This essay places Paulo Freire in dialogue with a Black Radical Tradition (BRT) in three distinct yet interrelated ways. First, the paper situates the significance of Cedric’s Robinson’s articulation of a BRT while exploring how contemporary scholars are troubling his disputatious relationship with Marxist social thought. Second, the paper foregrounds Freire’s modest contributions to a BRT in his anticolonial literacy campaigns in Guinea Bissau, Africa. Extending the principles of ‘dialogical cultural action’ in the context of African struggle that Freire documented (...) in the letters compiled in Pedagogy in Process, a robust theorization of solidarity comes into sharper view. Third, the paper calls for further reinvention of Freire pointing to the ways his cogent analysis can be augmented by other racialized groups and radical traditions in solidarity with Black struggle to more explicitly confront the inherent racism and anti-Blackness fundamental to global capitalism. (shrink)

Thomas Ricketts has developed a powerful interpretation of Frege on judgment, truth and logic. Recently, Ricketts has modified his reading, holding that judgment is an act of knowledge-acquisition; this rules out incorrect judgment. I argue that Ricketts goes too far here. I criticize the textual basis for Ricketts's new view, and show that the interpretive problems which led him to this change can be met without such extreme measures. Thus, I defend Ricketts' earlier view against his own later modification. Along (...) the way I discuss Kant and Brentano on judgment, and I explore Fregean argument concerning the objectivity of truth. (shrink)

The first chapter explores the theory developed in Kripke's "Outline of a Theory of Truth." A tension in Kripke's account of the concept of truth is revealed--a conflict between two intuitions. The first intuition, called the "fixed point conception of truth," is that the whole meaning of the truth predicate is given by the formula "we may assert of a sentence that it is true iff we may assert that sentence." The second intuition, called the "thesis of the supervenience of (...) semantics," is that the interpretation of the truth predicate is determined by the interpretations of all the other non-logical constants of the language. I show that these two intuitions cannot be reconciled within the context of Kripke's theory, and I argue for the choice of the fixed point conception of truth over the principle of the supervenience of semantics. Chief among the considerations that I advance is the fact that the fixed point conception of truth yields a natural logic of truth. In the second chapter I present that logic of truth in the form of a cut-free sequent calculus. I then turn, in chapter three, to a discussion of the significance of such cut-free sequent calculi. I argue that we may view the sequent calculus introduction rules for a logical constant as giving the meaning of that constant, under certain conditions. In particular, we can see our logic of truth as providing an explication of our intuitive concept of truth which complements Kripke's original model-theoretic explication. The fourth chapter takes up some criticisms of Kripke's theory which center on the logic of truth. In addition, the general ideas developed in the first three chapters are applied in a discussion of the various schemes of three-valued logic which can be used in the development of Kripke's approach. Finally, in the last chapter, it is shown that Kripke's technical concepts, and the logical ideas developed in the second and third chapters, can be used to provide a unified account of many contexts in which paradox arises. (shrink)

This book examines spectral haunting through the philosophies of Levinas and Derrida. Arguing that moral obligation can appear terrifying to the complacent self, the text interrogates ethical responsibility in contemporary horror genres.

This little book which is a sequel to "Cartesianism" is not written for professional philosophers. Its less ambitious purpose is to initiate undergraduate students of Catholic Universities and Colleges, who are engaged in the study of scholastic philosophy, into a knowledge of the fundamental principles of those numerous systems that have contributed to the chaos of modern thought from the time of Descartes to the present day.

The moral complexity surrounding intervention is influenced by a broad spectrum of both ethical and practical assumptions and considerations.

