At the time of this writing, a widely publicized, waived-consent trial is underway. Sponsored by Northfield Laboratories, Inc. (Evanston, IL) the trial is intended to evaluate the emergency use of PolyHeme®, an oxygen-carrying resuscitative fluid that might prevent deaths from uncontrolled bleeding. The protocol allows patients in hemorrhagic shock to be randomized between PolyHeme® and saline in the field and, still without consent, randomized between PolyHeme® and blood after arrival at an emergency department. The Federal regulations that govern the waiver (...) of consent restrict its applicability to circumstances where proven, satisfactory treatments are unavailable. Blood - the standard treatment for hemorrhagic shock - is not available in ambulances but is available in hospitals. The authors argue that the in-hospital stage of the study fails to meet ethical and regulatory standards. (shrink)

This commentary shall focus on the central claim made in Lynch et al.’s paper “Promoting Ethical Payment in Human Infection Challenge Studies.” According to their paper, there is a threefold...

Using a case of intended but failed doping, the author seeks to answer the question of if an agent cheated when they intended to but failed in the case of doping due to inert, counterfeit drugs. The examination looks at the case using the concept of cheating and concludes by dividing the results of cheating into primary and secondary effects.

Libertarians like Robert Kane believe that indeterminism is necessaryfor free will. They think this in part because they hold both (1) thatmy being the ultimate cause of at least part of myself is necessary forfree will and (2) that indeterminism is necessary for this ``ultimateself-causation''. But seductive and intuitive as this ``USCLibertarianism'' may sound, it is untenable. In the end, nometaphysically coherent (not to mention empirically valid) conception ofultimate self-causation is available. So the basic intuition motivatingthe USC Libertarian is ultimately (...) impossible to fulfill. (shrink)

This paper is a comparative analysis of egalitarianism and utilitarianism from a naturalistic perspective that offers some insight into the manner in which we come to make interpersonal comparisons of welfare.

Is political discourse an impotent spectator to the ongoing exercise of political power? Can we ever resolve the tensions between the political values of liberty and equality? With Drew Arrowood, Lawrence Hatab, and James Sterba.

Field's claim that we have a notion of consistency which is neither model-theoretic nor proof-theoretic but primitive, is examined and criticized. His argument is compared to similar examinations by Kreisel and Etchemendy, and Etchemendy's distinction between interpretational and representational semantics is employed to reveal the flaw in Field's argument.

I interpret Mill?s view on logic as the instrumentalist view that logical inferences, complex statements, and logical operators are not necessary for reasoning itself, but are useful only for our remembering and communicating the results of the reasoning. To defend this view, I first show that we can transform all the complex statements in the language of classical first-order logic into what I call material inference rules and reduce logical inferences to inferences which involve only atomic statements and the material (...) inference rules. Then I explain why we introduce logical operators and logical inference rules into a system of the latter kind. In the end I determine what kind of negation is justified from this point of view. (shrink)

It is now 110 years since the first reported medical use of donor insemination. Despite its somewhat doubtful beginnings and its chequered history, especially up until the 1970s, DI has become a well accepted and utilised part of most infertility treatment services. An American survey in 1988 reported that approximately 80,000 women a year undergo the procedure, and that over 30,000 children are born each year. The only figures from the United Kingdom cover a 5-month period between August 1 and (...) December 31, 1991, and show that 4,260 patients were treated with DI during this period. The treatment was carried out in 85 different centres. (shrink)

ABSTRACT Coase's now famous paper, ‘The Problem of Social Cost’, argues that social harms caused by industry are best addressed through a policy which would be optimal in terms of market efficiency. I argue that this narrowly based policy represents a classic example of the failure of many welfare economists to consider adequately the ethical implications of their recommendations. I also indicate the manner in which Coase's recommendations conflict with intuitively well‐established ethical principles. I conclude that only an approach that (...) considers many more features than market efficiency can produce an optimal policy for dealing with the social costs of production. (shrink)

One of the central debates amongst U. S. constitutional theorists for more than a generation has been between (conservative) ‘originalists’ arguing that, in interpreting and applying the Constitution, judges are duty bound to adhere to the original understandings at the time of the Constitution’s adoption and (liberal/progressive) ‘living constitutionalists’ arguing rather that, when appropriate, judges should read the Constitution in light of contemporary needs and moral aspirations. While acknowledging the significance and legitimacy of the originalist call for fidelity to history (...) and newly incorporating elements of their arguments into his theory, Fleming, in Fidelity to Our Imperfect Constitution, re-affirms moral aspirationalism as the ultimate foundation of the interpretive project. I argue here, as against Fleming, that the opposition that he (and other American constitutional theorists) have drawn between originalism’s historicism and living constitutionalism’s moral aspirationalism is a false binary – the contingent product of a developmental succession of political battles between American conservatives and progressive/liberals over the course of the twentieth century. I argue here, contra Fleming, that in both theory and practice, in the U. S. at least, history and moral aspiration are and have always been inextricably intertwined —inseparable— and that, going forward, U. S. constitutional historians and theorists would do better by forthrightly acknowledging and accounting for this fact, and dynamic. (shrink)

Can the use of terror as a political weapon ever be justified? What are the political implications of the struggle to define the concept of "terrorism"? Was the attack on the USS Cole a terrorist act? What role do the intentions of the terrorist and the state of mind of the victims play? Does the modern concept of the nation-state necessarily require the radical devaluation of the use of terror for political ends? With Robert Rafalko, Philip Devine, and Scott Hibbard.

