Donald Davidson's work has been of seminal importance in the development of analytic philosophy and his views on the nature of language, mind and action remain the starting point for many of the central debates in the analytic tradition. His ideas, however, are complex, often technical, and interconnected in ways that can make them difficult to understand. This introduction to Davidson's philosophy examines the full range of his writings to provide a clear succinct overview of his ideas. This book begins (...) with an account of the assumptions and structure of Davidson's philosophy of language, introducing his compositionalism, extensionalism and commitment to a Tarski-style theory of truth as the model for theories of meaning. It goes on to show how that philosophical framework is to be applied and how it challenges the traditional picture. Marc Joseph examines Davidson's influential work on action theory and events and discusses the commonly made charge that his theory of action and mind leaves the mental as a mere 'epiphenomenon' of the physical. The final section explores Davidson's philosophy of mind, some of its consequences for traditional views of subjectivity and objectivity and, more generally, the relation between minded beings and the physical and mental world they occupy. (shrink)

Ludwig Wittgenstein’s _Tractatus Logico-Philosophicus_ is among the most ambitious and influential philosophical works of the early twentieth century, and in recent years it has again occupied a central position in discussions of Wittgenstein’s philosophy. Written in an austere and meticulous style, the _Tractatus_ addresses questions in the philosophy of language, logic, and metaphysics, and, according to its author, provides a solution to all the problems of philosophy. This Broadview Edition contains the original English translation by C.K. Ogden and Frank P. (...) Ramsey, annotated and revised by the editor for improved accuracy and clarity. Appendices include important material by Gottlob Frege and Bertrand Russell, as well as excerpts from Wittgenstein’s other writings. (shrink)

It is argued that the finitist interpretation of wittgenstein fails to take seriously his claim that philosophy is a descriptive activity. Wittgenstein's concentration on relatively simple mathematical examples is not to be explained in terms of finitism, But rather in terms of the fact that with them the central philosophical task of a clear 'ubersicht' of its subject matter is more tractable than with more complex mathematics. Other aspects of wittgenstein's philosophy of mathematics are touched on: his view that mathematical (...) propositions are 'grammatical propositions' (and so, Strictly speaking, Not genuine propositions at all) and his view that in mathematics 'everything is algorithm, Nothing meaning'. His views on consistency and his anti-Foundationalism are linked with this central thesis. (shrink)

External obstacles to properly understanding Wittgenstein’s philosophy of mathematics are not lacking, either. For one thing, there is the piecemeal way that his mathematical manuscripts have been made available. The editors of Remarks on the Foundations of Mathematics write that “the time has not yet come to print the whole of Wittgenstein’s MSS on these... topics”. One wonders what sorts of reasons there could be for that editorial choice.

Joseph Heath defends competitive markets and conceptualizes business ethics with reference to Pareto efficiency, which he takes to be the “implicit morality of the market.” His justification for markets is that they generate Pareto efficient outcomes, meaning that markets optimally satisfy consumer preferences. And, for Heath, business ethics is the set of normative constraints—regulation and beyond-compliance norms—needed to preserve that outcome. The present paper accepts Heath’s claim that the economic justification for markets is ethical, in that satisfying consumer preferences (...) is a good. But, contra Heath, the ethical consideration at work is a consequentialist one; and acknowledging this consequentialism exposes limitations of Heath’s “market failures” approach to business ethics. We suggest two limitations, and we expect many will accept our argument that Heath’s conception of business ethics is too narrow. The present paper outlines two broader implications. First, acknowledging that the justification for markets is ethical eliminates the apparent—and false—conflict between purportedly amoral economic activity on one hand and ethical considerations on the other; instead, business ethics is a matter of weighing the consequentialist ethical benefit of economic activity and markets against other moral arguments/other ethical considerations. Second, Heath restricts business ethics to the constraints needed to protect the market’s ability to efficiently satisfy consumer preferences, constraints he calls “efficiency imperatives”; this restriction supports the widespread tendency to think that all social problems are economic; and, a business ethics so-conceived diminishes the perceived importance of noneconomic values—this attitude is dangerous. (shrink)

