The history of eugenics is getting tricky. Once regarded as an initially idealistic concept that degenerated into the monstrous Nazi race hygiene project or into an American sterilization assault against the disadvantaged and racially “inferior”, eugenics was deemed to have died after the Second World War, utterly discredited by better biological science and more enlightened social ideas. However recent research has shown that eugenics was more variegated than once thought — there were leftist and “reform” eugenists as well as “mainline” (...) or reactionary eugenists, with dedicated opposition coming more from liberal and religious quarters. Ingrained into contemporary structures and social issues such as demography, welfare, race and gender, eugenics proved more resilient and widespread than previously thought. Historians were slow to recognize its pervasive influence in Scandinavia, Latin America and Asia, where local variants evolved as adaptations to local culture and conditions. And it has persisted to the present day. In welfarist Scandinavia, eugenics has been repackaged as reproductive autonomy or “medical” measures.1 In Communist China it is alive and well in sterilization programmes and the one baby policy.2 More than this, critics allege, it has been resurrected in the “new genetics” of recent times. Geneticists have historically been strong supporters of eugenics as a way of scientifically improving the genetic quality of the human race. As I have argued in another place, during the inter-war period they failed properly to scrutinize methodologies and data used to support sterilization of mental defectives,3 and it is contendable that social and ideological factors have continued to play a role — alongside epistemic factors associated with the expansion of genetic knowledge — in. (shrink)

Medical tourism (MT) can be conceptualized as the intentional pursuit of non-emergency surgical interventions by patients outside their nation of residence. Despite increasing popular interest in MT, the ethical issues associated with the practice have thus far been under-examined. MT has been associated with a range of both positive and negative effects for medical tourists' home and host countries, and for the medical tourists themselves. Absent from previous explorations of MT is a clear argument of how responsibility for the harms (...) of this practice should be assigned. This paper addresses this gap by describing both backward looking liability and forward looking political responsibility for stakeholders in MT. We use a political responsibility model to develop a decision-making process for individual medical tourists and conclude that more information on the effects of MT must be developed to help patients engage in ethical MT. (shrink)

Almost all of the themes contained in E.O.Wilson's sociobiological writing on war and human aggression were prefigured in Anglo-American bio-social discourse, c. 1880–1919. Instinct theory – stemming from animal psychology and the genetics revolution – encouraged the belief that pugnacity had been programmed into the ancient part of the human brain as a result of evolutionary pressures dating from prehistory. War was seen to be instinct-driven, and genocidal fighting postulated as a eugenic force in early human evolution. War was explained (...) in distinctly modern sociobiological terms as adaptive behaviour springing from territorial urges, crowding, competition for resources and reproductive advantage, ethnocentrism and pseudo-speciation. (shrink)

Introduction: to the student -- Ethics and Christian ethics -- An overview of ethics -- Definitions -- Subject matter -- Assumptions -- Cautions -- Alternatives to Christian ethics -- Religious systems -- Judaism -- Islam -- Hinduism -- Buddhism -- Humanism -- Objectivism -- Behaviorism -- Alternatives within Christian ethics -- Obedience to external authority -- In Roman Catholicism -- In Protestantism -- Responsibility for personal decisions -- What am I to do? -- What am I to be? -- Transforming (...) society -- Reinhold Neibuhr's "impossible possibility" -- Paul Ramsey's "obedient love" -- James Gustafson's "theocentric ethics" -- Liberation theology -- Ethics and the Christian faith -- Sources of guidance -- The Bible -- The Christian community -- The nature of the church -- The function of the church -- The Christian in the church -- Personal experience -- The use of the mind -- The prompting of the conscience -- The leadership of the spirit -- Biblical ethics -- The Hebrew Scripture -- General characteristics of Hebrew morality -- The law, the prophets, and the writings -- Jesus and the Gospels -- Jesus and Judaism -- Characteristics of Jesus's ethical teachings -- Basic concepts in Jesus's ethical teachings -- The example of Jesus -- The ethical teachings of Paul -- Theology and ethics -- An ethic of responsible freedom -- An ethic of love -- An ethic of a new life -- Faith working through love -- Theological premises -- Beliefs about God -- Beliefs about humankind -- Beliefs about history -- Faith -- Faith and salvation -- Life in the Christian community -- The instruction of Scripture -- Worship and morality -- Love (agape) -- The nature of love -- The source of love -- The demands of love -- The relationship between love and justice -- Decision -- Christian ethics and contemporary issues -- Human sexuality and the marriage relationship -- The current scene -- A Christian interpretation of sexuality -- A theological perspective -- Questions about the relationship -- A Christian interpretation of marriage -- Homosexuality and the Christian faith -- Contemporary social perspective -- A biblical perspective -- Varying Christian interpretations -- Homosexuality and the Christian way of live. (shrink)

