One consequence of the later Wittgenstein's influential critique of epistemological foundationalism has been to convince many contemporary philosophers that the ideal of universal and necessary cognitive grounds for moral or political norms is illusory. Recent neo-Wittgensteinian accounts of practical reason attempt to formulate a conception of a post-foundational politics in which a political ethos can be legitimate, rational or just even if its informing practices and cognitive standards lack foundational justification. Against these appropriations of Wittgenstein, I argue that his account (...) challenges foundationalism only by generating epistemological relativism at both the first-order level of belief systems and at the second-order level of the comparative evaluation of first-order belief systems and their non-comparable forms of justification. The result is a polytheism of forms of reason which imperils the methodological ideal of a non-relativistic practice of moral-political criticism. (shrink)

Driven by the demographic tsunami of a rapidly aging population, costs of universal healthcare in Japan have grown at an unprecedented rate. These trends are mirrored elsewhere, so industrialized countries are asking if Japan will become a global test case for healthcare delivery.