Joseph A. Bracken, S.J,. is one of the more significant North American theologians of the past 40 years. With 12 monographs, two edited or co-edited volumes, over 150 articles, numerous professional and popular conference presentations and media appearances, he is one of the foremost interlocutors in contemporary theological discourse. Having developed and consistently defended a comprehensive and intellectually rigorous worldview that combines the modern and classical Christian worldviews, Bracken has accomplished an invaluable service to the academy, the church, and (...) the world. He has not favored a particular theological or philosophical system, past or present. Instead, he culls what he judges to be true and good in a myriad of seemingly prima facie noncompossible thinkers and systems with divergent programs. Synthesizing the Catholic intellectual tradition and process-relational metaphysics, Bracken also incorporates aspects of German and Anglo-American Idealism, Pragmatism, recent philosophy of science, and a litany of past and present theologians and philosophers. The present volume is a Festschrift to honor Bracken’s career and accomplishments. It differs from the standard Festschrift genre in that the contributors, while certainly explicating and reflecting upon various aspects of his comprehensive worldview, offer their original contributions n a variety of topics. They do in dialogue with Bracken’s positions, simply as starting points, not as end points. The common theme of the Festschrift, then, is serious reflection on and in some cases critique of Bracken’s comprehensive process-relational, Catholic, and Trinitarian worldview and its pertinence for work in contemporary theology from a given perspective. Yet there is a certain richness coming from the diverse perspectives of the contributors whose work intersects with Bracken’s, and not always in terms of process thought per se. The contributors come from diverse backgrounds, not only in process and Roman Catholic theology but also including even other academic disciplines. They represent a balance of senior and junior scholars, and of genders. (shrink)

Joseph Heath states that our paper “misinterpret[s]” and so misrepresents his account. The present Commentary corrects the record. Our paper (Cohen and Peterson 2019) outlined Heath’s account on his own terms; it explained that Heath distances himself from consequentialism. But then we argued that Heath is mistaken and so offered a repaired version of the market failures approach. Our central concern, in the original paper and in this short Commentary, is showing that the economic argument for markets is at (...) the same time ethical, and then being more precise about the ethical consideration that does the work. (shrink)

Management of organizational tensions can facilitate the simultaneous advancement of economic, social, and environmental priorities. The approach is based on managers identifying and managing tensions between the three priorities, by employing one of the three strategic responses. Although recent work has provided a theoretical basis for such tension acknowledgment and management, there is a dearth of empirical studies. We interviewed 32 corporate sustainability managers across 25 forestry and wood-products organizations in Australia. Study participants were divided into two groups: those considered (...) effective at corporate sustainability and a status-quo group. Contrary to current theory, our findings showed that acknowledgment of organizational tensions was widespread in the Australian forestry and wood-products industry and not limited to those managers who are effective at managing corporate sustainability. What differed was the degree to which managers did something about the perceived tensions—with the effective group more consistently acting to manage and resolve paradoxical scenarios. Our findings suggest that existing theoretical constructs of tension management may not adequately capture the individual-level complexity involved with managing tensions in practice. (shrink)

The increasing availability of brain data within and outside the biomedical field, combined with the application of artificial intelligence (AI) to brain data analysis, poses a challenge for ethics and governance. We identify distinctive ethical implications of brain data acquisition and processing, and outline a multi-level governance framework. This framework is aimed at maximizing the benefits of facilitated brain data collection and further processing for science and medicine whilst minimizing risks and preventing harmful use. The framework consists of four primary (...) areas of regulatory intervention: binding regulation, ethics and soft law, responsible innovation, and human rights. (shrink)

Many scholars agree that the Internet plays a pivotal role in self-radicalization, which can lead to behaviours ranging from lone-wolf terrorism to participation in white nationalist rallies to mundane bigotry and voting for extremist candidates. However, the mechanisms by which the Internet facilitates self-radicalization are disputed; some fault the individuals who end up self-radicalized, while others lay the blame on the technology itself. In this paper, we explore the role played by technological design decisions in online self-radicalization in its myriad (...) guises, encompassing extreme as well as more mundane forms. We begin by characterizing the phenomenon of technological seduction. Next, we distinguish between top-down seduction and bottom-up seduction. We then situate both forms of technological seduction within the theoretical model of dynamical systems theory. We conclude by articulating strategies for combatting online self-radicalization. (shrink)