This dissertation aims at forging an archetectonic link between Kant's first and third Critiques within a cognitive-semantic framework. My aim is to show how the major conceptual innovations of Kant’s third Critique can be plausibly understood in terms of the theoretical aims of the first, (Critique of Pure Reason). However, unlike other cognition-oriented approaches to Kant's third Critique, which take the point of contact between the first and third Critique's to be the first Critique's Transcendental Analytic, I link these two (...) works via the first Critique's Transcendental Dialectic, specifically its discussions of the "ideas of pure reason." -/- According to Kant, the “ideas of pure reason” (IPRs) — viz., the notions of self, world-whole, and God — are innate content-bearing entities representing three types of transempirical object, none of which are possible objects of cognition. However, although Kant denies that these rather unique content-bearers can be used for purposes of “speculative cognition,” he does think that they have an internal functional value for human cognitive systems. Although under my analysis of their functional value the IPRs subserve a highest-order aim which derives from theoretical reason — namely, to ground and optimize cognitive systematicity — their directive content in fact renders their implementation(thus their form of intentionality) more characteristic of practical reason. Kant’s positive account of reason’s “interest” in and use of the IPRs exhibits a kind of cognitive pragmatism. -/- Of utmost concern to the cognitive-semantic enterprise, as I conceive it, is the development of (what might be called) a metaphysics of intentionality. A `metaphysics of intentionality', as I use the term, refers to a coherent set of postulative propositional cognitions (or, at any rate, content-bearing entities) implemented, first, for the sake of rationally explaining the phenomenological unity and object-directed character of our perceptual states and, second, to explain why the objects represented in such states are, or must be, law-governed and thus necessarily amenable to scientific investigation. On my view, the discussions in Kant’s third Critique nontrivially contribute to the development of a metaphysics of intentionality and thus to the larger cognitive-semantic enterprise of Kant's first Critique, and it is this link that lends Kant's third Critique a cognitive significance. -/- . (shrink)

A number of thinkers in recent decades have argued that, in light of the Trinity, we can see that God's being is communion. Particularly effective was John D. Zizioulas, whose Trinitarian ontology centered on communion. Some skeptical of this claim have invoked Aquinas as a source for countering an ontology of communion. I argue that, while Thomas never explicitly affirms that the divine being is communion, he can give us deep resources for reaching this conclusion. Indeed, he can ultimately lead (...) us towards a divine being which is more thoroughly a matter of communion—and towards an ontology which is more radically Trinitarian—than anything we find in Zizioulas. (shrink)

In this paper, I argue that, on a reductionist reading of Buddhist no-self ontology, Buddhists could not have sincere ethical intentions toward persons. And if Buddhists cannot have sincere intentions toward persons, they cannot have second-personal moral reasons for acting. From this I conclude that Buddhists fail to qualify as genuine members of the moral community if, as some contemporary Anglo-American moral philosophers argue, such membership depends on an individual agent’s having the capacity to be motivated by second-personal moral reasons.

The three books reviewed in this essay, Morality Among Nations: An Evolutionary View , Righteous Realists: Political Realism, Responsible Power, and American Culture in the Nuclear Age , and Securing Europe , in some sense represent a reaction to Reagan's ideological policies.

Smith provides a summary of Walzer's work, with particular emphasis on his method of moral argument. Walzer's argument emphasizes the importance of moral judgment based on the principle of human rights rather than on utilitarian calculation.

This paper offers the first philosophical analysis of a form of artificial intelligence (AI) which the author calls facial profiling technology (FPT). FPT is a type of facial analysis technology designed to predict criminal behavior based solely on facial structure. Marketed for use by law enforcement, face classifiers generated by the program can supposedly identify murderers, thieves, pedophiles, and terrorists prior to the commission of crimes. At the time of this writing, an FPT company has a contract with the United (...) States federal government. After recounting how FPT resurrects the same moral problems associated with the pseudoscience of physiognomy, the author of this manuscript develops and defends the ‘Liberal Argument Against Facial Discrimination’ (LAAFD), which concludes that government use of FPT poses a significant risk of violating the classical liberal value of equality before the law by committing unjust discrimination against groups of people whose faces happen to match FPT classifiers. A key move in the argument suggests how a future scenario that results in widespread discrimination based solely on facial structure could be as unjustified and harmful, mutatis mutandis, as similar discrimination based solely on racial background. In the final section, the author of this paper develops prima facie policy proposals designed to protect classical liberal values if FPT is to be utilized by governments in liberal democratic societies. (shrink)

The essay first makes some observations on the general interrelationship between the logical writings of Albert and Buridan. Second, it gives an account of a ‘semantic logical model’ for analyzing complex subject terms in some basic categorical propositions which is defended by Albert of Saxony, and briefly recounts Buridan's criticisms of that model. Finally, the essay maintains that the Albertian model is typically compatible with, and a further development of, what is called by a late-fourteenth century anonymous scholar ‘the English-Rule’ (...) but the ‘determinable/determinate’ grammatical model defended by Buridan is not. (shrink)

