The claim that individuals legitimately differ with respect to their values seems to be uncontroversial among bioethicists, yet many bioethicists nevertheless oppose right-to-try laws. This seems to be due in part to a failure to recognize that such laws are intended primarily to be political, not legal, instruments. The right-to-try movement seeks to build political support for increasing access to newly developed drugs outside of clinical trials. Opponents of right-to-try laws claim that increasing access outside of clinical trials would undermine (...) evidence-based medicine. They seek to maximize overall gains to patients by protecting them from adverse drug reactions and ensuring that drugs are more effective on average. In contrast, right-to-try activists have a point that regulatory judgments of drug safety and effectiveness impose one set of trade-offs on all individuals, regardless of their different values. That might be acceptable if determinations of safety and effectiveness were black and white, but that does not seem to be the case. This article argues that judgments of safety and effectiveness are in an important respect normative and reflect the perceived value of those ends relative to others. Such judgments, when universally imposed, harm patients who would readily make do with less knowledge of drug safety and effectiveness in exchange for more time and self-determination. The relevant moral principle is that of respect for individual autonomy. Just as that principle should lead one to substitute collective decisions for individual ones to regulate a natural monopoly, the same principle should lead one to substitute individual decisions for collective ones to avoid a government monopoly on access to newly developed drugs. It is argued that reforms should increase the number of treatment options available to patients outside of clinical trials. The final section of the article discusses ways in which current regulations might be reformed so as to provide more treatment options outside of clinical trials, without undermining evidence-based medicine. (shrink)

Heated debates over healthcare policy in the United States point to the need for a legal framework that can sustain both moral diversity and peaceful cooperation. It is argued that the classical liberal Rule of Law, with its foundation in the ethical principle of permission, is such a framework. The paper shows to what extent the current healthcare policy landscape in the United States diverges from the rule of law and suggests how the current framework could be modified in order (...) to better approximate that ideal. Two objections are then answered. The first is that the rule of law cannot be realized due to the structure of legislatures. The second objection is that government should guarantee both liberty and all of the necessary conditions of autonomy. (shrink)

Santayana may be read as a conservative in behavior, thought, and feeling, if not in creed. A close reading of Scepticism and Animal Faith (SAF), Santayana’s autobiography, Persons and Places (PP), and Santayana’s ontology as articulated in Realms of Being (RB), supports an interpretation of Santayana’s philosophy as one of human imperfection and limits, which includes a conservative vision of human flourishing.

Knowing that we are finite, how can we live to the fullest? Spanish/American philosopher George Santayana described a special kind of transcendence or "spirituality" that enables us to fully enjoy the present moment, regardless of our limited existence. This book clarifies and extends Santayana's account of spirituality, while suggesting how the detachment of spirituality can relieve human suffering, enrich our lives, and make us better human beings.

Most of Santayana’s critics view him as an epiphenomenalist. Angus Kerr-Lawson has written several articles that characterize Santayana’s account of consciousness as epiphenomenalist.1 In “Santayana’s Philosophy of Mind”, John Lachs considers the strengths and weaknesses of Santayana’s epiphenomenalism.2 These views are based on solid evidence. Although he seldom uses the word “epiphenomenalism”, Santayana’s most prominent account of mind-body relations has all the features of that theory. In “Apologia Pro Mente Sua”, Santayana praises an article by Eliseo Vivas that presents him (...) as an epiphenomenalist. He goes on to imply that he has never contradicted his “doctrine of the material inefficacy of.. (shrink)

American transcendentalism is essentially a kind of practice by which the world of facts and the categories of common sense are temporarily exchanged for the world of ideas and the categories of imagination. The point of this exchange is to make life better by lifting us above the conflicts and struggles that weigh on our souls. As these chains fall away, our souls rise to heightened experiences of freedom and union with the good. Emerson and Thoreau are the two most (...) significant nineteenth century proponents of American transcendentalism. (shrink)