This volume has 41 chapters written to honor the 100th birthday of Mario Bunge. It celebrates the work of this influential Argentine/Canadian physicist and philosopher. Contributions show the value of Bunge’s science-informed philosophy and his systematic approach to philosophical problems. The chapters explore the exceptionally wide spectrum of Bunge’s contributions to: metaphysics, methodology and philosophy of science, philosophy of mathematics, philosophy of physics, philosophy of psychology, philosophy of social science, philosophy of biology, philosophy of technology, moral philosophy, social and political (...) philosophy, medical philosophy, and education. The contributors include scholars from 16 countries. Bunge combines ontological realism with epistemological fallibilism. He believes that science provides the best and most warranted knowledge of the natural and social world, and that such knowledge is the only sound basis for moral decision making and social and political reform. Bunge argues for the unity of knowledge. In his eyes, science and philosophy constitute a fruitful and necessary partnership. Readers will discover the wisdom of this approach and will gain insight into the utility of cross-disciplinary scholarship. This anthology will appeal to researchers, students, and teachers in philosophy of science, social science, and liberal education programmes. 1. Introduction Section I. An Academic Vocation Section II. Philosophy Section III. Physics and Philosophy of Physics Section IV. Cognitive Science and Philosophy of Mind Section V. Sociology and Social Theory Section VI. Ethics and Political Philosophy Section VII. Biology and Philosophy of Biology Section VIII. Mathematics Section IX. Education Section X. Varia Section XI. Bibliography. (shrink)

Wittgenstein’s early philosophy of language is shaped by his attention to Parmenides’ paradox of false propositions and the problem of the unity of the proposition. Wittgenstein (dis)solves these two (pseudo)problems through his discussion of the “internal pictorial relation” between propositions and states of affairs, which is an artifact of language and the world being “constructed according to a common logical pattern” (TLP 4.014). After examining these issues, I argue that this treatment points to a further problem, namely, the question of (...) the agency responsible for this construction, and in the paper I briefly explore this byconsidering a parallel set of problems as they arise for Kant. For Kant, the question is what guarantees that nature conforms to our concepts and their logic, which he answers through his account of the normative authority we exercise in our cognitive activities. Wittgenstein, I argue, faces a parallel question, which he fails to face in his early work, and only begins to address in his later work on rule-following. (shrink)

The Catholic Church proscribes methods of birth control other than sexual abstinence. Although the U.S. Food and Drug Administration (FDA) recognizes abstinence as an acceptable method of birth control in research studies, some pharmaceutical companies mandate the use of artificial contraceptive techniques to avoid pregnancy as a condition for participation in their studies. These requirements are unacceptable at Catholic health care institutions, leading to conflicts among institutional review boards, clinical investigators, and sponsors. Subjects may feel coerced by such mandates to (...) adopt contraceptive techniques inconsistent with their personal situation and beliefs; women committed to celibacy or who engage exclusively in non-heterosexual activities are negatively impacted. We propose principles to insure informed consent to safeguard the rights of research subjects at Catholic institutions while mitigating this ethical conflict. At the same time, our proposal respects the interests of pharmaceutical research agencies and Catholic moral precepts, and fully abides by regulatory guidance. (shrink)

This collection of essays, offered in honor of the distinguished career of prominent political philosophy professor Clifford Orwin, brings together internationally renowned scholars to provide a wide context and discuss various aspects of the virtue of “humanity” through the history of political philosophy.

This collection of essays, offered in honor of the distinguished career of prominent political philosophy professor Clifford Orwin, brings together internationally renowned scholars to provide a wide context and discuss various aspects of the virtue of “humanity” through the history of political philosophy.

Identity, Morality, and Threat offers a critical examination of the social psychological processes that generate outgroup devaluation and ingroup glorification as the source of conflict. Daniel Rothbart and Karyna Korostelina bring together essays analyzing the causal relationship between escalating violence and opposing images of the Self and Other.

This rich and varied collection of essays addresses some of the most fundamental human questions through the lenses of philosophy, literature, religion, politics, and theology. Peter Augustine Lawler and Dale McConkey have fashioned an interdisciplinary consideration of such perennial and enduring issues as the relationship between nature and history, nature and grace, reason and revelation, classical philosophy and Christianity, modernity and postmodernity, repentance and self-limitation, and philosophy and politics.

