Physician assistants (PAs), nurse practitioners (NPs), and medical residents constitute an increasingly significant part of the American health care workforce, yet patient assent to be seen by nonphysicians is only presumed and seldom sought. In order to assess the willingness of patients to receive medical care provided by nonphysicians, we administered provider preference surveys to a random sample of patients attending three emergency departments (EDs). Concurrently, a survey was sent to a random selection of ED residents and PAs. All respondents (...) were to assume the role of patient when presented with hypothetical clinical scenarios and standardized provider definitions. Despite presumptions to the contrary, ED patients are generally unwilling to be seen by PAs, NPs, and residents. While seldom asked in practice, 79.5% of patients fully expect to see a physician regardless of acuity or potential for cost savings by seeing another provider. Patients are more willing to see residents than nonphysicians. (shrink)

This ground-breaking analysis of key differences between early Buddhist texts, written in Pali, Sanskrit and Chinese, puts fresh perspectives on the Buddha, Buddhism and Buddhist meditative practices. These practices will be of particular interest to present-day practitioners of awareness and insight meditation. A landmark book on Buddhist origins.

In a recent publication, d'Alençon et al.(1) presented evidence that a form of non‐homologous DNA recombination involving direct repeats is dependent upon the replication of the DNA. In addition, density‐labeling experiments showed that after recombination was stimulated, progenies were present only in molecules that had undergone complete replication. These observations are consistent with a replicative and not a breakage‐and‐rejoining model for the DNA recombination events. These two models had of course been contrasted many years ago in mechanistic studies of homologous (...) DNA recombination. It is therefore interesting to place the latest findings of d'Alençon et al. in this historical context. (shrink)

The meaning of its title, ‘Section with Verses’, may appear sufficient to explain why the Sagatha-vagga was identified as a discrete entity within the Samyuttanikaya. However, this article looks beyond that simple explanation, to discover whether some other rationale may underlie this grouping of samyuttas. It examines evidence that the compiling of the Sagatha-vagga was probably based on a familiar, although doctrinally marginal, piece of Buddhist teaching, namely the ‘eight Assemblies’.

In both the A?guttara Nik?ya in Pali and the Ekottarika?gamain Chinese translation, the suttas are grouped into eleven nip?tas, from the Ekaka-nip?ta/Eka-nip?ta to the Ek?dasaka-nip?ta – though in the Ekottarika?gama the nip?tas are not labelled as such. This grouping into nip?tas is based on the number of doctrinal items dealt with in the component suttas. In the Ones and Twos, it is often the case that a single original sutta has been subdivided so that its component sections become a series (...) of similarly structured derivative suttas superficially appropriate for inclusion in the Ones or Twos. Moreover, material for this process of subdividing has sometimes been provided by multiplying doctrinal sets with formulaic statements. In most of the remaining nip?tas the phenomena noted in the Ones and Twos are also present, but on a much smaller scale. In view of their Chinese counterparts in the Sa?yukta?gama, some groups of suttas in the A?guttara Nik?ya with sa?yutta-like nature were probably moved from the Sa?yutta Nik?ya to the A?guttara Nik?ya within the Pali tradition. Evidence of a comparable movement into the Ekottarika?gama is also available. The artificial suttas created by subdivision and the original suttas shared by the Ekottarika?gama and the A?guttara Nik?ya largely retained their original places at the beginning of each nip?ta, while the genuine suttas, probably earlier located in the Sa?yukta?gama and Madhyama?gama, were added progressively at the end of the growing nip?ta. (shrink)

What determines whether an action is right or wrong? Morality, Rules, and Consequences: A Critical Reader explores for students and researchers the relationship between consequentialist theory and moral rules. Most of the chapters focus on rule consequentialism or on the distinction between act and rule versions of consequentialism. Contributors, among them the leading philosophers in the discipline, suggest ways of assessing whether rule consequentialism could be a satisfactory moral theory. These essays, all of which are previously unpublished, provide students in (...) moral philosophy with essential material and ask key questions on just what the criteria for an adequate moral theory might be. (shrink)

