This commentary describes limitations of mental health parity requirements in ensuring access to insurance coverage for mental health treatment and surveys regulatory options employed by states in Medicaid managed care programs as supplements to parity that can further reduce the risk of inappropriate denials of coverage.

The ACA shifted U.S. health policy from centering on principles of actuarial fairness toward social solidarity. Yet four legal fixtures of the health care system have prevented the achievement of social solidarity: federalism, fiscal pluralism, privatization, and individualism. Future reforms must confront these fixtures to realize social solidarity in health care, American-style.

This commentary provides a legal analysis of the extent to which changes proposed by scholars to promote care for substance use disorder or other under-treated illnesses through risk adjustment could be implemented administratively, without legislation, in federal risk adjustment systems: Medicare's privatized component, Medicare's pharmaceutical component, and the individual and small group market. As the article explains, federal laws governing risk adjustment provide broad discretion to regulators and can reasonably be interpreted to permit full and final implementation through the administrative (...) process of almost all of the changes that scholars have proposed. (shrink)

The earlier volume in this series dealt with two religions of Indian origin, namely, Buddhism and Jainism. The Indian religious scene, however, is characterized by not only religions which originated in India but also by religions which entered India from outside India and made their home here. Thus religious life in India has been enlivened throughout its history by the presence of religions of foreign origin on its soil almost from the very time they came into existence. This volume covers (...) three such religions—Zoraoastrianism, Judaism, and Islam. In the case of Zoraostianism, even its very beginnings are intertwined with India, as Zoroastrianism reformed a preexisting religion which had strong links to the Vedic heritage of India. This relationship took on a new dimension when a Zoroastrian community, fearing persecution in Persia after its Arab conquest, sought shelter in western India and ultimately went on to produce India’s pioneering nationalist in the figure of Dadabhai Naoroji ( 1825-1917), also known as the Grand Old Man of India. Jews found refuge in south India after the destruction of the Temple by the Romans in 70 C.E. and have remained a part of the Indian religious scene since then, some even returning to Israel after it was founded in 1948. Islam arrived in Kerala as soon as it was founded and one of the earliest mosques in the history of Islam is found in India. Islam differs from the previously mentioned religions inasmuch as it went on to gain political hegemony over parts of the country for considerable periods of time, which meant that its impact on the religious life of the subcontinent has been greater compared to the other religions. It has also meant that Islam has existed in a religiously plural environment in India for a longer period than elsewhere in the world so that not only has Islam left a mark on India, India has also left its mark on it. Indeed all the three religions covered in this volume share this dual feature, that they have profoundly influenced Indian religious life and have also in turn been profoundly influenced by their presence in India. (shrink)

The earlier volume in this series dealt with two religions of Indian origin, namely, Buddhism and Jainism. The Indian religious scene, however, is characterized by not only religions which originated in India but also by religions which entered India from outside India and made their home here. Thus religious life in India has been enlivened throughout its history by the presence of religions of foreign origin on its soil almost from the very time they came into existence. This volume covers (...) three such religions—Zoraoastrianism, Judaism, and Islam. In the case of Zoraostianism, even its very beginnings are intertwined with India, as Zoroastrianism reformed a preexisting religion which had strong links to the Vedic heritage of India. This relationship took on a new dimension when a Zoroastrian community, fearing persecution in Persia after its Arab conquest, sought shelter in western India and ultimately went on to produce India’s pioneering nationalist in the figure of Dadabhai Naoroji ( 1825-1917), also known as the Grand Old Man of India. Jews found refuge in south India after the destruction of the Temple by the Romans in 70 C.E. and have remained a part of the Indian religious scene since then, some even returning to Israel after it was founded in 1948. Islam arrived in Kerala as soon as it was founded and one of the earliest mosques in the history of Islam is found in India. Islam differs from the previously mentioned religions inasmuch as it went on to gain political hegemony over parts of the country for considerable periods of time, which meant that its impact on the religious life of the subcontinent has been greater compared to the other religions. It has also meant that Islam has existed in a religiously plural environment in India for a longer period than elsewhere in the world so that not only has Islam left a mark on India, India has also left its mark on it. Indeed all the three religions covered in this volume share this dual feature, that they have profoundly influenced Indian religious life and have also in turn been profoundly influenced by their presence in India. (shrink)