Abstract.In Islam, the acquisition of knowledge is a form of worship. But human achievement must be exercised in conformity with God's will. Warnings against feelings of superiority often are coupled with the command to remain within the confines of God's laws and limits. Because of the fear of arrogance and disregard of the balance created by God, any new knowledge or discovery must be applied with careful consideration to maintaining balance in the creation. Knowledge must be applied to ascertain equity (...) and justice for all of humanity. Research in Islam must be linked to the broad ethical base set forth in the Qur'an and the Sunnah. Whether embryonic stem cell research or cloning is ethically acceptable in Islam depends on the benefits derived from such applications. What is most important for the scholars is to adhere to the concepts of compassion, mercy, and benefit to everyone. (shrink)

This text discusses the impact of immersive technologies on our identity and relationship to digital and analogue modalities in a non-normative way. It references the work of Joseph Beuys, specifically his iconic performance of being confined with a coyote in a gallery space for three days, to construct connections between borders, edges, limits and identity, face presentation, representation and projection towards ourselves and our audiences. We reference the works of Marcel Duchamp and George Orwell and compare the immersive devices (...) of the nineteenth century to current technology. Various works of art and literature are used to illustrate the impact of technology on society and the individual’s relationship to the collective imagination. The text raises questions about the limits or nonlimits of exposure of identity through machinic and technological devices or processes in the context of privacy of expression in a contemporary networked world. (shrink)

More than 800 years after his death, the figure of Moses Maimonides—rabbi, philosopher, doctor, and communal leader—continues to fascinate. _Studies in Maimonides and His Interpreters_ unites the traditional rabbinic approach and the modern academic perspective to forge a new understanding of this iconic teacher._ _ This groundbreaking work by Marc B. Shapiro, which includes an essay on Maimonides’ approach to superstition in rabbinic literature and features three previously unpublished letters by Rabbi Joseph Kafih, will be essential reading for (...) scholars and students of Jewish studies. (shrink)

Les " écrits intermédiaires " de Maurice Blondel, peu étudiés jusqu'ici de façon systématique, renferment sans doute la clef qui doit nous permettre de comprendre le passage de L'Action à " l'œuvre de maturité " du philosophe aixois, publiée dans les années 1930-1940, soit la grande Trilogie, ainsi que La Philosophie et l'Esprit chrétien. Le Colloque inter national réuni à Rome du 16 au 18 novembre 2000, dont nous présentons les Actes, a démontré la fécondité et le renouveau des perspectives (...) blondéliennes suscités par cette confrontation d'une trentaine de chercheurs avec les textes, stimulants et trop peu connus, publiés ou rédigés par Blondel de 1898 à 1930. Le présent volume est structuré autour de trois directions principales. La première concerne les relations, notamment épistolaires, de Blondel avec ses contemporains, en particulier Le Roy, Laberthonnière, Archambault, Teilhard de Chardin, Montcheuil et Duhem. La deuxième étudie directement les écrits et les thèmes les plus importants de cette période, de L'Illusion idéaliste aux Exigences philosophiques du christianisme. La troisième enfin considère la philosophie sociale de Blondel, son influence sur Don Luigi Sturzo et sur Gustavo Gutiérrez, ainsi que l'analogie de la pensée blondelienne avec celle du P. Joseph Wresinski, le père du " Quart Monde ". (shrink)

Le but de ce recueil est d’offrir des commentaires accessibles et introductifs aux textes classiques qu’ils accompagnent, en ouvrant des perspectives de discussion sur le thème du capitalisme. C’est en ce sens qu’Emmanuel Chaput lance le débat en commentant le texte de Pierre-Joseph Proudhon, « Qu’est-ce que la propriété ? ». Les textes de Karl Marx ne sont bien sûr pas laissés pour compte : Samuel-Élie Lesage s’engage fermement dans cette voie en discutant L’idéologie allemande de Karl Marx, Christiane (...) Bailey nous offre d’approcher différemment l’œuvre marxienne en abordant son traitement de la question animale dans des extraits du Manifeste du parti communiste et du Travail salarié et capital, et Mathieu Joffre-Lainé nous présente une analyse fine des questions proprement économiques du Capital. Abordant les alternatives au capitalisme dans la pensée de Léon Bourgeois, Éliot Litalien commente La Solidarité et Simon-Pierre Chevarie-Cossette s’attaque à l’analyse de l’Essai d’une philosophie de la solidarité. Enfin, en liant capitalisme, patriarcat et pouvoir politique, Tara Chanady propose une lecture du texte Du mariage et de l’amour de Emma Goldman. La conclusion de Marie-Eve Jalbert se situe dans une perspective contemporaine et critique en décortiquant la critique du socialisme avancée par Friedrich A. Hayek. (shrink)