ABSTRACT Four decades ago, Gerald Kramer showed that economic conditions affect electoral outcomes. Some researchers took this to mean that voters were self-interested, voting their “pocketbooks,” while others, such as Leif Lewin, took it to mean that voters were sociotropic, motivated by the public interest—and therefore altruistic. It is important, however, to avoid conflating sociotropic voters with altruistic ones. Voters might be voting in favor of politicians or parties that they think will further the public interest as an indirect route (...) to furthering their own interests, as members of the public. More research, perhaps conducted using novel methodologies, is needed in order to settle the extent to which voters are motivated by self-interest or by the public interest. (shrink)

ABSTRACT Four decades ago, Gerald Kramer showed that economic conditions affect electoral outcomes. Some researchers took this to mean that voters were self-interested, voting their “pocketbooks,” while others, such as Leif Lewin, took it to mean that voters were sociotropic, motivated by the public interest—and therefore altruistic. It is important, however, to avoid conflating sociotropic voters with altruistic ones. Voters might be voting in favor of politicians or parties that they think will further the public interest as an indirect route (...) to furthering their own interests, as members of the public. More research, perhaps conducted using novel methodologies, is needed in order to settle the extent to which voters are motivated by self-interest or by the public interest. (shrink)

James Stacey Taylor, in his book Markets With Limits, argues that Jason Brennan and Peter Jaworski, in their book Markets Without Limits, systematically mischaracterize the views of the anti-commodification theorists they are critiquing, attributing to them positions (e.g., semiotic essentialism and an asymmetry thesis) that they do not hold. Further, Taylor offers an anti-commodification hypothesis of his own to explain why talented academics like Brennan and Jaworski could fall into such systematic mistakes – namely, that the intrusion of market norms (...) into academia incentivizes scholars to prioritize original arguments in prominent venues over careful fact-checking. I argue that Taylor is correct in charging that Brennan and Jaworski have gotten their opponents’ views wrong; and I show how their subsequent replies to Taylor’s criticisms have been unconvincing. I also argue, however, that Taylor may be over-hasty in identifying the likely causes of their errors. (shrink)

The main body of this paper assesses a leading recent theory of fairness, a theory put forward by John Broome. I discuss Broome's theory partly because of its prominence and partly because I think it points us in the right direction, even if it takes some missteps. In the course of discussing Broome's theory, I aim to cast light on the relation of fairness to consistency, equality, impartiality, desert, rights, and agreements. Indeed, before I start assessing Broome's theory, I discuss (...) two very popular conceptions of fairness that contrast with his. One of these very popular conceptions identifies fairness with the equal and impartial application of rules. The other identifies fairness with all-things-considered moral rightness. (shrink)

The main body of this paper assesses a leading recent theory of fairness, a theory put forward by John Broome. I discuss Broome's theory partly because of its prominence and partly because I think it points us in the right direction, even if it takes some missteps. In the course of discussing Broome's theory, I aim to cast light on the relation of fairness to consistency, equality, impartiality, desert, rights, and agreements. Indeed, before I start assessing Broome's theory, I discuss (...) two very popular conceptions of fairness that contrast with his. One of these very popular conceptions identifies fairness with the equal and impartial application of rules. The other identifies fairness with all-things-considered moral rightness. (shrink)

Virtue ethics is normally taken to be an alternative to consequentialist and Kantian moral theories. I shall discuss what I think is the most interesting version of virtue ethics – Rosalind Hursthouse's. I shall then argue that her version is inadequate in ways that suggest revision in the direction of a kind of rule-consequentialism.

