A collection of critical essays by English and American scholars, including such controversial academic political theorists as Gutmann, Barry and Nussbaum, that raises questions about the current theoretical reassessment of political liberalism.

Countermeasures for mpox (formerly known as monkeypox), primarily vaccines, have been in limited supply in many countries during outbreaks. Equitable allocation of scarce resources during public health emergencies is a complex challenge. Identifying the objectives and core values for the allocation of mpox countermeasures, using those values to provide guidance for priority groups and prioritisation tiers, and optimising allocation implementation are important. The fundamental values for the allocation of mpox countermeasures are: preventing death and illness; reducing the association between death (...) or illness and unjust disparities; prioritising those who prevent harm or mitigate disparities; recognising contributions to combating an outbreak; and treating similar individuals similarly. Ethically and equitably marshalling available countermeasures requires articulating these fundamental objectives, identifying priority tiers, and recognising trade-offs between prioritising the people at the highest risk of infection and the people at the highest risk of harm if infected. These five values can provide guidance on preferable priority categories for a more ethically sound response and suggest methods for optimising allocation of countermeasures for mpox and other diseases for which countermeasures are in short supply. Properly marshalling available countermeasures will be crucial for future effective and equitable national responses to outbreaks. (shrink)

In this article, we propose the Fair Priority Model for COVID-19 vaccine distribution, and emphasize three fundamental values we believe should be considered when distributing a COVID-19 vaccine among countries: Benefiting people and limiting harm, prioritizing the disadvantaged, and equal moral concern for all individuals. The Priority Model addresses these values by focusing on mitigating three types of harms caused by COVID-19: death and permanent organ damage, indirect health consequences, such as health care system strain and stress, as well as (...) economic destruction. It proposes proceeding in three phases: the first addresses premature death, the second long-term health issues and economic harms, and the third aims to contain viral transmission fully and restore pre-pandemic activity. -/- To those who may deem an ethical framework irrelevant because of the belief that many countries will pursue "vaccine nationalism," we argue such a framework still has broad relevance. Reasonable national partiality would permit countries to focus on vaccine distribution within their borders up until the rate of transmission is below 1, at which point there would not be sufficient vaccine-preventable harm to justify retaining a vaccine. When a government reaches the limit of national partiality, it should release vaccines for other countries. -/- We also argue against two other recent proposals. Distributing a vaccine proportional to a country's population mistakenly assumes that equality requires treating differently situated countries identically. Prioritizing countries according to the number of front-line health care workers, the proportion of the population over 65, and the number of people with comorbidities within each country may exacerbate disadvantage and end up giving the vaccine in large part to wealthy nations. (shrink)

Morain and Largent’s (2023) thorough and thoughtful article concludes that the partial-entrustment model of medical researchers’ ancillary-care obligations (Richardson and Belsky 2004; Belsky and R...

With the world grappling with continued spread of monkeypox internationally, vaccines play a crucial role in mitigating the harms from infection and preventing spread. However, countries with the greatest need - particularly historically endemic countries with the highest monkeypox case-fatality rates - are not able to acquire scarce vaccines. This is unjust, and requires rectification through equitable allocation of vaccines globally. We propose applying the Fair Priority Model for such allocation, which emphasizes three key principles: 1) preventing harm; 2) prioritizing (...) the disadvantaged; and 3) treating people with equal moral concern. Post-exposure prophylaxis (PEPV) has the most potential to mitigate harm, and so ensuring countries have sufficient supply for PEPV should be the first priority. And historically endemic countries, which face disadvantages that compound potential harms from monkeypox, should be the first recipients of such vaccines. Once sufficient supply is allocated for countries to apply PEPV, global allocation could move on to pre-exposure prophylaxis (PrEP), again prioritizing historically endemic countries first before distribution to the rest of the global community, based on projected number of cases and vulnerability to harm. (shrink)

John Stuart Mill was the leading British philosopher of the nineteenth century and his famous essay Utilitarianism is the most influential statement of the philosophy of utilitarianism: that actions, laws, policies and institutions are to be evaluated by their utility or contribution to good or bad consequences. Henry West has written the most up-to-date and user-friendly introduction to utilitarianism available. The book serves as both a commentary to and interpretation of the text. It also defends Mill against his critics. (...) An appendix reviews in detail the structure and arguments of Utilitarianism. This book is primarily intended as a textbook for students in philosophy assigned to read Utilitarianism but it should also prove helpful to students and professionals in other fields such as political science, history and economics. (shrink)

This chapter begins with an overview of John Stuart Mill's life and philosophy. Mill's chief contributions to the history of ethics are two-fold. The first was to popularize utilitarianism: to present utilitarianism in a short text, written by a recognized great philosopher, which could be read with apparent understanding by an ordinary person. The second was to persuade academic philosophers to take utilitarianism so seriously that it could compete with Aristotle and Kant as one of the three greatest traditions in (...) ethics. The discussions then turn to Mill's complex theory of morality and theory of justice. (shrink)

John Stuart Mill's version of utilitarianism is that there is something that is a value as an end of action and that all actions, rules for action, laws, policies, and so on, are to evaluated by their promotion of that value or reduction of the negative of that value. The value judgment, that promotion of happiness and reduction of unhappiness are the normative ends of action is the “principle of utility,” and the “proof” is designed to argue for that principle. (...) The proof is an argument from introspective psychology, on what people desire, and are averse to, as ends. The claim is that when properly analyzed each person desires his or her own happiness, and this is evidence that happiness is the kind of thing that is valuable as an end, whether it exists in the agent's or another's consciousness. It is a “comprehensive formula, including all things which are in themselves good, and that whatever else is good, is not so as an end, but as a means…”. (shrink)

Act Utilitarianism and Rule Utilitarianism, in one formu lation of each, are not extensionally equivalent, that is, they do not require of an agent precisely the same behavior as is shown by Gerald Barnes in "Utilitarianisms”, Ethics 82 (197I) 56-64. As a result each theory passes and sometimes fails different utilitarian tests: the comparative consequences of universal conformity by everyone (distributively) vs. universal conformity by everyone (collectively) Barnes argues that the latter is the appropriate test. I argue that the test (...) which AU passes is the appropriate one, since everyone, collectively, does not make moral choices. Moral choices are made by everyone individually. (shrink)

This chapter contains section titled: Alternatives to Mill's Methodology Conclusion.

Supererogation is the theory that some acts go beyond the call of duty. They are praiseworthy, but their omission is not blameworthy. Notice that supererogation has to do with praise and blame as well as with what is a duty or morally obligatory. Moral duty requires a moral system on the basis of which duty or obligation is assigned. Utilitarianism can provide a criterion of moral obligation, and it can also provide a criterion for moral praise and blame. However, there (...) is no necessity that the utilitarian criteria for praise and blame should be precisely correlated with its criteria of the morally obligatory and permissible. (shrink)