This article explores the understanding of the Church as a creative minority, particularly in connection with the Matthean beatitude of peacemaking. Joseph Cardinal Ratzinger’s description of the Church as a creative minority provides the starting point. This paper investigates the communal, obedient practice of diaspora peacemaking from multiple and overlapping theological perspectives, including Biblical narratives of diaspora and of Babel, a comparison of political exile and critical exile, and diaspora peacemaking as a threefold ministry of the Church (priest, prophet, (...) king). The diaspora people of the new covenant are truly peacemakers–in service to God, creation, the Church and ultimately all people. (shrink)

Marc Lange offers a stale anthology that reflects the sad state of affairs in the camp of analytic philosophy. It is representative in a few respects, even in its maltreatment of Russell, Wittgenstein, and Popper. Despite its neglect of Wittgenstein, it shows again that Wittgenstein is the patron saint of the analytic school despite the fact that it does not abide by his theory of metaphysics as inherently meaningless.

Five years ago, the Journal of Nietzsche Studies published a special issue on Nietzsche and the affects. In it, Aurelia Armstrong wrote generically about the passions, Michael Ure discussed Schadenfreude, Joanne Faulkner addressed disgust, and Joseph Kuzma focused on eroticism.1 In subsequent issues, authors have discussed love,2 emotion in general,3 resentment,4 compassion,5 honor and empathy,6 and affect in general.7 This special section on emotions and reactive attitudes is a chance to take stock of the progress we have made as (...) a field, draw connections among the affects and emotions addressed in the secondary literature, and introduce new ideas and tools for future research.If the articles here are any... (shrink)

ABSTRACTEighteenth-century events, replete with Dickensian dualities, brought two Enlightenment families to America. Pierre-Samuel du Pont and Joseph Priestley contemplated relocating their families decades before immigrating. After arriving, they discovered deficiencies in education and chemistry. Their experiences were indicative of the challenges in transmitting transatlantic chemistry. The Priestleys were primed to found an American chemical legacy. Science connected Priestley to British manufacturers, Continental chemists, and American statesmen. Priestley's marriage into the Wilkinson ironmaster dynasty, and Lunar Society membership, helped his sons (...) apprentice, and befriend manufacturer-chemist Thomas Cooper. However, ideological persecution forced them from England. Priestley's plans for his sons to inherit Wilkinson's ironworks evaporated; in America, efforts to establish manufactories, colonies, farms, and a college miscarried. Cooper taught college chemistry, but his materialism provoked dismissals. The Du Ponts were unlikely founders of an industrial-chemistry empire. Du Pont's philosophy promulgated that agriculture, not industry, produced wealth. Eleuthère-Irénée apprenticed in France's gunpowder administration, however, plans for his succession died and director Antoine Lavoisier, a family friend, was executed. E.-I. and Du Pont's arrest precipitated relocation to America. Du Pont's utopian colony and schemes proved unrealistic. Nevertheless, E.-I.'s gunpowder manufactory—utilizing transatlantic contacts and privileged knowledge of advanced French chemistry—succeeded through practical application. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:PostfacePhilippe-Joseph Salazar, Guest Editor"France: Current Writing in Philosophy and Rhetoric" could be a subtitle for this volume. As guest editor I have chosen the genre of the postface rather than that of the preface. I wanted to let writings speak for themselves, unhindered by the added filter of an introduction. Prefaces are either congratulatory or a contribution in disguise—or, worse, a puerile attempt to overshadow the rest. However, (...) by way of a summation, a few, brief remarks are in order.Some thirty years ago it would have been impossible to seek out and secure authors to write on this subject. Since then a sea change has taken place, attracting into the circles of the "rhetorical turn" many a willing partaker. In this new game, two circles gyrate and now and then rotate in unison or collide.One circle, let us call it belletristic, was set in motion by Marc Fumaroli when he released, in 1980, his epoch-making Âge de l'éloquence. It was as if a new chord had been struck, catching most by surprise, heralding the sudden irruption of new thinking about the mainstay of French culture, the "classical age," that is, the seventeenth century, the sacrosanct age of Racine, Descartes, Louis XIV, and Nicolas Poussin. Fumaroli's work in rhetoric, aesthetics, and social commentary went to the heart of French literature and culture: it offered an hermeneutic opportunity to run against the grain of structuralism and Bourdieusian analyses, while it simultaneously brought to [End Page 424] light "rhetorical" layers, both religious and civil, of French culture that militant secularism and social positivism had long cast aside as pernicious or preposterous. It also served as a powerful antidote to "cultural studies." His influence is deep and wide and long lasting. Nancy Struever, who alongside Fumaroli founded the International Society for the History of Rhetoric, draws on her intimate knowledge of the French school to provide here a profound and critical account of his work in which she underscores how Fumaroli transformed, from the standpoint of the history of rhetoric, the study of Western European culture and social life forms—the award of the Balzan Prize to Fumaroli came on the heels of his Histoire de la rhétorique dans l'Europe moderne. He has, for all intents and purposes, created the French school of rhetoric studies, which has nurtured an ever-growing circle of scholars, now in its second generation, with a relief cohort at the ready (Salazar 2007).The other circle took a while longer to gain balance and establish momentum. It concerns itself with the complex relation between philology and philosophy. Indeed, French classical philology had long been resistant to the presence of philosophy and so too philosophy to philology. This uneasy and reciprocal indifference or even distrust can be traced back to the Discourse on Method, in which Descartes invented French philosophical prose, as Pierre Cahné puts it, a situation later aggravated by the spell German metaphysics cast over French philosophy in the nineteenth century. However, it was the enduring presence of Hegel in the 1930s, together with the material and intellectual rescue French philosophers offered Heidegger after 1945, and a sustained interest in Nietzsche and Husserl, that created the conditions for a new dalliance between philology and philosophy. It has been a multifaceted game: some Hellenists, like Nicole Loraux and Marcel Detienne, chose to develop an anthropological meditation on ancient Greece, bringing forth, in the process, rhetorical categories that before them were mere indicators (mètis, epitaphios). On the periphery stood Émile Benveniste with his philological enquiry into Indo European words as mental structures—his Vocabulaire remains a constant source of inspiration. Latinists had a problem of their own: their commonly shared notion that Latin was not a philosophical language, together with their vociferous prejudice against non-Ciceronian Latin, had consigned medieval and Renaissance thinkers and modes of thinking to the bogs of impure language. However, Latin scholars such as Alain Michel sought to unravel the Roman aesthetics inherent in a rhetorical way of life; this school of new Latinists propelled a remarkable revival of Neo-Latinity, which has [End Page 425] had a long-lasting influence on Renaissance studies... (shrink)