Darwin’s Cirripedia project was an exacting exercise in systematics, as well as an encrypted study of evolution in action. Darwin had a long-standing interest and expertise in marine invertebrates and their sexual arrangements. The surprising and revealing sexual differentiation he would uncover amongst barnacles represented an important step in his understanding of the origins of sexual reproduction. But it would prove difficult to reconcile these findings with his later theorizing. Moreover, the road to discovery was hardly straightforward. Darwin was both (...) helped and hindered by the tacit expectations generated by his transformist theorizing, and had to overcome culturally-embedded assumptions about gender and reproductive roles. Significant observational backtracking was required to correct several oversights and misapprehensions, none more so than those relating to the chronically misunderstood “Mr. Arthrobalanus.” With careful attention to chronology, this paper highlights some curious and overlooked aspects of Darwin’s epic project. (shrink)

The moral philosophy of the first half of the twentieth century, at least in the English-speaking part of the world, has been largely devoted to problems of an ontological or epistemological nature. This concentration of effort by many acute analytical minds has not produced any general agreement with respect to the solution of these problems; it seems likely, on the contrary, that the wealth of proposed solutions, each making some claim to plausibility, has resulted in greater disagreement than ever before, (...) and in some cases disagreement about issues so fundamental that certain schools of thought now find it unrewarding, if not impossible, to communicate with one another. Moral philosophers of almost all schools seem to agree, however, that no major possibility has been neglected during this period, and that every proposed solution which can be adjudged at all plausible has been examined with considerable thoroughness. It is now common practice, for example, for the authors of books on moral philosophy to introduce their own theories by what purports to be a classification and review of all \emph{possible} solutions to the basic problems of analysis; and in many cases, indeed, the primary defense of the author's own position seems to consist in the negative argument that his own position cannot fail to be correct because none of the others which he has mentioned is satisfactory. (shrink)

This complete life story of David Hume, one of Scotland’s greatest thinkers, follows the Enlightenment from its early roots to its full blossoming in 18th-century Edinburgh. Using original sources, many for the first time, this biography details every aspect of the philosopher’s life—from the lukewarm reception of his now pivotal work, Treatise of Human Nature, to the fame and near excommunication brought about by his famous Essays and History. Also detailed are the stories behind his nickname, “The Great Infidel,” the (...) numerous guests seeking an invitation to dine at his table, and his lengthy intellectual involvement with a married aristocrat. This work is a well-rounded picture of the man, the century in which he lived, his famous ideas, and above all, his humanity. (shrink)

A Lagrangian formulation is constructed for particle interpretations of quantum mechanics, a well-known example of such an interpretation being the Bohm model. The advantages of such a description are that the equations for particle motion, field evolution and conservation laws can all be deduced from a single Lagrangian density expression. The formalism presented is Lorentz invariant. This paper follows on from a previous one which was limited to the single-particle case. The present paper treats the more general case of many (...) particles in an entangled state. It is found that describing more than one particle while maintaining a relativistic description requires the specification of final boundary conditions as well as the usual initial ones, with the experimenter’s controllable choice of the final conditions thereby exerting a backwards-in-time influence. This retrocausality then allows an important theoretical step forward to be made, namely that it becomes possible to dispense with the usual, many-dimensional description in configuration space and instead revert to a description in space–time using separate, single-particle wavefunctions. (shrink)

This paper is concerned with the causally symmetric version of the familiar de Broglie–Bohm interpretation, this version allowing the spacelike nonlocality and the configuration space ontology of the original model to be avoided via the addition of retrocausality. Two different features of this alternative formulation are considered here. With regard to probabilities, it is shown that the model provides a derivation of the Born rule identical to that in Bohm’s original formulation. This derivation holds just as well for a many-particle, (...) entangled state as for a single particle. With regard to “certainties”, the description of a particle’s spin is examined within the model and it is seen that a statistical description is no longer necessary once final boundary conditions are specified in addition to the usual initial state, with the particle then possessing a definite value for every spin component at intermediate times. These values are consistent with being the components of a single, underlying spin vector. The case of a two-particle entangled spin state is also examined and it is found that, due to the retrocausal aspect, each particle possesses its own definite spin during the entanglement, independent of the other particle. In formulating this picture, it is demonstrated how such a realistic model can preserve Lorentz invariance in the face of Bell’s theorem and avoid the need for a preferred reference frame. (shrink)