Post-millennial scholarship in Buddhist studies reflects increasing interest from Anglophone philosophers working within the analytic tradition.1 Within this emerging body of work the aim has been not merely to bring the conceptual toolkit of analytic philosophers to bear on topics traditionally of interest to Buddhist philosophers but also to enlist the theories that analytic philosophers have developed on core topics within epistemology and metaphysics as frameworks within which to interpret the work of major Buddhist philosophers. Two recent notable examples of (...) this interpretative enterprise are seen in the work of Siderits and Hayashi. These Anglophone commentators utilize theories... (shrink)

This book assesses how Vatican II opened up the Catholic Church to encounter, dialogue, and engagement with other world religions. Opening with a contribution from the President of the Pontifical Council for Interreligious Dialogue, Cardinal Jean-Louis Tauran, it next explores the impact, relevance, and promise of the Declaration Nostra Aetate before turning to consider how Vatican II in general has influenced interfaith dialogue and the intellectual and comparative study of world religions in the postconciliar decades, as well as the contribution (...) of particular past and present thinkers to the formation of current interreligious and comparative theological methods. Additionally, chapters consider interreligious dialogue vis-à-vis theological anthropology in conciliar documents; openness to the spiritual practices of other faith traditions as a way of encouraging positive interreligious encounter; the role of lay and new ecclesial movements in interreligious dialogue; and the development of Monastic Interreligious Dialogue. Finally, it includes a range of perspectives on the fruits and future of Vatican’s II’s opening to particular faiths such as Judaism, Islam, Hinduism, and Buddhism. (shrink)

Jorge Luis Borges introduces the mythical ouroboros as follows: “A third-century Greek amulet, to be found today in the British Museum, gives us an image that can better illustrate that infinitude:...

The idea that payment for research participation can be coercive appears widespread among research ethics committee members, researchers, and regulatory bodies. Yet analysis of the concept of coercion by philosophers and bioethicists has mostly concluded that payment does not coerce, because coercion necessarily involves threats, not offers. In this article we aim to resolve this disagreement by distinguishing between two distinct but overlapping concepts of coercion. Consent-undermining coercion marks out certain actions as impermissible and certain agreements as unenforceable. By contrast, (...) coercion as subjection indicates a way in which someone’s interests can be partially set back in virtue of being subject to another’s foreign will. While offers of payment do not normally constitute consent-undermining coercion, they do sometimes constitute coercion as subjection. We offer an analysis of coercion as subjection and propose three possible practical responses to worries about the coerciveness of payment. (shrink)

In this follow-up to the highly successful _Ethnography Unbound,_ Michael Burawoy and nine colleagues break the bounds of conventional sociology, to explore the mutual shaping of local struggles and global forces. In contrast to the lofty debates between radical theorists, these nine studies excavate the dynamics and histories of globalization by extending out from the concrete, everyday world. The authors were participant observers in diverse struggles over extending citizenship, medicalizing breast cancer, dumping toxic waste, privatizing nursing homes, the degradation (...) of work, the withdrawal of welfare rights, and the elaboration of body politics. From their insider vantage points, they show how groups negotiate, circumvent, challenge, and even re-create the complex global web that entangles them. Traversing continents and extending over three years, this collaborative research developed its own distinctive method of "grounded globalization" to grasp the evaporation of traditional workplaces, the dissolution of enclaved communities, and the fluidity of identities. Forged between the local and global, these compelling essays make a powerful case for ethnography's insight into global dynamics. (shrink)

The increasing availability of brain data within and outside the biomedical field, combined with the application of artificial intelligence (AI) to brain data analysis, poses a challenge for ethics and governance. We identify distinctive ethical implications of brain data acquisition and processing, and outline a multi-level governance framework. This framework is aimed at maximizing the benefits of facilitated brain data collection and further processing for science and medicine whilst minimizing risks and preventing harmful use. The framework consists of four primary (...) areas of regulatory intervention: binding regulation, ethics and soft law, responsible innovation, and human rights. (shrink)

Researchers from across the social sciences have found consistent deviations from the predictions of the canonical model of self-interest in hundreds of experiments from around the world. This research, however, cannot determine whether the uniformity results from universal patterns of human behavior or from the limited cultural variation available among the university students used in virtually all prior experimental work. To address this, we undertook a cross-cultural study of behavior in ultimatum, public goods, and dictator games in a range of (...) small-scale societies exhibiting a wide variety of economic and cultural conditions. We found, first, that the canonical model – based on self-interest – fails in all of the societies studied. Second, our data reveal substantially more behavioral variability across social groups than has been found in previous research. Third, group-level differences in economic organization and the structure of social interactions explain a substantial portion of the behavioral variation across societies: the higher the degree of market integration and the higher the payoffs to cooperation in everyday life, the greater the level of prosociality expressed in experimental games. Fourth, the available individual-level economic and demographic variables do not consistently explain game behavior, either within or across groups. Fifth, in many cases experimental play appears to reflect the common interactional patterns of everyday life. Key Words: altruism; cooperation; cross-cultural research; experimental economics; game theory; ultimatum game; public goods game; self-interest. (shrink)

