Point-of-care evidence-based medicine websites allow physicians to answer clinical queries using recent evidence at the bedside. Despite significant research into the function, usability and effectiveness of these programmes, little attention has been paid to their ethical issues. As many of these sites summarise the literature and provide recommendations, we sought to assess the role of conflicts of interest in two widely used websites: UpToDate and Dynamed. We recorded all conflicts of interest for six articles detailing treatment for the following conditions: (...) erectile dysfunction, fibromyalgia, hypogonadism, psoriasis, rheumatoid arthritis and Crohn's disease. These diseases were chosen as their medical management is either controversial, or they are treated using biological drugs which are mostly available by brand name only. Thus, we hypothesised that the role of conflict of interest would be more significant in these conditions than in an illness treated with generic medications or by strict guidelines. All articles from the UpToDate articles demonstrated a conflict of interest. At times, the editor and author would have a financial relationship with a company whose drug was mentioned within the article. This is in contrast with articles on the Dynamed website, in which no author or editor had a documented conflict. We offer recommendations regarding the role of conflict of interest disclosure in these point-of-care evidence-based medicine websites. (shrink)

Venturing into novel terrain poses physical risks to a female and her offspring. Females have a greater tendency to avoid physical harm, while males tend to have larger range sizes and often outperform females in navigation-related tasks. Given this backdrop, we expected that females would explore a novel environment with more caution than males, and that more-cautious exploration would negatively affect navigation performance. Participants explored a novel, large-scale, virtual environment in search of five objects, pointed in the direction of each (...) object from the origin, and then navigated back to the objects. We found that females demonstrated more caution while exploring as reflected in the increased amounts of pausing and revisiting of previously traversed locations. In addition, more pausing and revisiting behaviors led to degradation in navigation performance. Finally, individual levels of trait harm avoidance were positively associated with the amount of revisiting behavior during exploration. These findings support the idea that the fitness costs associated with long-distance travel may encourage females to take a more cautious approach to spatial exploration, and that this caution may partially explain the sex differences in navigation performance. (shrink)

While 23andMe aspires to be “the world's trusted source of personal genetic information,” the U.S. Food and Drug Administration (FDA) believes that the company's advertising practices have been anything but trustworthy. Last November, a harshly worded FDA “warning letter” demanded that the direct‐to‐consumer genetic testing company immediately discontinue marketing its unapproved “medical device.” The tussle between 23andMe and the FDA has attracted more attention than a typical disagreement between a company and a government agency. Larry Downes and Paul Nunes identify (...) 23andMe as a “Big Bang Disruption”: an invention that revolutionizes the existing market, foiling both industry incumbents and unprepared regulators. The outcome of the FDA's current review to hold the answer to the million‐dollar question: how will DTC genetic testing be regulated in the future? Ideally, the FDA's regulations should not pose undue burdens on consumers seeking personal genetic information but, rather, help consumers make a transition out of the consumer setting and into the medical setting. (shrink)

Insight problem solving is hindered by automated verbal–conceptual processes. Because mindfulness meditation training aims at “nonconceptual awareness” which involves a reduced influence of habitual verbal–conceptual processes on the interpretation of ongoing experience, mindfulness may facilitate insight problem solving. This hypothesis was examined across two studies . Participants in both studies completed a measure of trait mindfulness and a series of insight and noninsight problems. Further, participants in Study 2 completed measures of positive affect and a mindfulness or control training. The (...) results indicated that trait mindfulness predicts better insight but not noninsight problem solving , this relation is maintained when controlling for positive affect , mindfulness training improves insight but not noninsight problem solving and this improvement is partially mediated by state mindfulness . These findings are the first to document a direct relation between mindfulness and creativity. (shrink)

We review Side Effects, a 2013 film involving bioethics, pharmaceuticals, and financial conspiracies. After the main character Emily unsuccessfully attempts suicide, she begins receiving care from a psychiatrist, Dr. Banks. Following numerous events, she is placed on a fictional antidepressant, Ablixa, which leads her to suffer from sleepwalking. During an episode of sleepwalking she commits a serious crime. The film poses an interesting dilemma: How responsible would the physician be in this instance? We analyze this question by applying numerous ethical (...) principles. (shrink)