Act-utilitarianism claims that one is required to do nothing less than what makes the largest contribution to overall utility. Critics of this moral theory commonly charge that it is unreasonably demanding. Shelly Kagan and David Brink, however, have recently defended act-utilitarianism against this charge. Kagan argues that act-utilitarianism is right, and its critics wrong, about how demanding morality is. In contrast, Brink argues that, once we have the correct objective account of welfare and once we accept that act-utilitarianism is a (...) criterion of moral rightness, not necessarily a good method for everyday moral thought, act-utilitarianism is not as demanding as its critics claim. I shall argue that Brink's arguments for thinking act-utilitarianism is not so demanding fail. I shall then argue against Kagan that, in comparison with act-utilitarianism, rule-utilitarianism is considerably less demanding and more plausible. (shrink)

Katarzyna de Lazari-Radek and Peter Singer’s wonderful book, The Point of View of the Universe: Sidgwick and Contemporary Ethics, contains a wealth of intriguing arguments and compelling ideas. The present paper focuses on areas of continuing dispute. The paper first attacks LazariRadek’s and Singer’s evolutionary debunking arguments against both egoism and parts of common-sense morality. The paper then addresses their discussion of the role of rules in utilitarianism. De Lazari-Radek and Singer concede that rules should constitute our moral decision procedure (...) and our public morality. This paper argues that, if no one should be blamed for complying with the optimal decision procedure and optimal public rules, there are strong reasons to accept that these same rules determine what is morally permissible from what is morally wrong. (shrink)

This scarce antiquarian book is a facsimile reprint of the original. Due to its age, it may contain imperfections such as marks, notations, marginalia and flawed pages. Because we believe this work is culturally important, we have made it available as part of our commitment for protecting, preserving, and promoting the world's literature in affordable, high quality, modern editions that are true to the original work.

This paper begins by celebrating Sidgwick's Methods of Ethics. It then discusses Sidgwick's moral epistemology and in particular the coherentist element introduced by his argument from common-sense morality to utilitarianism. The paper moves on to a discussion of how common-sense morality seems more appealing if its principles are formulated as picking out pro tanto considerations rather than all-things-considered demands. Thefinal section of the paper considers the question of which version of utilitarianism follows from Sidgwick's arguments.

In his essay “Rand, Paterson, and the Problem of Anarchism,” which appeared in The Journal of Ayn Rand Studies (July 2013), Stephen Cox argues that the principles of consent and non-initiation of force on which anarchists rely are too strong, and would require undue violation of the principle of non-sacrifice unless modified. But properly interpreted, these principles do not generate the conflicts that Cox describes, and such modifications as are defensible still do not rule out anarchism; hence Cox's case against (...) anarchism fails. (shrink)

Roderick Firth's writings on epistemology amount to an exceptionally careful and cogent defense of an account of perceptual knowledge in the tradition Firth called 'radical empiricism.' This important book collects all of Firth's major works on epistemology; it also contains his only publication in ethics, the extremely influential essay on 'Ethical Absolutism and the Ideal Observer.' In addition, the book includes a number of important previously unpublished essays. Together, these writings constitute the most finished and compelling version of traditional (...) empiricist epistemology. This book will be of value to students and scholars of epistemology, phenomenalism, and ethics. (shrink)

A generalization of the familiar de Broglie-Bohm interpretation of quantum mechanics is formulated, based on relinquishing the momentum relationship p=∇S and allowing a spread of momentum values at each position. The development of this framework also provides a new perspective on the well-known question of joint distributions for quantum mechanics. It is shown that, for an extension of the original model to be physically acceptable and consistent with experiment, it is necessary to impose certain restrictions on the associated joint distribution (...) for particle positions and momenta. These requirements thereby define a new class of possible models. In pursuing this line of reasoning, the main contributions of this paper are (i) to identify the restrictions that must be imposed, (ii) to demonstrate that joint distribution expressions satisfying them do exist, and (iii) to construct a sample model based on one such joint distribution. (shrink)

J. S. Mill's distinction between higher and lower pleasures is often thought to conflict with his commitment to psychological and ethical hedonism: if the superiority of higher pleasures is quantitative, then the higher/lower distinction is superfluous and Mill contradicts himself; if the superiority of higher pleasures is not quantitative, then Mill's hedonism is compromised.