IntroductionWith a definition that is evolving, a serious component of the contract cheating issue involves individuals paying a third-party to complete assessment items for them and then submitting this work as if it were their own. The issue of contract cheating poses a significant problem for tertiary institutions. The research literature conducted to date has addressed contract cheating, yet few papers discuss theory-based prevention strategies, and even fewer still evaluate the impact of theory-based prevention strategies.Case descriptionThis paper discusses a case (...) study of contract cheating that was identified in a business simulation operating in a capstone unit at a large Australian university. The problem is outlined, the theory-based intervention is explained, and the impact on the contract cheating problem is quantified.Discussion and evaluationBuilding on a platform provided by criminological theory and crime prevention practice, the Unit Coordinator systematically adjusted a large number of assessment elements to ensure contract cheating was less likely. Importantly, this intervention was effective but also did not disadvantage students who were not engaging in contract cheating.ConclusionsOverall, this paper connects criminological theory and crime/problem prevention practice with academic misconduct issues with the intent of demonstrating there is potential to minimise the opportunity for contract cheating by altering the opportunity structures for assessment items. Crucially, this can be done without impeding genuine student efforts and does not depend on apprehension and conviction. (shrink)

Are there natural kinds of things around which our theories cut? The essays in this volume offer reflections by a distinguished group of philosophers on a series of intertwined issues in the metaphysics and epistemology of classification.

In the context of technological dissemination sessions aimed at prospective students at the Polytechnic University of Baja California in the city of Mexicali, Baja California, the importance of engineering and its role in scientific and technological progress was stressed, as well as its role in scientific and technological progress as drivers of economic development in the region. A group of 2,154 students from 20 different institutions of public high school education answered a survey designed as an evaluation tool for a (...) career path or technology area of interest. The survey results show that students have a low preference for engineering careers. Moreover, these results were augmented with an additional study on the high attrition of students in engineering schools in the city of Mexicali, Baja California, also conducted by the authors. It raises the importance of teaching science in the early education levels, which aims to prepare scientists and technologists needed for the development of research and innovation as a foundation for economic prosperity and welfare of an emerging economy such as Mexico. (shrink)

The history of evolutionary thought / Michael Ruse -- The origin of life / Jeffrey L. Bada and Antonio Lazcano -- Paleontology and the history of life / Michael Benton -- Adaptation / Joseph Travis and David N. Reznick -- Molecular evolution / Francisco J. Ayala -- Evolution of the genome / Brian Charlesworth and Deborah Charlesworth -- The pattern and process of speciation / Margaret B. Ptacek and Shala J. Hankison -- Evolution and development / Gregory (...) A. Wray -- Social behavior and sociobiology / Daniel J. Rubenstein -- Human evolution / Henry M. McHenry -- Evolutionary biology of disease and Darwinian medicine / Michael F. Antolin -- Beyond the Darwinian paradigm : understanding biological forms / Brian Goodwin -- Philosophy of evolutionary thought / Kim Sterelny -- Evolution and society / Manfred D. Laubichler and Jane Maienschein -- Evolution and religion / David N. Livingstone -- American antievolutionism : retrospect and prospect / Eugenie C. Scott. (shrink)

In 1903 the Cody Road opened, leading travelers from Cody, Wyoming, to Yellowstone National Park. Cheyenne photographer J. E. Stimson traveled the route during its first week in existence, documenting the road for the state of Wyoming's contribution to the 1904 World's Fair. His images of now-famous landmarks like Cedar Mountain, the Shoshone River, the Holy City, Chimney Rock, Sylvan Pass, and Sylvan Lake are some of the earliest existing photographs of the route. In 2008, 105 years later, Michael (...) Amundson traveled the same road, carefully duplicating Stimson's iconic original photographs. In Passage to Wonderland, these images are paired side by side and accompanied by a detailed explanation of the land and history depicted. Amundson examines the physical changes along "the most scenic fifty miles in America" and explores the cultural and natural history behind them. This careful analysis of the paired images make Passage to Wonderland more than a "then and now" photography book--it is a unique exploration of the interconnectedness between the Old West and the New West. It will be a wonderful companion for those touring the Cody Road as well as those armchair tourists who can follow the road on Google Earth using the provided GPS coordinates. The University Press of Colorado gratefully acknowledges the generous support of the Charles Redd Center for Western Studies at Brigham Young University toward the publication of this book. (shrink)