Progressive supranuclear palsy is a movement disorder with prominent tau neuropathology. Brain diseases with abnormal tau deposits are called tauopathies, the most common of which is Alzheimer's disease. Environmental causes of tauopathies include repetitive head trauma associated with some sports. To identify common genetic variation contributing to risk for tauopathies, we carried out a genome-wide association study of 1,114 individuals with PSP and 3,247 controls followed by a second stage in which we genotyped 1,051 cases and 3,560 controls for the (...) stage 1 SNPs that yielded P ≤ 10-3. We found significant previously unidentified signals associated with PSP risk at STX6, EIF2AK3 and MOBP. We confirmed two independent variants in MAPT affecting risk for PSP, one of which influences MAPT brain expression. The genes implicated encode proteins for vesicle-membrane fusion at the Golgi-endosomal interface, for the endoplasmic reticulum unfolded protein response and for a myelin structural component. © 2011 Nature America, Inc. All rights reserved. (shrink)

DBS Think Tank IX was held on August 25–27, 2021 in Orlando FL with US based participants largely in person and overseas participants joining by video conferencing technology. The DBS Think Tank was founded in 2012 and provides an open platform where clinicians, engineers and researchers can freely discuss current and emerging deep brain stimulation technologies as well as the logistical and ethical issues facing the field. The consensus among the DBS Think Tank IX speakers was that DBS expanded in (...) its scope and has been applied to multiple brain disorders in an effort to modulate neural circuitry. After collectively sharing our experiences, it was estimated that globally more than 230,000 DBS devices have been implanted for neurological and neuropsychiatric disorders. As such, this year’s meeting was focused on advances in the following areas: neuromodulation in Europe, Asia and Australia; cutting-edge technologies, neuroethics, interventional psychiatry, adaptive DBS, neuromodulation for pain, network neuromodulation for epilepsy and neuromodulation for traumatic brain injury. (shrink)

Wittgenstein once wrote that 'The philosopher strives to find the liberating word, that is, the word that finally permits us to grasp what up until now has intangibly weighed down our consciousness'. Would Wittgenstein have been willing to describe the Tractatus as an attempt to find 'the liberating word'? This is the basic contention of this strikingly innovative study of the Tractatus. Matthew Ostrow argues that, far from seeking to offer a new theory in logic in the tradition of (...) Frege and Russell, Wittgenstein from the very beginning viewed all such endeavors as the ensnarement of thought. Providing a lucid and systematic analysis of the Tractatus, he argues that Wittgenstein's ultimate aim is to put an end to philosophy itself. He also highlights the intrinsic obstacles to any kind of interpretation that claims to summarize Wittgenstein's thought. (shrink)

Recent theological treatments of political economy have tended to ignore the early-modern origins from which the capital market system arose. An effort is made here to trace a specific conceptual development from the theodicies of G. W. Leibniz and Bishop William King to the economic theory of David Hume and Adam Smith, a development that implies certain theological transmutations. Both the theodicist and economist claim, for different reasons, that nature itself is capable of redeeming evils. Two theoretical shifts contributed to (...) this development: rational optimism and conjectural historiography. Scrutinizing the mechanistic backdrop for this historical narrative discloses acute theological compromises. (shrink)

In the empirical logic approach to quantum mechanics, the physical system under consideration is given in terms of a manual of sample spaces. The resulting propositional structure has been shown to form an orthoalgebra, generalizing the structure of an orthomodular poset. An orthoalgebra satisfies the unique Mackey decomposition (UMD) property if, given two commuting propositions a and b, there is a unique jointly orthogonal triple (e, f, c) such that a=e⊕c and b=f⊕c. In a manual, E is refined by F (...) if E is logically equivalent to some partition of F, making results from F at least as informative as those from E. The main result is a characterization of the UMD property in terms of the refinement structure of an underlying manual, provided the manual is event saturated and orthogonally additive. (shrink)