Conflicts of interest are rampant in the American medical community. Today it is not uncommon for doctors to refer patients to clinics or labs in which they have a financial interest (40% of physicians in Florida invest in medical centers); for hospitals to offer incentives to physicians who refer patients (a practice that can lead to unnecessary hospitalization); or for drug companies to provide lucrative give-aways to entice doctors to use their "brand name" drugs (which are much more expensive than (...) generic drugs). In Medicine, Money and Morals, Marc A. Rodwin draws on his own experience as a health lawyer--and his research in health ethics, law, and policy--to reveal how financial conflicts of interest can and do negatively affect the quality of patient care. He shows that the problem has become worse over the last century and provides many actual examples of how doctors' decisions are influenced by financial considerations. We learn how two California physicians, for example, resumed referrals to Pasadena General Hospital only after the hospital started paying $70 per patient (their referrals grew from 14 in one month to 82 in the next). As Rodwin writes, incentives such as this can inhibit a doctor from taking action when a hospital fails to provide proper service, and may also lead to the unnecessary hospitalization of patients. We also learn of a Wyeth-Ayerst Labs promotion in which physicians who started patients on INDERAL (a drug for high blood pressure, angina, and migraines) received 1000 mileage points on American Airlines for each patient (studies show that promotions such as this have a direct effect on a doctor's choice of drug). Rodwin reveals why the medical community has failed to regulate conflicts of interest: peer review has little authority, state licensing boards are usually ignorant of abuses, and the AMA code of ethics has historically been recommended rather than required. He examines what can be learned from the way society has coped with the conflicts of interest of other professionals --lawyers, government officials, and businessmen--all of which are held to higher standards of accountability than doctors. And he recommends that efforts be made to prohibit and regulate certain kinds of activity (such as kickbacks and self-referrals), to monitor and regulate conduct, and to provide penalties for improper conduct. Our failure to face physicians' conflicts of interest has distorted the way medicine is practiced, compromised the loyalty of doctors to patients, and harmed society, the integrity of the medical profession, and patients. For those concerned with the quality of health care or medical ethics, Medicine, Money and Morals is a provocative look into the current health care crisis and a powerful prescription for change. (shrink)