Integrating large language models (LLMs) like GPT-4 into medical ethics is a novel concept, and understanding the effectiveness of these models in aiding ethicists with decision-making can have significant implications for the healthcare sector. Thus, the objective of this study was to evaluate the performance of GPT-4 in responding to complex medical ethical vignettes and to gauge its utility and limitations for aiding medical ethicists. Using a mixed-methods, cross-sectional survey approach, a panel of six ethicists assessed LLM-generated responses to eight (...) ethical vignettes.The main outcomes measured were relevance, reasoning, depth, technical and non-technical clarity, as well as acceptability of GPT-4’s responses. The readability of the responses was also assessed. Of the six metrics evaluating the effectiveness of GPT-4’s responses, the overall mean score was 4.1/5. GPT-4 was rated highest in providing technical (4.7/5) and non-technical clarity (4.4/5), whereas the lowest rated metrics were depth (3.8/5) and acceptability (3.8/5). There was poor-to-moderate inter-rater reliability characterised by an intraclass coefficient of 0.54 (95% CI: 0.30 to 0.71). Based on panellist feedback, GPT-4 was able to identify and articulate key ethical issues but struggled to appreciate the nuanced aspects of ethical dilemmas and misapplied certain moral principles.This study reveals limitations in the ability of GPT-4 to appreciate the depth and nuanced acceptability of real-world ethical dilemmas, particularly those that require a thorough understanding of relational complexities and context-specific values. Ongoing evaluation of LLM capabilities within medical ethics remains paramount, and further refinement is needed before it can be used effectively in clinical settings. (shrink)

Abstract:In this essay, I explore the recent cultural and epistemological turns in sociological music education research. Changes in the economy—and most specifically in the modes of production aided by changes in technology—provide a frame for understanding the cultural and epistemological turns within music education research in sociology. The economy has gone through a process of “dematerialization,” privileging non-material aspects—like mental conceptions of the world, symbols, culture, and social processes—over material considerations. Similarly, sociological research in music education, in its epistemological and (...) cultural turns, has gone through a process of dematerialization where symbols, culture, and mental conceptions have become the frames and emphases within music education. This is influenced by “the postmodern condition” where ideas and “culture” have become seats of power. After a brief introduction, I review dialectics, moving to the subcategory dialectical materialism which has come to signify Marx’s contribution to dialectics. Next, I apply dialectical materialism to the cultural and epistemological turns in sociological music education research, tracing changes in the economy and their influence over emphases in sociological research in music education. Finally, I pose some questions that may inform future philosophical and sociological research and practice in music education. (shrink)

Participation in competition festivals—where students and ensembles compete against each other for high scores and accolades—is a widespread practice in North American formal music education. In this article, I use Marx's theories of labor, value, and phantasmagoria to suggest a capitalist logic that structures these competitions. Marx's theories might suggest that one of musical performance's educational use-values is its function as a representation of the labor of musical learning. Competitions reward the hiding of this use-value by privileging performances that conceal (...) the labor of musical learning. In hiding this use-value, the performance's exchange-value, or "price," is increased by gaining a higher score. In this way, competitions are phantasmagoric: they conceal learning within the performance in thrall of the exchange-value of a high score. Despite these flaws in competitions, educators and students might exploit competition festivals' value of coming together and comparing learning with others. Rather than retreating from competition festivals, educators might transform them by imagining renewed practices where students and educators come together to share their learning through performance, listening, and dialogue. (shrink)

The nature of Kierkegaard's political legacy is complicated by the religious character of his writings. Exploring Kierkegaard's relevancy for this political-theological moment, this volume offers trans-disciplinary and multi-religious perspectives on Kierkegaard studies and political theology. Privileging contemporary philosophical and political-theological work that is based on Kierkegaard, this volume is an indispensable resource for Kierkegaard scholars, theologians, philosophers of religion, ethicists, and critical researchers in religion looking to make sense of current debates in the field. While this volume shows that Kierkegaard's (...) theological legacy is a thoroughly political one, we are left with a series of open questions as to what a Kierkegaardian interjection into contemporary political theology might look like. And so, like Kierkegaard's writings, this collection of essays is an argument with itself, and as such, will leave readers both edified and scratching their heads--for all the right reasons. -- Amazon.com. (shrink)