Zipf famously stated that, if natural language lexicons are structured for efficient communication, the words that are used the most frequently should require the least effort. This observation explains the famous finding that the most frequent words in a language tend to be short. A related prediction is that, even within words of the same length, the most frequent word forms should be the ones that are easiest to produce and understand. Using orthographics as a proxy for phonetics, we test (...) this hypothesis using corpora of 96 languages from Wikipedia. We find that, across a variety of languages and language families and controlling for length, the most frequent forms in a language tend to be more orthographically well‐formed and have more orthographic neighbors than less frequent forms. We interpret this result as evidence that lexicons are structured by language usage pressures to facilitate efficient communication. (shrink)

Although the mapping between form and meaning is often regarded as arbitrary, there are in fact well-known constraints on words which are the result of functional pressures associated with language use and its acquisition. In particular, languages have been shown to encode meaning distinctions in their sound properties, which may be important for language learning. Here, we investigate the relationship between semantic distance and phonological distance in the large-scale structure of the lexicon. We show evidence in 100 languages from a (...) diverse array of language families that more semantically similar word pairs are also more phonologically similar. This suggests that there is an important statistical trend for lexicons to have semantically similar words be phonologically similar as well, possibly for functional reasons associated with language learning. (shrink)

¡Presente! develops a lived theology of nonviolence through an extended case study of the movement to close the School of the Americas (also known as the SOA or WHINSEC). Specifically,it analyzes how the presence of the dead—a presence proclaimed at the annual vigil of the School of the Americas Watch—shapes a distinctive, transnational, nonviolent movement. Kyle B.T. Lambelet argues that such a messianic affirmation need not devolve into violence or sectarianism and, in fact, generates practical reasoning. By developing a (...) messianic political theology in dialogue with the SOA Watch movement, Lambelet's work contributes to Christian ethics as he explores the political implications of the resurrection of the dead. This book contributes to studies of strategic nonviolence and civil resistance by demonstrating how religious and moral dynamics remain an essential part of such struggles. (shrink)

In this paper I take up the ambivalence we rightly feel toward leaders by examining the relationship between charismatic authority and moral exemplarity. Drawing on the social theory of Max Weber, and in dialogue with a case study of an anti-militarism movement called the SOA (School of Americas) Watch, I demonstrate that through a “politics of sacrifice” leaders synchronize their own stories with those of communally recognized exemplars and act in ways that evidence a solidarity in the suffering of those (...) exemplars thereby generating their charismatic authority. While performing crucial strategic, motivational, and pedagogical roles, this charisma also introduces problematic temptations to authoritarianism that short-circuit the practical reasoning that exemplars supposedly help to form. In the end this leaves our sense of ambivalence intact. What is needed, I argue, are practices of critique that reopen the distance between leader and follower and thus allow the possibility of practical reason. (shrink)

What should we make of the apocalyptic tone taken up by politicians, journalists, scientists, and activists? Some environmental thinkers such as Michael Shellenberger contend that alarming rhetoric distracts us from the technological and governance challenges presented by climate change. In the article, it is argued that retrieving a practical apocalyptic political theology from the Christian tradition can both clarify conceptual contradictions within this discourse as well as offer a practical orientation toward living within ecological endings. Amid the cascade of environmental (...) crises we are living through, apocalyptic practices of renunciation of the world offer a guide and discipline for living in the end. (shrink)

In their article, Nielsen Busch and Mjaaland defend the moral permissibility of cDCD, suggesting that much of the controversy around this donation practice has been the result of a misinterpretatio...

Mobile devices with health apps, direct-to-consumer genetic testing, crowd-sourced information, and other data sources have enabled research by new classes of researchers. Independent researchers, citizen scientists, patient-directed researchers, self-experimenters, and others are not covered by federal research regulations because they are not recipients of federal financial assistance or conducting research in anticipation of a submission to the FDA for approval of a new drug or medical device. This article addresses the difficult policy challenge of promoting the welfare and interests of (...) research participants, as well as the public, in the absence of regulatory requirements and without discouraging independent, innovative scientific inquiry. The article recommends a series of measures, including education, consultation, transparency, self-governance, and regulation to strike the appropriate balance. (shrink)

Harry Chalmers argues that monogamy involves restricting one’s partner’s access to goods in a morally troubling way that is analogous to an agreement between partners to have no additional friends. Chalmers finds the traditional defenses of monogamy wanting, since they would also justify a friendship-restricting agreement. I show why three traditional defenses of monogamy hold up quite well and why they don’t, for the most part, also justify friendship-restricting agreements. In many cases, monogamy can be justified on grounds of practicality, (...) specialness, or jealousy. (shrink)