Are federal prosecutions of non-federal officials for corruption likely to improve non-federal government? This essay suggests that such prosecutions can undermine the distinctive style of democracy at the state and local level, an effect that can be harmful to democracy in America overall. This conclusion rests on a larger argument about the different nature of federal and non-federal democracy in the United States. To insure that each official maintains impartial loyalty to values defined by a single, popularly accountable policymaker, the (...) federal system of bureaucratic populism strictly separates the officials’ public and private interests, through various devices such as civil service protection for executive officials, Article III life tenure, and fixed salary for federal judges, specialized training for federal officers, and conflict-of-interest rules that bar federal officers from acting when their judgment could be compromised by private interests. By contrast, participatory populism rejects this separation of the public and private spheres, instead mixing professional and lay decision-making by using thousands of part-time, under-paid executive and legislative officers who are expected to have substantial private interests in the communities that they represent. The essay argues that each style of democracy has mutually exclusive advantages and disadvantages. However, enforcement of federal anticorruption law against non-federal democracies can undermine their system of mingled private and public interests, reducing the degree to which such governments can provide laypersons with opportunities for political activity. As an illustration of the overextension of federal criminal law, I examine the First Circuit’s interpretation of 18 U.S.C. §§ 1341 and 1346, the federal mail fraud statute in United States v. Sawyer. Sawyer comes dangerously close to declaring that any undisclosed state or local officer’s conflict of interest constitutes a violation of § 1346 when it involves the U.S. mails. I argue that this view of § 1346 is an error. Participatory populism requires that private and public tasks be closely mingled in ways that bureaucratic populism forbids. Undoubtedly, this mixture of public and private creates a risk that public office will be used for private gain. However, it also avoids some of the bureaucratic sclerosis and lack of lay participation that can be endemic to the more centralized federal tradition. In conclusion, I suggest that federal prosecutors ought to content themselves with using § 1346 to enforce already-existing state criminal conflict-of-interest rules, for the sake of preserving a place in our federal regime for participatory populism. (shrink)

It is generally assumed that every adjective ending in -ης is an s-stem like εủγενς -ος; cf. γνος gen. γνε-ος, Lat. genus gener-is, Skr. janas janas-as) or δνσμευς . Solmsen, for instance, does not hesitate to regard μ-ηγερς as evidence for the s-stem geres which he wishes to find in γοστóς σ-τóς), and Bechtel infers a stem παγεσ - from περπαγς. The result of this well-nigh universal belief has been that hardly anybody has thought it worth while to examine these (...) words carefully. (shrink)

In reply to Seddon's charge that Long's analysis in Reason and Value rests on a mistaken reading of Plato, Long both defends his interpretation of Plato and argues that nothing in Reason and Value depends on Plato interpretation in any case.

"Churchland and Hooker have collected ten papers by prominent philosophers of science which challenge van Fraassen's thesis from a variety of realist perspectives. Together with van Fraassen's extensive reply... these articles provide a comprehensive picture of the current debate in philosophy of science between realists and anti-realists."—Jeffrey Bub and David MacCallum, Foundations of Physics Letters.

In 1943, Allied forces in recently liberated Naples were confronted with an outbreak of louse-borne typhus. The established Anglo-American narrative of that epidemic is a triumphant story of effective action that controlled the disease with unprecedented speed and success, aided by the pioneering use of the pesticide DDT. Rather than retell that tale, this article discusses why the outbreak and its ending are largely absent from Italian accounts of wartime Naples. Drawing on Italian sources and contemporary Allied ones, it argues (...) that this absence speaks powerfully to the realities of life for Neapolitans at the time. These realities included the likelihood that the epidemic left most people unscathed, and the presence of additional challenges that made survival in the city perilous. Illustrating how tangled events (and even non-events) can be fashioned into simplistic but meaningful frameworks according to the perspective and priorities of the observer, the article also demonstrates how methods (in this case, delousing with insecticide) that were later proclaimed as crucial in ending an epidemic can be viewed very differently by populations required to comply with them, especially when the disease's dangers seem remote. (shrink)