This volume is inspired by developments in two strands of economic theorising. Firstly, research on structural economic dynamics based on three sources: Hicks' work on traverse analysis, Pasinetti on disproportional growth and Goodwin on dynamic decomposition and economic fluctuations. The second strand goes back to Georgescu-Roegen's interest in an organisational theory of production based upon the interrelationship between tasks, fund factors and material transformations. The approach taken involves a comprehensive view of sub-units of the whole economic system representing dynamics of (...) structural adaptation and compositional change. Furthermore, a detailed representation of micro-organisational features leads to the analysis of networks and networking processes within and amongst such sub-units. (shrink)

The concepts of time and identity seem at once unproblematic and frustratingly difficult. Time is an intricate part of our experience -- it would seem that the passage of time is a prerequisite for having any experience at all -- and yet recalcitrant questions about time remain. Is time real? Does time flow? Do past and future moments exist? Philosophers face similarly stubborn questions about identity, particularly about the persistence of identical entities through change. Indeed, questions about the metaphysics of (...) persistence take on many of the complexities inherent in philosophical considerations of time. This volume of original essays brings together these two essentially related concepts in a way not reflected in the available literature, making it required reading for philosophers working in metaphysics and students interested in these topics. The contributors, distinguished authors and rising scholars, first consider the nature of time and then turn to the relation of identity, focusing on the metaphysical connections between the two, with a special emphasis on personal identity. The volume concludes with essays on the metaphysics of death, issues in which time and identity play a significant role. This groundbreaking collection offers both cutting-edge epistemological analysis and historical perspectives on contemporary topics. Contributors:_ _Harriet Baber, Lynne Rudder Baker, Ben Bradley, John W. Carroll, Reinaldo Elugardo, Geoffrey Gorham, Mark Hinchliff, Jenann Ismael, Barbara Levenbook, Andrew Light, Lawrence B. Lombard, Ned Markosian, Harold Noonan, John Perry, Harry S. Silverstein, Matthew H. Slater, Robert J. Stainton, Neil A. Tognazzini The hardcover edition does not include a dust jacket. (shrink)

Researchers are beginning to transition from studying human–automation interaction to human–autonomy teaming. This distinction has been highlighted in recent literature, and theoretical reasons why the psychological experience of humans interacting with autonomy may vary and affect subsequent collaboration outcomes are beginning to emerge (de Visser et al., 2018;Wynne and Lyons, 2018). In this review, we do a deep dive into human–autonomy teams (HATs) by explaining the differences between automation and autonomy and by reviewing the domain of human–human teaming to make (...) inferences for HATs. We examine the domain of human–human teaming to extrapolate a few core factors that could have relevance for HATs. Notably, these factors involve critical social elements within teams that are central (as argued in this review) for HATs. We conclude by highlighting some research gaps that researchers should strive toward answering, which will ultimately facilitate a more nuanced and complete understanding of HATs in a variety of real-world contexts. (shrink)

Paulin and Cahill‐Lane explore the origins of event processing and event prediction in animal evolution. They propose that the evolutionary benefit of being able to predict and thus to quickly react to anticipated events may have triggered the evolution of the earliest nervous systems.

As improvements in neuroscience have enabled a better understanding of disorders of consciousness as well as methods to treat them, a hurdle that has become all too prevalent is the denial of coverage for treatment and rehabilitation services. In 2011, a settlement emerged from a Vermont District Court case, Jimmo v. Sebelius, which was brought to stop the use of an “improvement standard” that required tangible progress over an identifiable period of time for Medicare coverage of services. While the use (...) of this standard can have deleterious effects on those with many chronic conditions, it is especially burdensome for those in the minimally conscious state, where improvements are unpredictable and often not manifested through repeatable overt behaviors. Though the focus of this paper is on the challenges of brain injury and the minimally conscious state, which an estimated 100,000 to 200,000 individuals suffer from in the United States, the post-Jimmo arguments presented can and should have a broad impact as envisioned by the plaintiffs who brought the case on behalf of multiple advocacy groups representing patients with a range of chronic care conditions. (shrink)