Some philosophers argue that we are justified in rejecting skepticism because it is explanatorily inferior to more commonsense hypotheses about the world. Focusing on the work of Jonathan Vogel, I show that this “abductivist” or “inference to the best explanation” response rests on an impoverished explanatory framework which ignores the explanatory gap between an object's having certain properties and its appearing to have those properties. Once this gap is appreciated, I argue, the abductivist strategy is defeated.

Al-Ghazālī on Condemnation of Pride and Self-Admiration : Book XXIX of the Revival of the Religious Sciences. Translated by Mohammed Rustom. Cambridge: The Islamic Texts Society, 2018. Pp. xxxvi + 190. £17.99.

This paper centers its analysis around the remarkable work of the transdisciplinary commentary al-Minaḥ al-quddūsiyya, written by the Algerian scholar Aḥmad al-ʿAlawī (d. 1934). Although they are incredibly rare in the Islamic textual tradi­tion, transdisciplinary commentaries are commentaries that are written in a discipline different from that of the base texts upon which they build. In the case of the Minaḥ, al-ʿAlawī wrote his text as an entirely Sufi commentary upon Ibn ʿĀshir’s (d. 1040/1631) al-Murshid al-muʿīn, a didactic poem that (...) is often categorized as a work of Mālikī fiqh. Through an examination of the text of the Minaḥ and the biography of its author, this paper aims to uncover why al-ʿAlawī wrote his commentary and what his ideological assumptions were that allowed him to approach Ibn ʿĀshir’s Murshid in such a novel manner. (shrink)

We prove that every non-computable incomplete computably enumerable degree is locally non-cappable, and use this result to show that there is no maximal non-bounding computably enumerable degree.

This article examines the tradition of punitive house demolition during the Roman Republic, but from a sociocultural rather than institutional-legal perspective. Exploiting recent scholarship on the Roman house, on exemplarity, and on memory sanctions, I argue that narratives of house demolition constitute a form of ethically inflected political discourse, whose purpose is to stigmatize certain social actors as malefactors of a particular sort . The demolition itself is symbolically resonant, and the resultant stigma is propagated by subsequent monuments—various structures, toponyms, (...) narratives, etc.—that attach to the housesite. These monuments are thought to bear the trace of what went before, hence transmit an account of the alleged malefactor's deed and disgrace. Far from obliterating the doer of misdeeds, then, the discourse of punitive house demolition fixes him in cultural memory as a negative exemplum. (shrink)

Lucan's "Bellum Civile" is a poem filled with ethical contradictions. This paper contends that at least some of these contradictions can be traced to competing views regarding the composition of the community in civil war: the view that one's opponent is a civis and the view that he is a hostis are available simultaneously. Therefore the position that it is morally wrong to attack a member of one's own community competes with the position that it is morally right to use (...) violence against an enemy. The Pompeians tentatively and rather sporadically embrace the former view, while the latter view is more strongly characteristic of the Caesarians; the outcome of the battle of Pharsalus accords with this distribution of ethical stances. Yet these conflicting discourses and opposing views of the community are present not only in the voices of the various characters, but also in the narrative voice itself; such contradictions even within a single voice are inevitable artifacts of civil war as Lucan represents it. By portraying this competition in ethical discourses as he does, Lucan makes his civil war a context in which he can recreate and participate in the ideological struggles of Neronian Rome. (shrink)