George Berkeley, Bishop of Cloyne, was an Irish philosopher and divine who pursued a number of grand causes, contributing to the fields of economics, mathematics, political theory and theology. He pioneered the theory of 'immaterialism', and his work ranges over many philosophical issues that remain of interest today. This volume offers a complete and accurate edition of Berkeley's extant correspondence, including letters written both by him and to him, supplemented by extensive explanatory and critical notes. Alexander Pope famously said 'To (...) Berkeley every virtue under heaven', and a careful reading of the letters reveals a figure worthy of admiration, sheds new light on his personal and intellectual life, and provides insight into the broad historical and philosophical currents of his time. The volume will be an invaluable resource for philosophers, modern historians and those interested in Anglo-Irish culture. (shrink)

Why do physicians have financial conflicts of interest? They arise because society expects physicians to act in their patients’ interest, while simultaneously, financial incentives encourage physicians to practice medicine in ways that promote their own interests or those of third parties. Because physicians’ clinical choices, referrals, and prescriptions affect the fortune of third parties, these third parties may offer physicians financial incentives to make income-driven clinical choices. In the past, physicians and scholars typically conceived of conflicts of interest as an (...) ethical issue to be resolved according to individual judgment or professional and organizational norms. However, society can mitigate or eliminate conflicts of interest by changing financial and organizational arrangements in medicine. Conflicts of interest, therefore, are as much matters of public policy and management as individual choices or social norms. (shrink)

Bryan Norton proposes a "convergence hypothesis'* stating that anthropocentrists and nonanthropocentrists can arrive at common environmental policy goals if certain constraints are applied. Within his theory he does not, however, address the consideration ofnonconsequentualist issues, and, therefore, does not provide an argument for the convergence between consequentualist and nonconsequentualist ethical positions. In the case of biotechnology, nonconsequentualist issues can dominate the debate in both the fields of environmental ethics and bioethics. I argue that, the convergence hypothesis must be rejected when (...) tested against the case of biotechnology, and this limitation of convergence applies to any theory of reconciliation within the "health" concept because the achievement and preservation of "health "emphasizes a consequentualist outlook. I conclude that an inclusive ethics for ecosystem and human health should be explicit about this limitation. (shrink)

The federal government indirectly subsidizes the pharmaceutical industry by funding basic research, various tax credits and deductions, patent rules, grants of market exclusivity, and other means, in order to spur drug development, promote public health, and improve medical care. But today, the pharmaceutical industry often neglects these goals and sometimes even undermines them, due to what Lawrence Lessig refers to as institutional corruption — that is, widespread or systemic practices, usually legal, that undermine an institution’s objectives or integrity. A key (...) source of institutional corruption is improper dependence by the institution or its key actors on the actions of third parties that have fundamentally different interests. It is the health care system’s improper dependency on pharmaceutical firms that allows them to displace some public policy goals and to compromise the attainment of others. (shrink)

Improper dependencies slant policy over a drug's life span, biasing the development of new drugs, the testing and marketing approval for new drugs, and the monitoring of patient safety after drugs are marketed. This article examines five ways in which the public improperly depends on pharmaceutical firms that compromise the integrity of pharmaceutical policy. Today the public relies on pharmaceutical firms: (1) to set priorities on drug research and development; (2) to conduct clinical trials to test whether drugs are safe (...) and effective; (3) to decide what clinical trial data to disclose to the public; (4) to monitor post marketing drug safety; (5) to supply product information to physicians and to finance continuing medical education and other professional activities. The article suggests options to overcome each of these dependencies. (shrink)

This paper argues that Rawls’ principles of justice provide a normative foundation for stakeholder theory. The principles articulate (at an abstract level) citizens’ rights; these rights create interests across all aspects of society, including in the space of economic activity; and therefore, stakeholders – as citizens – have legitimate interests in the space of economic activity. This approach to stakeholder theory suggests a political interpretation of Boatright’s Moral Market approach, one that emphasizes the rights/place of citizens. And this approach to (...) stakeholder theory – in terms of citizens – raises a further question, what rights and obligations do economic agents have, beyond those attached to their roles as citizens? Rawls would reject additional rights and obligations of this sort for two reasons, one tied to freedom and one tied to pluralism. Rawls’ work therefore presses us to re-conceptualize the place of ethical claims in the economic context. (shrink)

"A wide-ranging study of the 'way of ideas' and its metaphysics, culminating in a bold reinterpretation of Berkeley.".

