endurantism, the doctrine that persons and other ordinary objects are three-dimensional beings which are wholly present at every time they exist. I argue that neither endurantism, nor purdurantism, according to which persons are four-dimensional ‘worms’ who (...) have proper temporal parts at every time that they exist, provides a plausible account of personal survival. If you want to be a Christian materialist you should embrace exdurantism, the ‘stage theory’, according which persons are instantaneous stages and are not identical to their temporal successors either in this world or in any world to come. Exdurantism provides a plausible account of survival in ordinary cases and extraordinary cases of this-worldly fission, and of post-mortem survival. (shrink)

Background Generally, there is unanimity about the value of community engagement in health-related research. There is also a growing tendency to view genetics and genomics research (GGR) as a special category of research, the conduct of which including community engagement (CE) as needing additional caution. One of the motivations of this study was to establish how differently if at all, we should think about CE in GGR. Aim To assess the perspectives of genetics and genomics researchers in Uganda on CE (...) in GGR. Method A cross-sectional qualitative study was conducted at Makerere University and Uganda Virus Research Institute. Twenty-five individuals participated, the majority being male (sixteen). Participants included nineteen genetics and genomics researchers (researchers and research coordinators), two CE officers, three nurses and one nursing counsellor. Data were collected using in-depth interviews and analyzed in a thematic manner using NVivo version 12 Plus. Study findings Thirteen of the respondents had conducted CE in their GGR in either a geographical and disease-specific community. Some respondents said CE principles are the same and there is no need for special consideration for CE in GGR. Others gave ethical issues in GGR that require special consideration for CE in such research and these were categorized into six themes: GGR is new to communities, Difficulty in communicating GGR by the researchers, Genes are shared in communities, Cultural sensitivities against GGR, Community attitude toward GGR, Some GGR studies take long to end, and Negotiation of research benefits. Special considerations for CE when conducting GGR were suggested and categorized into seven themes: creating awareness of GGR in communities, obtaining both community acceptance and individual consent, CE team composition, involve communities in solving GGR challenges, prolong CE in some GGR, develop guidelines for CE in GGR, and legal considerations on GGR. Conclusion GGR was characterized by special issues that require special CE considerations for such research. (shrink)

Modal counterpart theory identifies a thing’s possibly being F with its having a counterpart that is F at another possible world; temporal counterpart theory, the stage view, according to which people and other ordinary objects are instantaneous stages, identifies a thing’s having been F or going to be F, with its having a counterpart that is F at another time. Both counterpart theories invite what has been called ‘the argument from concern’ (Rosen, G. 1990. “Modal Fictionalism.” Mind 99 (395): 327–54). (...) Why should I be concerned about my counterparts at other possible worlds or other times? I care about how things might have gone for me—not how they go for other people at other possible worlds; I care about my prospects—not the way go for other people at other times. Jiri Benovsky has argued that while modal counterpart theory can be defended against this style of argument, temporal counterpart theory cannot (Benovsky, J. 2015. “Alethic Modalities, Temporal Modalities, and Representation.” Kriterion: Journal of Philosophy 29: 18–34). I argue that temporal counterpart theory, like modal counterpart theory, resists the argument from concern. (shrink)

Modal counterpart theory identifies a thing’s possibly being F with its having a counterpart that is F at another possible world; temporal counterpart theory identifies a thing’s having been F or going to be F, with its having a counterpart that is F at another time. Benovsky, J. 2015. “Alethic Modalities, Temporal Modalities, and Representation.” Kriterion: Journal of Philosophy 29: 18–34 in this journal endorses modal counterpart theory but holds that temporal counterpart theory is untenable because it does not license (...) the ascription of the intuitively correct temporal properties to ordinary objects, and hence that we should understand ordinary objects, including persons, as transtemporal ‘worms’. I argue that the worm theory is problematic when it comes to accounting for what matters in survival and that temporal counterpart theory provides a plausible account of personal persistence. (shrink)