Beginning in the 20th century, scientific research came to be dominated by a growing class of credentialed, professional scientists who overwhelmingly displaced the learned amateurs of an earlier time. By the end of the century, however, the exclusive realm of professional scientists conducting research was joined, to a degree, by “citizen scientists.” The term originally encompassed non-professionals assisting professional scientists by contributing observations and measurements to ongoing research enterprises. These collaborations were especially common in the environmental sciences, where citizen scientists (...) participated in counting wildlife and measuring environmental conditions. Later, patient groups began to play a more active role in supporting clinical trials and collecting health records from affected individuals. (shrink)

In this paper, we propose a novel account of desire reports, i.e. sentences of the form 'S wants p'. Our theory is partly motivated by Phillips-Brown's (2021) observation that subjects can desire things even if those things aren't best by the subject's lights. That is, being best isn't necessary for being desired. We compare our proposal to existing theories, and show that it provides a neat account of the central phenomenon.

Unlike first-person Moorean sentences, it’s not always awkward to assert, “p, but you don’t know that p.” This can seem puzzling: after all, one can never get one’s audience to know the asserted content by speaking thus. Nevertheless, such assertions can be conversationally useful, for instance, by helping speaker and addressee agree on where to disagree. I will argue that such assertions also make trouble for the growing family of views about the norm of assertion that what licenses proper assertion (...) is not the initiating epistemic position of the speaker but the resulting epistemic position of the audience. (shrink)

The nearly omnipotent character known only as “Q” dramatically enters the Star Trek universe when he puts all humanity in the person of Captain Jean‐Luc Picard, on trial in the first episode of TNG. Acting as self‐professed prosecutor, judge, and jury, Q promises Picard an “absolutely equitable” trial, only to coerce Picard into pleading “guilty” by threatening to kill his crew. Q could be like the “Leviathan” of Thomas Hobbes (1588‐1679), an absolute sovereign who has the power to keep people (...) from warring with each other, but who can't be held accountable or subject to any civil law in the use of that power. Enlisting Hobbes and Locke, this chapter examines the motives behind Q's enigmatic actions and sees what Q, deep down, might believe about justice. Hobbes begins with a basic right of nature that all people possess: our liberty to ensure the preservation of our own life. (shrink)

According to the doctrine of infallibility, one is permitted to believe p if one knows that necessarily, one would be right if one believed that p. This plausible principle—made famous in Descartes’ cogito—is false. There are some self-fulfilling, higher-order propositions one can’t be wrong about but shouldn’t believe anyway: believing them would immediately make one's overall doxastic state worse.

Don't pray for war -- Is democracy worth it? -- Taking speech seriously -- In recognition of limits -- The limits of politics.

BackgroundThe increased risk of developing attention-deficit hyperactivity disorder (ADHD) in extremely preterm infants is well-documented. Better understanding of perinatal risk factors, particularly those that are modifiable, can inform prevention efforts.MethodsWe examined data from the Extremely Low Gestational Age Newborns (ELGAN) Study. Participants were screened for ADHD at age 10 with the Child Symptom Inventory-4 (N = 734) and assessed at age 15 with a structured diagnostic interview (MINI-KID) to evaluate for the diagnosis of ADHD (N = 575). We studied associations (...) of pre-pregnancy maternal body mass index (BMI), pregestational and/or gestational diabetes, maternal smoking during pregnancy (MSDP), and hypertensive disorders of pregnancy (HDP) with 10-year and 15-year ADHD outcomes. Relative risks were calculated using Poisson regression models with robust error variance, adjusted for maternal age, maternal educational status, use of food stamps, public insurance status, marital status at birth, and family history of ADHD. We defined ADHD as a positive screen on the CSI-4 at age 10 and/or meeting DSM-5 criteria at age 15 on the MINI-KID. We evaluated the robustness of the associations to broadening or restricting the definition of ADHD. We limited the analysis to individuals with IQ ≥ 70 to decrease confounding by cognitive functioning. We evaluated interactions between maternal BMI and diabetes status. We assessed for mediation of risk increase by alterations in inflammatory or neurotrophic protein levels in the first week of life.ResultsElevated maternal BMI and maternal diabetes were each associated with a 55–65% increase in risk of ADHD, with evidence of both additive and multiplicative interactions between the two exposures. MSDP and HDP were not associated with the risk of ADHD outcomes. There was some evidence for association of ADHD outcomes with high levels of inflammatory proteins or moderate levels of neurotrophic proteins, but there was no evidence that these mediated the risk associated with maternal BMI or diabetes.ConclusionContrary to previous population-based studies, MSDP and HDP did not predict ADHD outcomes in this extremely preterm cohort, but elevated maternal pre-pregnancy BMI, maternal diabetes, and perinatal inflammatory markers were associated with increased risk of ADHD at age 10 and/or 15, with positive interaction between pre-pregnancy BMI and maternal diabetes. (shrink)