In preparation for the development of a rapid tissue donation programme, we surveyed healthcare providers in our institution about knowledge and attitudes related to RTD with lung cancer patients. A 31-item web based survey was developed collecting data on demographics, knowledge and attitudes about RTD. The survey contained three items measuring participants’ knowledge about RTD, five items assessing attitudes towards RTD recruitment and six items assessing HCPs’ level of agreement with factors influencing decisions to discuss RTD. Response options were presented (...) on a 5-point Likert scale. Ninety-one HCPs participated in the study. 66% indicated they had never heard of RTD prior to the survey, 78% rated knowledge of RTD as none or limited and 95.6% reported not having ethical or religious concerns about discussing RTD with patients. The majority were either not comfortable or not sure if they felt comfortable discussing RTD with cancer patients . 56.1% indicated their knowledge of RTD would play an integral role in their decision to discuss RTD with patients. 71.4% reported concerns with RTD discussion and the emotional state of the patient. Physicians and nurses play an important role in initiating conversations about recruitment and donation to research that can ultimately influence uptake. Increasing HCP knowledge about RTD is a necessary step towards building an RTD programme. Our study provides important information about characteristics associated with low levels of knowledge and practice related to RTD where additional education and training may be warranted. (shrink)

We construct a high c.e. degree which is not the join of two minimal degrees and so refute Posner's conjecture that every high c.e. degree is the join of two minimal degrees. Additionally, the proof shows that there is a high c.e. degree a such that for any splitting of a into degrees b and c one of these degrees bounds a 1-generic degree.

Based on participant observation and in-depth interviews, this article analyzes the ways that male residents in a drug treatment program signified a masculine self through compensatory manhood acts. I analyze four strategies of identity work that men used during group accountability sessions called “games”: signifying masculinity through aggression; subordinating women and nonconventional men; calling others to account as men; and “keeping your head”: managing emotions to assert control. This article adds to our understanding of the ways that compensatory manhood acts (...) are structured locally through interaction, highlighting ways that men’s interactions may be self-defeating and also reproduce inequality by reinforcing dominant ideologies of misogyny and homophobia. In addition, it speaks to the ways that masculine subjectivity is constructed against and through dominant narratives of addiction and treatment. (shrink)

The topic of this dissertation is what thought must be like in order for the laws and generalizations of psychology to be true. I address a number of contemporary problems in the philosophy of mind concerning the nature and structure of concepts and the ontological status of mental content. Drawing on empirical work in psychology, I develop a number of new conceptual tools for theorizing about concepts, including a counterpart model of concepts' role in linguistic communication, and a deflationary theory (...) of concepts' formal features. I also suggest some new answers to old problems, arguing, for example, that content realism is not hostage to a naturalized semantics. This dissertation can, as a whole, be read as a sympathetic re-evaluation of the language of thought hypothesis (LOT). LOT claims that thoughts are sentences in a mental language of computation, and are composed of meaningful, atomic symbols—concepts—which are individuated entirely by their formal features. Each chapter either defends various components of LOT from recent criticism, or fills in gaps in the theory. I begin the dissertation by introducing the language of thought project, and motivating and explaining each of its central components. In chapter 2, I discuss a recent competitor to atomism—neo-empiricism—and argue that it fails to meet several key desiderata on theories of concepts, and defend atomism from similar charges. In chapter 3, I argue against a view common to both philosophy and psychology: that concepts must be shareable. If true, atomism is in jeopardy. I find shareability to be unmotivated, and suggest an alternative counterpart model of concepts that does a better job of explaining the things shareability was supposed to explain. Chapter 4 takes up the question of what formal features are and how mental symbols are individuated. I develop a reductive account, arguing that formal features are certain sorts of physical properties and symbol types are sets of these properties. I turn to the topic of content in chapter 5, and defend a very strong version of content realism against recent criticism. (shrink)

We construct a ${\Sigma^0_2}$ e-degree which is both high and noncuppable. Thus demonstrating the existence of a high e-degree whose predecessors are all properly ${\Sigma^0_2}$.