Defining Mental Disorder: Jerome Wakefield and His Critics, edited by Denis Forest and Luc Faucher, is essential reading for students and researchers in philosophy of medicine whose work is informed by that of Jerome Wakefield, or the disease debate in general. If you are anything like me, this book will open the door to a new depth of understanding of the harmful dysfunction analysis (HDA) and its methodical underpinnings, and an enriched appreciation of what is at stake in defining medical (...) disorder. To those confident that they understand Wakefield’s view and the surrounding debate, thinking perhaps that they do not need a refresher, I would say: perhaps you do not understand it as well as you think. Defining Mental Disorder provides much more than an overview of previously well-trodden ground. The chapters themselves, and Wakefield’s own detailed responses, help to elucidate a number of methodological nuances and peculiarities that have rarely been covered in such depth before. I was startled to learn how philosophically complex Wakefield’s position actually is, and how shallow my own understanding of it has been. It emerges as a far more nuanced and sophisticated account than I had given it credit for, and one that deserves serious reevaluation. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Medical Tourism:Crossing Borders to Access Health CareHarriet Hutson Gray (bio) and Susan Cartier Poland (bio)Traveling abroad for one's health has a long history for the upper social classes who sought spas, mineral baths, innovative therapies, and the fair climate of the Mediterranean as destinations to improve their health. The newest trend in the first decade of the twenty-first century has the middle class traveling from developed countries to those (...) with emerging economies to avoid treatment delays, prohibitive costs for life-saving procedures, or simply high costs for elective surgery. Others leave to have access to assisted suicide in countries that have legalized it: Belgium, The Netherlands, and Switzerland. This new era of globalization in health care has arrived without the benefit of international standards, government oversight, or ethical and legal review.Howard Staab, a self-employed carpenter from North Carolina, flew to India for his medically necessary heart surgery, scheduled a side trip to the Taj Mahal, and returned home to work in North Carolina. He spent a total of less than $10,000, instead of the $200,000 required from the local hospital (I, Milstein and Smith 2006).At first blush, the outsourcing of medical care to India seems to be a particular solution for a particular problem. However, the particularity of Mr. Staab is not unique. His experience is emblematic of those patients in the United States with a medical need for major and elective procedures, but who also must bear the total cost of these procedures. These middle-class, under-insured Americans go abroad.In tandem with increasingly aggressive marketing campaigns, American hospitals and companies have begun to leverage their connections in Asia to grow the medical tourism business into a major economic force. What are the consequences of this?Several authors point to the effect on the host country's population, particularly the poor, to be pushed farther down the queue to receive adequate, affordable care. Resources are applied to the foreign trade instead of building the local [End Page 193] medical infrastructure. Another potential problem is the obligation of the home-country physician to provide follow-up care. What are the legal ramifications when the procedure was illegal to begin with? Are there opportunities for redress for medical errors?These factors may be converging into a "perfect storm" for health care in the U.S., in which the potential participation of the major insurance companies in promoting offshore care will be the tipping point in the precarious structure that represents the economic currents in health care. Third-party administrators and self-funded employers may be on the cutting edge in 2009 by providing incentives to employees to travel overseas for care.I. Economic ConsiderationsConnell, John. Medical Tourism: Sea, Sun, Sand and... Surgery. Tourism Management 27: 1093–1100, 2006.As evidence of the interest of traditional tour operators in this newer twist on the industry, the author explores medical tourism as an element of the growth of world tourism. In promoting medical tourism, he urges consideration of such issues as the privatization of health care, the foundational role of technology, and uneven access to health resources.Dunn, Philip. Medical Tourism Takes Flight. H and HN: Hospitals and Health Networks: 40–44, November 2007.Writing for U.S. health care executives, Dunn emphasizes that the reality of medical tourism competes with the local medical center for patients and their insurance dollars in a significant way. He examines the possibility that U.S. insurance plans soon may offer to pay for what is currently a cash only business and that the economic impact to the local medical center could be significant or even devastating.Frontiers of Health Services Management [Selected Articles] 24 (2), Winter 2007.In "Managing Healthcare Services in the Global Marketplace" (pp. 3–18), Bruce J. Fried and Dean M. Harris consider legal, ethical, and financial implications of the international workforce. In "Globalization of Health Care" (pp. 19–30), Lynn Schroth and Ruthy Khawahja point out that the transfer of comprehensive management expertise and intellectual property from U.S. medical centers to international sites is driving the success of collaboration between U.S. and foreign health care centers. In "Is... (shrink)

At first blush, the notion a “feminist epistemology” appears, at best, peculiar—not, as Sandra Harding suggests, because “‘woman the knower’ appears to be a contradiction in terms” but because it is hard to see how an epistemology, a philosophical theory of knowledge, can be either feminist or anti-feminist since it is not clear how such a theory might benefit or harm women.

Computational complexity theory is a branch of computer science dedicated to classifying computational problems in terms of their difficulty. While computability theory tells us what we can compute in principle, complexity theory informs us regarding our practical limits. In this chapter I argue that the science of \emph{quantum computing} illuminates complexity theory by emphasising that its fundamental concepts are not model-independent, but that this does not, as some suggest, force us to radically revise the foundations of the theory. For model-independence (...) never has been essential to those foundations. The fundamental aim of complexity theory is to describe what is achievable in practice under various models of computation for our various practical purposes. Reflecting on quantum computing illuminates complexity theory by reminding us of this, too often under-emphasised, fact. (shrink)