Through the 1960s, many people claimed that drug advertising was educational and physicians often relied on it. Continuing Medical Education (CME) was developed to provide an alternative. However, because CME relied on grants, industry funders chose the subjects offered. Now policymakers worry that drug firms support CME to promote sales and that commercial support biases prescribing and fosters inappropriate drug use. A historical review reveals parallel problems between advertising and industry-funded CME. To preclude industry influence and improve CME, we should (...) ensure independent funding by taxing medical industries, facilities and physicians. Independent public and professional authorities should create CME curricula. An independent agency should allocate all funds to educational institutions for approved curricula. (shrink)

Public policy tries to promote appropriate drug use by allowing firms to market drugs in interstate commerce only for uses that the Food and Drug Administration has found to be safe and effective. Because of their medical knowledge, physicians are authorized to prescribe drugs even for uses unapproved by the FDA. Nevertheless, physicians have relied on drug firms for information on appropriate prescribing despite the inherent tension between drug firm dissemination of information to promote sales and rational prescribing. In the (...) past, physicians often relied particularly on drug firm advertising for information on drug use. Today, physicians rely on drug firms to finance continuing medical education. A historical review reveals connections between these two different ways commercial interests have influenced the information that physicians receive and points the way to needed reforms. (shrink)

The Food and Drug Administration authorizes the marketing of a drug only for uses that the manufacturer has demonstrated to be safe and effective, based on evidence from at least two clinical trials. However, the FDA does not regulate the practice of medicine, so physicians may prescribe drugs in any manner they choose. Prescribing drugs in ways that deviate from the uses specified in the FDA-approved drug label, package insert, and marketing authorization is referred to as off-label prescribing. This occurs (...) when physicians prescribe a drug for a therapeutic purpose other than the one approved by the FDA; treat patients in a different age cohort or gender than the population on which it was tested; or prescribe a different dose, for a different duration of use, or a different mode of administration than indicated on the label. (shrink)

Across the management, social science, and business ethics literatures, and in much of the philosophy literature, trust is characterized as a disposition to act given epistemic states—beliefs and/or expectations about others and about the risks involved. This characterization of trust is best thought of as epistemological because epistemic states distinguish trust from other dispositions. The epistemological characterization of trust is the amoral one referred to in the title of this paper, and we argue that this characterization is conceptually inadequate. We (...) outline and defend an alternative conception of trust as a moral phenomenon: when A trusts B to do something, A invites B to acknowledge and accept an obligation; when B accepts the invitation, B takes on an obligation; in that way trust creates an obligation. We conclude with an application, drawing out the difference between the epistemological conception of trust and our own in the context of Ghoshal et al.'s (Sloan Management Review 40:9—20, 1995, Academy of Management Learning & Education 4:75—91, 2005) critique of transaction cost theories of the firm. (shrink)

Bernard Williams briefly discusses agent regret in his broader account of moral luck. The present paper first outlines one way to develop Williams’s notion with reference to the unintended harm; it then suggests that agent regret can be counteracted by externalizing the action that caused unintended harm, in Harry Frankfurt’s sense of externalization; and then the present paper argues that apology is a mechanism by which a person can externalize an offending action/effect—in that way counteracting agent regret. This function for (...) apology—self-repair—is different from others described in the literature, which address the role of apology in repairing relationships. The present paper describes a nonfictional example, that of a veteran of the U.S. war in Iraq who contacts a family gravely injured by him and his combat unit; the veteran is motivated to contact the family to apologize. The example serves as a prototypical case of agent regret. The example is taken from a recent literature on the clinical psychology of self-inflicted “moral injury”; categorizing this example of moral injury as agent regret also helps broaden our understanding of moral injury as a philosophical category and as a psychological phenomenon. (shrink)

Prescribing drugs for uses that the FDA has not approved — off-label drug use — can sometimes be justified but is typically not supported by substantial evidence of effectiveness. At the root of inappropriate off-label drug use lie perverse incentives for pharmaceutical firms and flawed oversight of prescribing physicians. Typical reform proposals such as increased sanctions for manufacturers might reduce the incidence of unjustified off-label use, but they do not remove the source of the problem. Public policy should address the (...) cause and control the practice. To manage inappropriate off-label drug use, off-label prescriptions must be tracked in order to monitor the risks and benefits and the manufacturers’ conduct. Even more important, reimbursement rules should be changed so that manufacturers cannot profit from off-label sales. When off-label sales pass a critical threshold, manufacturers should also be required to pay for independent testing of the safety and effectiveness of off-label drug uses and for the FDA to review the evidence. Manufacturers should also finance, under FDA supervision, programs designed to warn physicians and the public about the risks of off-label drug use. (shrink)