Rachel Galvin’s News of War: Civilian Poetry 1936–1945 is a focused and forceful study of six major modernist poets who crafted similar styles in response to WWII and the Spanish Civil War: César Vallejo, W.H. Auden, Wallace Stevens, Raymond Queneau, Marianne Moore, and Gertrude Stein. A chapter is dedicated to each of these poets, with the exception of Auden, in many respects the book’s central figure, who is treated in two consecutive chapters. As can be seen in her choice of (...) poets, Gavin’s approach is transnational and multilingual. This allows her to draw startling parallels between poets who, though given ample critical attention individually, are rarely mentioned in the same breath. It also allows her to... (shrink)

In this article we argue that nanotechnology represents an extraordinary opportunity to build in a robust role for the social sciences in a technology that remains at an early, and hence undetermined, stage of development. We examine policy dynamics in both the United States and United Kingdom aimed at both opening up, and closing down, the role of the social sciences in nanotechnologies. We then set out a prospective agenda for the social sciences and its potential in the future shaping (...) of nanotechnology research and innovation processes. The emergent, undetermined nature of nanotechnologies calls for an open, experimental, and interdisciplinary model of social science research. (shrink)

The “New Natural Law” Theory (NNL) of Germain Grisez, John Finnis, Joseph Boyle, and their collaborators offers a distinctive account of intentional action, which underlies a moral theory that aims to justify many aspects of traditional morality and Catholic doctrine. -/- In fact, we show that the NNL is committed to premises that entail the permissibility of many actions that are irreconcilable with traditional morality and Catholic doctrine, such as elective abortions. These consequences follow principally from two aspects of the (...) NNL. The first aspect is its distinctive version of the planning theory of intention, in which adopting the 'first-person perspective' of an agent is a sufficient, and not merely necessary, condition for determining the nature of his intentional action; this planning theory rests upon an implicitly Cartesian conception of human behavior, in which behavior chosen by an agent has no intrinsic “intentionalness” apart from what he confers upon it as part of his plan. The second aspect is the NNL's distinctive account of basic human goods' incommensurability, according to which there is no common factor shared by basic human goods that allows them to be comparatively ranked in any way that directs practical deliberation. -/- The entailments of these two aspects of the NNL, we argue, amount to a reductio ad absurdum. Pace the proponents of the NNL account, we sketch an alternative hylomorphic conception of intentional action that avoids untoward moral implications by grounding human agency in the exercise of basic powers that are either (a) essential constituents of human nature or (b) acquired through participation in social practices. This conception of intentional action provides a stronger foundation for natural law theory. (shrink)

In Intention and her subsequent essays that addressed human action, Elizabeth Anscombe made signal contributions to the Aristotelian-Thomistic tradition, and to western philosophy more broadly. The new natural law theory of Germain Grisez, John Finnis, Joseph Boyle, and their collaborators mistakenly claims to be consonant with Anscombe’s work. A central reason for this misappropriation lies in the failure to understand the ways in which Anscombe does and does not deploy a “first-person perspective” in analyzing intentional action. Far from supporting the (...) new natural law, Anscombe’s work, rightly understood, provides arguments for rejecting it. National Catholic Bioethics Quarterly 13.1 : 47–56. (shrink)

John Rawls’s political liberalism and its ideal of public reason are tremendously influential in contemporary political philosophy and in constitutional law as well. Many, perhaps even most, liberals are Rawlsians of one stripe or another. This is problematic, because most liberals also support the redefinition of civil marriage to include same-sex unions, and as I show, Rawls’s political liberalism actually prohibits same- sex marriage. Recently in Perry v. Schwarzenegger, however, California’s northern federal district court reinterpreted the traditional rational basis review (...) in terms of liberal neutrality akin to Rawls’s “public reason,” and overturned Proposition 8 and established same-sex marriage. (This reinterpretation was amplified in the 9th Circuit Court’s decision upholding the district court on appeal in Perry v. Brown.) But on its own grounds Perry should have drawn the opposite conclusion. This is because all the available arguments for recognizing same-sex unions as civil marriages stem from controversial comprehensive doctrines about the good, and this violates the ideal of public reason; yet there remains a publicly reasonable argument for traditional marriage, which I sketch here. In the course of my argument I develop Rawls’s politically liberal account of the family by drawing upon work by J. David Velleman and H. L. A. Hart, and discuss the implications of this account for political theory and constitutional law. (shrink)

We construct a \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\Sigma^0_2}$$\end{document}e-degree which is both high and noncuppable. Thus demonstrating the existence of a high e-degree whose predecessors are all properly \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\Sigma^0_2}$$\end{document}.