Although Hurricane Katrina precipitated considerable reflection across various media, a practice crucial to our capacities to apprehend and interpret the disaster has not yet been analyzed as such. I call this practice generative assembly. I don’t mean the events of emergency and political gathering that took place in response to the massive storm and fatal, preventable levee failures—although I will propose connections between different forms of assembly. Instead I mean a kind of documentary practice. That practice, which can be undertaken (...) individually or in collaboration, and sometimes at anonymous remove, involves the work of assembling records and signifiers related to the disaster into particular kinds of media artifacts. Those artifacts— which take shape in formats as varied as comics, photobooks, paintings, films, exhibitions, and multithousand-item online archives—characteristically maintain the active appearance and interactive potential of selection and arrangement. In exhibiting such qualities, or so I will argue, these assembly-based artifacts support various articulable and often highly effective kinds of generativity. And thus, I will further suggest, these artifacts can constitute especially powerful means of intervening in prevailing conditions of representation and remembrance around events of environmental and social violence. Crucially, those material legacies of generative assembly can also fall short, fail, and deceive, and this is especially true of those assemblies that take digital forms. It is my contention, however, that we would be misguided if we thus entirely dismissed such assemblies or if we refused their potential for dissident reuse or generative reassembly. (shrink)

Some writers, such as John Fischer and Michael McKenna, have recently claimed that an agent can be morally responsible for a wrong action and yet not be blameworthy for that action. A careful examination of the claim, however, suggests two readings. On one reading, there are further conditions on blameworthiness beyond freely and wittingly doing wrong. On another innocuous reading, there are no such further conditions. Despite Fischer and McKenna’s attempts to offer further conditions on blameworthiness in addition to responsibility (...) for wrongdoing, I argue that only the innocuous reading is plausible. Once we distinguish between blame being deserved and blame being all-things-considered appropriate, we need not appeal to further conditions on blameworthiness. This discussion has important upshots regarding how compatibilists respond to certain manipulation arguments and how proponents of derived responsibility respond to criticism that agents are responsible even for outcomes that are not reasonably foreseeable. (shrink)

Despite recent controversies surrounding the principle that knowledge entails truth (KT), this paper aims to prove that the principle is true. It offers a proof of (KT) in the following sense. It advances a deductively valid argument for (KT), whose premises are, by most lights, obviously true. Moreover, each premise is buttressed by at least two supporting arguments. And finally, all premises and supporting arguments can be rationally accepted by people who don’t already accept (KT).

Ethics isn’t a conversation exclusive to philosophers. There is value, then, in not only understanding how laypeople think about issues in ethics, but also bringing their judgments into dialogue with those of philosophers in order to make sense of agreement, disagreement, and the consequences of each. Experimental philosophers facilitate this dialogue uniquely by capturing laypeople’s judgments and analyzing them in light of philosophical theory. They have done so almost exclusively by using face valid quantitative surveys about philosophically interesting thought experiments. (...) Based on high participant support for this or that response, researchers conclude that a given theory is more or less intuitive, and in some cases that it is or isn’t true. However, such conclusions can only be drawn from quantitative survey data if one assumes those data accurately reflect laypeople’s thinking on the issues of interest, an assumption that can’t be justified by the quantitative data itself since they are potentially opaque. This is the methodological problem of experimental philosophy: experimental philosophers who use quantitative methods alone can’t sufficiently demonstrate their data to be reflective of relevant judgments/intuitions. To better explore people’s judgments on issues in ethics and to determine whether experimental philosophers are or aren’t getting what they take themselves to be getting in surveys, I recreated part of an experiment by Chituc, Henne, Sinnott-Armstrong, and De Brigard on the Kantian principle that “ought implies can”, or that whenever an agent ought to do something then it is the case that she can, and added a layer of qualitative data to it by having participants think aloud while completing the surveys and conduct a follow-up interview. With similar quantitative results to those from Chituc et al., I argue that my qualitative results 1) cast doubt on Chituc et al.’s data being reflective of many people’s judgments, especially on the more interesting questions relating to moral obligation; 2) reveal unique insights into how people think about OIC; 3) generally speak to the value of experimental philosophers using triangulation of methods in better understanding laypeople’s complex and varied thinking about questions important to ethics and beyond. Supplemental documents: Appendices A, B, C, D, and E are surveys I used in my study. Appendices C and D are derived from Chituc et al.’s publication “Blame, Not Ability, Impacts Moral ‘Ought’ Judgments for Impossible Actions: Toward an Empirical Refutation of ‘Ought’ Implies ‘Can.’” Appendix F is the recruitment flyer I distributed for my study. Appendix H is the quantitative data from my study. (shrink)