Frank Mathias Oppenheim was born in Coldwater, Ohio, on May 18, 1925, and studied at Xavier, Loyola, and Saint Louis Universities. He joined the Chicago Province of the Jesuit Order in 1942 and was ordained on June 15, 1955. He is the author of four books on Josiah Royce’s philosophy: Royce’s Journey Down Under, Royce’s Mature Philosophy of Religion, Royce’s Mature Ethics, and Reverence for the Relations of Life: Re-Imagining Pragmatism via Josiah Royce’s Interactions with Peirce, James, and Dewey, in (...) addition to scores of journal articles devoted to Royce. Oppenheim is also the editor of Josiah Royce’s Late Writings: A Collection of Unpublished and Scattered Works, and was... (shrink)

Essays and poems explore the contemporary relevance of Emerson’s work and thought.

One of the merits of Royce’s writings is that Royce has set his sights high. The expanded edition of Race Questions, Provincialism, and Other American Problems, edited by Scott L. Pratt and Shannon Sullivan, is no exception to this rule. In pointing the way to “social salvation,” the shorter “Provincialism”—one of the essays added to the originals to form the expanded edition—captures the overarching purpose of the book and of much of Royce’s philosophy. The essays address different moral problems, but (...) they share the common goal of promoting what is arguably the highest ideal of civilized human life. Yet the republication of a philosophy book after an extended period of neglect raises the concern that .. (shrink)

Michael Brodrick’s book, The Ethics of Detachment in Santayana’s Philosophy, constitutes a much-needed contribution to the field of American philosophy. Although it is common for contemporary authors to claim that their preferred philosopher has been misunderstood, few can do so with as much conviction as Broderick has done for George Santayana, “a great and unjustly neglected philosopher”.The overarching goal of Brodrick’s investigation is the presentation of a conceptual framework for an “ethics of detachment” fundamentally mediated by human (...) finitude. Setting his work in opposition to the contemporary ethical conceit of an “attachment” to life, progress, and perfection, Brodrick seeks to demonstrate “how... (shrink)

This timely anthology contains five pieces of republished poetry (and one original poem) and eleven essays of varying length taking mostly contemporary stances on—and thus hoping to spur the on-going reception into the twenty-first century of—the work of Ralph Waldo Emerson. The assortment of the texts is heterogeneous, yet showing a slight philosophical emphasis: among the eleven essays, half a dozen are by authors trained in philosophy, a couple by literary scholars, and another couple by poets. The prose pieces are (...) previously unpublished, excluding the classical essays by Robert C. Pollock (published originally in 1958) and John J. McDermott (1980), as well as John Lysaker's thought-provoking meditation "Taking.. (shrink)

According to the received account of guilt in the philosophical literature, one cannot feel guilt unless one takes oneself to have done something morally wrong. But ordinary people feel guilt in many cases in which they do not take themselves to have done anything morally wrong. In this paper, I focus on one kind of guilt without perceived wrongdoing, guilt about being merely causally responsible for a bad state-of-affairs. I go on to present a novel account of guilt that explains (...) guilt about mere causal responsibility, according to which guilt represents part of the self as bound up with what is bad. (shrink)

Positive Psychology has been instrumental in promoting wellbeing science in the modern era. However, there are still ways in which positive psychology interventions and positive education programmes can be improved to achieve more robust and sustained effects. One suggested method is to make wellbeing more salient and tangible through the use of objective tools that assess the relationship between psychological and physiological wellbeing, and enable wellbeing status and change to be seen. With the addition of an interdisciplinary team, as well (...) as technology-enabled and pedagogically sound learning tools and approaches, the potential for positive outcomes and impact increases exponentially. Monitoring wellbeing progress in this way can provide evidence, motivation and belief in positive psychology and wellbeing interventions. This can lead to engaged learning, sustained benefits and systemic impact. Positive psychology needs to strategically extend on the emerging work in this field to help everyone, including policy makers, notice and value wellbeing. (shrink)

Excerpt from Die Ethik des Aristoteles: In Ihrer Systematischen Einheit und in Ihrer Geschichtlichen Stellung Untersucht 1. Die Tapferkeit. Keine systematische Anordnung der Tugenden Die sittliche Gesinnung als Motiv der Tapferkeit - die Tapferkeit als richtiges Masshalten. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing (...) imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.". (shrink)