Is political discourse an impotent spectator to the ongoing exercise of political power? Can we ever resolve the tensions between the political values of liberty and equality? With Drew Arrowood, Lawrence Hatab, and James Sterba.

Is believing in "minds" as qualitatively distinct from "bodies" just wrong headed? Did René Descartes set us off on a four hundred year wild goose chase? How should we think about this traditional dichotomy? With Wayne Alt, Alicia Juerrero, and Daniel Robinson.

Is believing in "minds" as qualitatively distinct from "bodies" just wrong headed? Did René Descartes set us off on a four hundred year wild goose chase? How should we think about this traditional dichotomy? With Wayne Alt, Alicia Juerrero, and Daniel Robinson.

In recent years, the constitutional freedom of association has assumed a relatively low profile. Today, the most extended discussions of the right consider it as a second-order countervailing claim in civil rights cases involving questions of identity and the right to exclude. This article provides a brief overview of the right at a time when it was one of the most widely discussed, first-order constitutional rights, and when those discussions centered not on the right to exclude but on the question (...) of “guilt by association.” The article provides a sampling of the way that right was considered in the immediate post-World War Two years in the writings of some of the era's most prominent civil libertarian thinkers – Leo Pfeffer, Milton Konvitz, Robert Cushman, Henry Steele Commager, Zechariah Chafee, Jr., and Sidney Hook. These writings demonstrate that doctrinal development concerning the right was driven by its implication in two of the major political issues of the day: domestic security at the height of the Cold War and civil rights. The article concludes by arguing that, in the aftermath of the September 11 attacks and the ongoing fight against terrorism, free association questions are likely to assume renewed prominence. It argues further that, in a contemporary context, those thinking about the most pressing freedom of association questions would profit by looking less to the more recent discussions of the right as a matter of the right to exclude, and more to the highly-relevant discussions of “guilt by association” by the currently less well known mid-century civil libertarians. (shrink)

The industries of Japan have developed by learning from Western industries, especially the USA, and by implementing many of their concepts and technologies. However, Japanese industries have often implemented these concepts and technologies in a very different way from the USA. For example, while the USA uses information systems in retail industries as a tool by which data are collected and analysed to ‘control the market’, in Japan this same technology is considered rather as a learning device to ‘interpret the (...) market’. While in the USA the market is seen as a natural phenomenon capable of being controlled, the Japanese see it as an ambiguous phenomenon that is ever changing and is not capable of being controlled. Rather it is important to feel the change in the market itself. (shrink)

Ken Elkins retired as chief photographer of the Anniston Star in 2000, and this selection of his work demonstrates his brilliant eye for finding and capturing images of rural southern lives and landscapes in all their difficulty, candor, and humor. These are unadorned images of a timeless landscape and proud resourceful people, who know well their neighbors, honor their past, and face the tests of daily life with wit and a stoic sense of endurance.

v. 1. The spectrum of consciousness ; No boundary ; Selected essays -- v. 2. The Atman Project ; Up from Eden -- v. 3. A sociable god ; Eye to eye -- v. 4. Integral psychology ; Transformations of consciousness ; Selected essays -- v. 5. Grace and grit : spirituality and healing in the life and death of Treya Killam Wilber. 2nd ed. -- v. 6. Sex, ecology, spirituality : the spirit of evolution. 2nd, rev. ed. -- v. (...) 7. A brief history of everything ; The eye of spirit -- v. 8. The marriage of sense and soul ; One taste. (shrink)

Ever since the publication of his first book, The Spectrum of Consciousness, written when he was twenty-three, Ken Wilber has been identified as the most comprehensive philosophical thinker of our times. This introductory sampler, designed to acquaint newcomers with his work, contains brief passages from his most popular books, ranging over a variety of topics, including levels of consciousness, mystical experience, meditation practice, death, the perennial philosophy, and Wilber's integral approach to reality, integrating matter, body, mind, soul, and spirit. Here (...) is Wilber's writing at its most reader-friendly, discussing essential ideas of the world's great psychological, philosophical, and spiritual traditions in language that is lucid, engaging, and inspirational. (shrink)