Pseudogapping is no misnomer. Despite the many tempting similarities, Gapping and Pseudogapping are distinct constructions. Pseudogapping is a special instance of VP Ellipsis, while Gapping, I will argue, is a special instance of across-the-board movement. Squeezing Gapping into across-the-board movement has its own discomforts, however, which I will suggest can be remedied by re-tailoring our syntax to include string-based output constraints. I give a sketch of one such alteration that involves apparent Left Branch Condition violations.

In recent work, Andrew T. Forcehimes and Robert B. Talisse correctly note that G.A. Cohen’s fact-insensitivity thesis, properly understood, is explanatory. This observation raises an important concern. If fact-insensitive principles are explanatory, then what role can they play in normative deliberations? The purpose of my paper is, in part, to address this question. Following David Miller, I indicate that on a charitable understanding of Cohen’s thesis, an explanatory principle explains a justificatory fact by completing an otherwise logically incomplete inference. As (...) a result, the explanatory role such a principle plays is inseparable from its status as a (not necessarily successful) justificatory reason. With this interpretation in hand, I then proceed to argue that Lea Ypi’s and Robert Jubb’s recent criticisms fail to undermine Cohen’s thesis, and that fact-insensitive principles, once discovered, are especially helpful for purposes of deliberation in circumstances characterized by changing and changeable feasibility constraints. (shrink)

Where does entitlement to trust come from? When we trust someone to φ, do we need to have reason to trust them to φ or do we start out entitled to trust them to φ by default? Reductivists think that entitlement to trust always “reduces to” or is explained by the reasons that agents have to trust others. In contrast, anti-reductivists think that, in a broad range of circumstances, we just have entitlement to trust. even if we don’t have positive (...) reasons to do so. In this paper, we argue for a version of anti-reductivism. Roughly, we argue that we have default entitlement to trust someone to φ so long as there is an operative norm that requires S to φ. At least in such circumstances (and absent defeaters), we don’t need any positive reasons to trust S to φ. (shrink)

Every December we are told there is a war on Christmas. Jon Stewart, however, claims that this war is a farce. In 2005, Fox News correspondent John Gibson published The War on Christmas, and Bill O'Reilly complained about businesses such as Walmart saying “Happy Holidays” to their customers instead of “Merry Christmas.” Christmas celebrations were largely illegal in both England and the Americas during the 1600 s and 1700 s. Christmas made a cultural comeback in the early 1800 s, but (...) not because of religious influences. The holiday's religious elements didn't enjoy a resurgence until it was clear that Christmas was here to stay and Christians renewed their efforts Christianize it. There is no war on Christmas. The events that Bill O'Reilly and Fox News think constitute a war on Christmas are actually just efforts to correct the effects of the Christian war for Christmas. (shrink)

Though Trey Parker and Matt Stone haven't been killed for it (they did receive death threats after their 200th episode) the creators of South Park have faced accusations much like those that led to Socrates' execution: the corruption of youth and the teaching of vulgar, irreligious behavior. A closer examination, however, reveals that South Park is very much within the Platonic tradition, as Kyle and Stan engage in questioning and dialogue in order to "learn something today." Moreover, the mob (...) mentality of the parents, along with the malicious yet mimetic evil of Cartman, demonstrates how evil emerges from thoughtlessness: a failure to ask if one can live with oneself, and a failure to out oneself in the place of others. Through its different characters, and even its apparently mindless vulgarity, South Park shows the need for engaging in dialogue, and thinking from others' perspectives, in order to pursue wisdom, examine life, and make it worth living. (shrink)