The original comic version of T'Challa is a traditional monarch, whose actions demonstrate his concern for maintaining power and securing his nation. In fact, with his strategic use of violence, his demonstrations of empathy and humanity, and his embrace of religious symbolism, T'Challa was classically “Machiavellian” in the comics. "Panther's Rage" chronicles T'Challa's return to Wakanda after an extended stay in the United States as a costumed superhero, most notably with the Avengers. Machiavelli would approve of T'Challa's embrace of violence. (...) Machiavelli was keenly aware of how a ruler should be perceived by his subjects, suggesting that a successful ruler will appear to possess five key qualities that meet with the approval of his subjects: mercy, faith, honesty, humanity, and religion. T'Challa is never as cruel as some of Machiavelli's models, but he does preserve his divinely ordained kingdom by employing fear and religion to stay in power. (shrink)

The “New Natural Law” Theory (NNL) of Grisez, Finnis, Boyle, and their collaborators offers a distinctive account of intentional action, which underlies a moral theory that aims to justify many aspects of traditional morality and Catholic doctrine. In fact, we show that the NNL is committed to premises that entail the permissibility of many actions that are irreconcilable with traditional morality and Catholic doctrine, such as elective abortions. These consequences follow principally from the NNL’s planning theory of intention coupled with (...) an implicitly Cartesian conception of human behavior, in which behavior chosen by an agent has no intrinsic “intentionalness” apart from what he confers upon it as part of his plan. Pace the NNL collaborators, we sketch an alternative hylomorphic conception of intentional action that avoids untoward moral implications by grounding human agency in the exercise of basic powers that are either essential to human nature or acquired through participation in social practices. (shrink)

In The Moral Foundation of Professional Ethics Alan H. Goldman provides a general approach to the evaluation of the ethical responsibilities of professionals in diverse fields, and offers specific prescriptions for judges, politicians, lawyers, doctors, and businesspersons. This Review Essay describes Goldman’s principal arguments and conclusions, and illuminates a number of the major difficulties with his treatment of professional ethics. First, his argument for a common moral framework is not compelling. It is not clear, as Goldman claims, that it is (...) possible for individuals with radically different values to reach agreement on difficult moral issues. Goldman's assertion that a theory of rights is part of the common moral framework is even more questionable. Second, there is reason to doubt that Goldman's focus on the concept of role differentiation as the basic approach to professional ethics is correct. This is demonstrated through examination of Goldman's discussion of the ethical positions of judges and lawyers. (shrink)

Previous research has demonstrated that reversing the contrast of the eye region, which includes the eyebrows, affects the N170 ERP. To selectively assess the impact of just the eyes, the present study evaluated the N170 in response to reversing contrast polarity of just the iris and sclera in upright and inverted face stimuli. Contrast reversal of the eyes increased the amplitude of the N170 for upright faces, but not for inverted faces, suggesting that the contrast of eyes is an important (...) contributor to the N170 ERP. (shrink)

As we write, U.S. cities and states with extensive community transmission of Covid‐19 are in harm's way—not only because of the disease itself but also because of prior and current failures to act. During the 2009 influenza pandemic, public health agencies and hospitals developed but never adequately implemented preparedness plans. Focused on efficiency in a competitive market, health systems had few incentives to maintain stockpiles of essential medical equipment. Just‐in‐time economic models resulted in storage of only those supplies needed then. (...) At the same time, global purchasing in search of lower prices reduced the number of U.S. suppliers, with hospitals dependent on foreign companies. There is still a possibility that the pandemic will be manageably bad rather than unmanageably catastrophic in this country. Immediate, powerful, and sustained federal action could make the difference. (shrink)