Concepts and Cases in Nursing Ethics is an introduction to contemporary ethical issues in health care, designed especially for Canadian audiences. The book is organized around six key concepts: beneficence, autonomy, truth-telling, confidentiality, justice, and integrity. Each of these concepts is explained and discussed with reference to professional and legal norms. The discussion is then supplemented by case studies that exemplify the relevant concepts and show how each applies in health care and nursing practice. This new fourth edition includes an (...) added chapter on end-of-life issues, and it is revised throughout to reflect the latest developments on topics such as global health ethics, cultural competence, social media, and palliative sedation. (shrink)

Machine learning algorithms pervade contemporary society. They are integral to social institutions, inform processes of governance, and animate the mundane technologies of daily life. Consistently, the outcomes of machine learning reflect, reproduce, and amplify structural inequalities. The field of fair machine learning has emerged in response, developing mathematical techniques that increase fairness based on anti-classification, classification parity, and calibration standards. In practice, these computational correctives invariably fall short, operating from an algorithmic idealism that does not, and cannot, address systemic, Intersectional (...) stratifications. Taking present fair machine learning methods as our point of departure, we suggest instead the notion and practice of algorithmic reparation. Rooted in theories of Intersectionality, reparative algorithms name, unmask, and undo allocative and representational harms as they materialize in sociotechnical form. We propose algorithmic reparation as a foundation for building, evaluating, adjusting, and when necessary, omitting and eradicating machine learning systems. (shrink)

Our aim in this paper is to present the distinct ways in which Wolff, Baumgarten, and Kant understand the relationship between necessitation, constraint, and reluctant action in an effort to illustrate the subtle ways in which their conceptions of obligation differ from each another. Whereas Wolff conceives of natural or moral obligation as incompatible with constraint, Baumgarten holds that constraint and reluctant action are, in some instances, compatible with natural obligation. Kant departs from Baumgarten by conceiving of obligation as necessarily (...) involving constraint: as Kant’s reply to Schiller’s famous objection reveals, obligation must take on the character of constraint to reluctant action on account of the fact that human beings possess inclinations that always threaten to impel them in directions that oppose morality. (shrink)

Call "radical moral theorizing" the project of developing a moral theory that not only tries to conform to our existing moral intuitions, but also manifests various theoretical virtues: consistency, simplicity, explanatory depth, and so on. Many moral philosophers assume that radical moral theorizing does not require any particular metaethical commitments. In this paper, I argue against this assumption. The most natural justification for radical moral theorizing presupposes moral realism, broadly construed; in contrast, there may be no justification for radical moral (...) theorizing if moral anti-realism is true. (shrink)

The fact that Gilbert Ryle and J.L. Austin seem to disagree about the ordinary use of words such as ‘voluntary’, ‘involuntary’, ‘voluntarily’, and ‘involuntarily’ has been taken to cast doubt on the methods of ordinary language philosophy. As Benson Mates puts the worry, ‘if agreement about usage cannot be reached within so restricted a sample as the class of Oxford Professors of Philosophy, what are the prospects when the sample is enlarged?’ (Mates, Inquiry 1:161–171, 1958, p. 165). In this chapter, (...) we evaluate Mates’s criticism alongside Ryle’s and Austin’s specific claims about the ordinary use of these words, assessing these claims against actual examples of ordinary use drawn from the British National Corpus (BNC). Our evaluation consists in applying a combination of methods: first aggregating judgments about a large set of samples drawn from the corpus, and then using a clustering algorithm to uncover connections between different types of use. In applying these methods, we show where and to what extent Ryle’s and Austin’s accounts of the use of the target terms are accurate as well as where they miss important aspects of ordinary use, and we demonstrate the usefulness of this new combination of methods. At the heart of our approach is a commitment to the idea that systematically looking at actual uses of expressions is an essential component of any approach to ordinary language philosophy. (shrink)

From the concrete experience of war, Michael S. Yandell constructs a phenomenology of “negative revelation” in which false or distorted claims of goodness and justice disintegrate and become meaningless, adding depth to the term moral injury.