Timothy Williamson has argued that a person S ’s total evidence is constituted solely by propositions that S knows. This theory of evidence entails that a false belief can not be a part of S ’s evidence base for a conclusion. I argue by counterexample that this thesis (E = K for now) forces an implausible separation between what it means for a belief to be justified and rational from one’s perspective and what it means to base one’s beliefs on (...) the evidence. Furthermore, I argue that E = K entails the implausible result that there are cases in which a well-evidenced belief necessarily can not serve as evidence for a further proposition. (shrink)

Pragmatic Encroachment, Religious Belief and Practice engages several recent and important discussions in the mainstream epistemological literature surrounding 'pragmatic encroachment'. It has been argued that what is at stake for a person in regards to acting as if a proposition is true can raise the levels of epistemic support required to know that proposition. Do the high stakes involved in accepting or rejecting religious beliefs raise the standards for knowledge that 'God exists', 'Jesus rose from the dead' and other propositions? (...) Professor Rizzieri also examines whether or not knowledge and justification norms of belief and action undermine the pragmatic grounds for religious belief suggested by William James. Rizzieri argues that such norms favor an attitude of hope, as opposed to belief, under conditions of uncertainty. Finally, Rizzieri argues the connections between knowledge and rational action undermine radically externalist accounts of religious knowledge and proposes an alternative account of the justification of religious beliefs. (shrink)

The left ventricular assist device was originally designed to be surgically implanted as a bridge to transplantation for patients with chronic end-stage heart failure. On the basis of the REMATCH trial, the US Food and Drug Administration and the US Centers for Medicare & Medicaid Services approved permanent implantation of the left ventricular assist device as a destination therapy in Medicare beneficiaries who are not candidates for heart transplantation. The use of the left ventricular assist device as a destination therapy (...) raises certain ethical challenges. Left ventricular assist devices can prolong the survival of average recipients compared with optimal medical management of chronic end-stage heart failure. However, the overall quality of life can be adversely affected in some recipients because of serious infections, neurologic complications, and device malfunction. Left ventricular assist devices alter end-of-life trajectories. The caregivers of recipients may experience significant burden (e.g., poor physical health, depression, anxiety, and posttraumatic stress disorder) from destination therapy with left ventricular assist devices. There are also social and financial ramifications for recipients and their families. We advocate early utilization of a palliative care approach and outline prerequisite conditions so that consenting for the use of a left ventricular assist device as a destination therapy is a well informed process. These conditions include: (1) direct participation of a multidisciplinary care team, including palliative care specialists, (2) a concise plan of care for anticipated device-related complications, (3) careful surveillance and counseling for caregiver burden, (4) advance-care planning for anticipated end-of-life trajectories and timing of device deactivation, and (5) a plan to address the long-term financial burden on patients, families, and caregivers. Short-term mechanical circulatory devices (e.g. percutaneous cardiopulmonary bypass, percutaneous ventricular assist devices, etc.) can be initiated in emergency situations as a bridge to permanent implantation of ventricular assist devices in chronic end-stage heart failure. In the absence of first-person (patient) consent, presumed consent or surrogate consent should be used cautiously for the initiation of short-term mechanical circulatory devices in emergency situations as a bridge to permanent implantation of left ventricular assist devices. Future clinical studies of destination therapy with left ventricular assist devices should include measures of recipients' quality of end-of-life care and caregivers' burden. (shrink)

It is commonly held that epistemic standards for S ’s knowledge that p are affected by practical considerations, such as what is at stake in decisions that are guided by that p . I defend a particular view as to why this is, that is referred to as “pragmatic encroachment.” I then discuss a “new argument against miracles” that uses stakes considerations in order to explore the conditions under which stakes affect the level of epistemic support that is required for (...) knowledge. Finally, I generalize my results to include other religiously significant propositions such as “God exists” and “God does not exist.”. (shrink)

I argue that embryonic stem cell research is fair to the embryo, even on the assumption that the embryo has attained full personhood and an attendant right to life at conception. This is because the only feasible alternatives open to the embryo are to exist briefly in an unconscious state and be killed or to not exist at all. Hence, one is neither depriving the embryo of an enduring life it would otherwise have had nor is one causing the embryo (...) pain. I also argue that a rational agent in a situation relevantly similar to that of the embryo would consent to such research, and I use this insight to ground two justice-based arguments in favor of this research. (shrink)

I present three versions of the argument from divine hiddenness that are grounded in moral considerations regarding how a just deity would act and auxiliary commitments that theists often have. First, I argue that the problem of hiddenness is made worse if one also holds that many will suffer in the afterlife due to not achieving a proper orientation towards God and the demands of morality in this life. Second, I argue that if any version of the moral argument for (...) theism is successful, then God has a very good reason to not remain hidden. Third, I argue that a just God would not allow people to do evil in her name. (shrink)

The knowledge and attendant justification norms of belief and assertion serve to regulate our doxastic attitudes towards, and practices of asserting, various propositions. I argue that conforming to these norms under conditions of religious ignorance promotes responsible acts of assertion, epistemic humility, and non–dogmatic doxastic attitudes towards the content of one’s own faith. Such conformity also facilitates the formation of the religious personality in a healthy direction in other ways. I explore these ideas in relation to the Christian faith tradition, (...) but my reflections generalize. (shrink)