Wilfrid Sellars famously argued that we find ourselves simultaneously presented with the scientific and manifest images and that the primary aim of philosophy is to reconcile the competing conceptions of ourselves and our place in the world they offer. I first argue that Sellars’ own attempts at such a reconciliation must be judged a failure. I then go on to point out that Sellars has invited us to join him in idealizing and constructing the manifest and scientific images by conflating (...) a number of importantly distinct contrasts between heterogeneous forms of representation we employ and to argue that we are better off declining this invitation. Recognizing the important differences between these contrasts does not simply obviate the problems of integrating, connecting, and reconciling the various sorts of representations we have of various parts of the world and our own place within it, but it reveals as misguided the notion that there is just a single, fundamental problem of such reconciliation to be solved. It also suggests a potentially far more promising starting point for trying to satisfy the fundamental ambition Sellars attributes to philosophical inquiry itself. (shrink)

We examine the criticisms and subsequent changes that arise in the course of peer review. Fifty-two scholars who had recently published in Administrative Science Quarterly were surveyed regarding their peer review experience and how their article changed from initial journal submission to eventual publication. Papers that challenged theoretical perspectives faced distinctively high levels of criticism and change, particularly with attention to methodology, while those that offered a new perspective or that extended or combined established perspectives were less criticized and changed. (...) The number of challenge-oriented publications was small as well, suggesting that either few such submissions survive the review process or few are submitted in the first place. Overall, peer review appears open to expansion of the variety of theoretical argument but does little to aid in the winnowing out of established perspectives. (shrink)

Many young Christians are waking up to the realities of climate change but just don't know how to help. Through stories from the field, theological and scriptural exploration, and practical advice, this field guide from Christian climate activist Kyle Meyaard-Schaap helps us take meaningful action grounded in the joy of caring for creation.

Christian apologists, like Willian Lane Craig and Stephen T. Davis, argue that belief in Jesus’ resurrection is reasonable because it provides the best explanation of the available evidence. In this article, I refute that thesis. To do so, I lay out how the logic of inference to the best explanation (IBE) operates, including what good explanations must be and do by definition, and then apply IBE to the issue at hand. Multiple explanations—including (what I will call) The Resurrection Hypothesis, The (...) Lie Hypothesis, The Coma Hypothesis, The Imposter Hypothesis, and The Legend Hypothesis—will be considered. While I will not attempt to rank them all from worst to best, what I will reveal is how and why The Legend Hypothesis is unquestionably the best explanation, and The Resurrection Hypothesis is undeniably the worst. Consequently, not only is Craig and Davis’ conclusion mistaken, but belief in the literal resurrection of Jesus is irrational. In presenting this argument, I do not take myself to be breaking new ground; Robert Cavin and Carlos Colombetti have already presented a Bayesian refutation of Craig and Davis’ arguments. But I do take myself to be presenting an argument that the average person (and philosopher) can follow. It is my goal for the average person (and philosopher) to be able to clearly understand how and why the hypothesis “God supernaturally raised Jesus from the dead” fails utterly as an explanation of the evidence that Christian apologist cite for Jesus’ resurrection. (shrink)

In C. S. Lewis’s Christian Apologetics: Pro and Con, I took the con in a debate with Victor Reppert about the soundness of Lewis’s famous “argument from reason.” Reppert then extended his argument in an article for Philosophia Christi; this article is my reply. I show that Reppert’s argument fails for three reasons. (1) It “loads the die” by falsely assuming that naturalism, by definition, can't include mental causation "on the basic level." (I provide multiple examples of naturalist theories of (...) mind that do exactly that). (2) Physical processes can reliably produce true beliefs. And (3) reasoning isn’t necessarily mental. (shrink)

The Good Place is about moral philosophy. But one reason everyone hates moral philosophers is that they think everything is about ethics. When it comes to the Good Place versus Bad Place hypothesis, the big giveaway is simplicity. The Good Place hypothesis doesn't require a grand deception and all the planning that would be necessary to keep it afloat. The Bad Place hypothesis does. The biggest worry about an eternal life in something like The Good Place was made famous by (...) the philosopher Bernard Williams: boredom. Although it might take a while, The Good Place would eventually, and inevitably, turn into The Bad Place. Immortality would become torture. As Williams points out, even though a desire for immorality is irrational, the state of being dead is itself nothing to dread—it's still perfectly rational to want to live a longer life rather than a shorter life. (shrink)