Defenses of realist reductionism may involve petitio principii by a tacit and inadvertent reintroduction of naïve realism through continued supposition of stimulus and sensory fields' conflation. The legitimate meaningfulness of identity statements involving scientific discoveries is examined, as are their illicit or gratuitous expressions. While experimental psychological data has a role to play in refutation of direct realism, we should not underestimate the ingenuity of its proponents' extenuations , hence the need for emphasizing the logic of perceptual processes for conclusive (...) refutation of philosophic realism. A further instance of Paul Churchland's misinterpretation of psychophysical correspondence as intertheoretic identification is given, concerning Edwin Land's retinex theory of color vision. (shrink)

Suggestions and arguments put forward by the philosophers Herbert Feigl, Paul Feyerabend, Richard Rorty, and Paul Churchland are critiqued as to the feasibility of a “direct,” quasi-perceptual apprehension of neural states through neuroscience-informed introspection. The conceptual origins of this presumptuous direct introspecting are shown to be derivative from a scientifically inadequate theory of philosophical realism. Direct perception and its integral realist theory, as well as an analogical equation of perception with introspection, are focused as to their inherent intelligibility (...) and coherence with sensory psychology. Claims of nominal intertheoretic identities are reviewed as to possible mind–brain applications. A summary elucidation of the known nature of perception and its phenomenology reveals that though there may be an initial plausibility given to a projected direct introspection of brain from a supposed equally direct perception of stimuli, once the latter is definitively rejected from considerations of psychology, so its extrapolation to nominal brain introspection must be rejected. (shrink)

A recurrent candidate for exemplification of intertheoretic reduction, put forward over past decades within philosophy of science, is the proposition "pitch is identical with sound-frequency." Paul Churchland revives this nominal ontological reduction, placing it beside others as "lightning is an electrical discharge," and "heat is high kinetic energy." Yet no matter whether frequency is considered physically or merely semantically, there is no conceivable format in which such an identity is viable. An analysis of objective qualia said to represent the (...) ground of such equations indicates their fictitious existence, save as misidentified percepts. The criterion of logical identity cannot bridge sensory and stimulus field divisions of perception, hence Churchland's objective qualia, said to straddle both fields, cannot furnish an intelligible or sound basis for identification. Naive realism and its intellectualization as direct realism are shown to be at bottom of confoundment of these fields, generating pseudo-problems involving the putative nature and localization of qualia. These conclusions collectively would then disallow the usual attempts to extrapolate from such fictive identities to a further positing of mind-brain identity, by analogy therewith. It is suggested that the method employed in refutation of "pitch is frequency" may have a more general application. The misemployment of the concept and method of intertheoretical identification in connection with phenomenological experience and science of perception is made explicit. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 24.1 (2004) 135-157 [Access article in PDF] "That We May Know Each Other": The Pluralist Hypothesis as a Research Program Paul O. Ingram Pacific Lutheran University When an African American Muslim named Siraj Wahaj served as the first Muslim "Chaplain of the Day" in the Unites States House of Representatives on 25 June 1991 he offered the following prayer, the first Muslim prayer in the in (...) the history of the House of Representatives: In the name of God, Most Gracious, Most merciful. Praise belongs to thee alone; O God, Lord and Creator of all the worlds. Praise belongs to Thee Who shaped us as and colored us in the wombs of our mothers; colored us black and white, brown, red, and yellow. Praise belongs to Thee who created us from males and females and made us into nations and tribes that we may know each other.1Siraj Wahaj's prayer is a direct reference to one of the most cited verses of the Qur'an: "Do you not know, O people, that I have made you into tribes and nations that you may know each other." Of course, "knowing each other" is an important goal in the practice of interreligious dialogue, but Muslims often move on to cite further Qur'anic advice about religious pluralism: "If God had so willed, He would have made you a single people," the verse reads, "But His plan is to test you in what He hath given you; so strive as in a race in all virtues."2 According to Siraj Wahaj and many like-minded American Muslims, Islam and pluralism go hand in hand and respect for the dignity for each person, no matter what religious or secular label he or she wears, rests on Islamic foundations. Of course, this interpretation of the Qur'an is rejected by radical communities within the House of Islam as well as by fundamentalist communities within Christian, Buddhist, Hindu, and Jewish traditions. Nor are the foundations of pluralism only found in the Qur'an; Buddhist, Jewish, Hindu, Christian, and aboriginal traditions support religious pluralism as well.This essay's thesis, what John Hick first posited as the "pluralist hypothesis," offers us the most coherent theoretical framework—minus Hick's Kantian epistemology—from which to interpret contemporary postmodern experiences of religious [End Page 135] diversity. Furthermore, I shall argue that the pluralist hypothesis constitutes a coherent history-of-religions research program from which to investigate and interpret the facts of religious diversity.3 In order to demonstrate the adequacy of my thesis and argument, I shall appropriate the philosopher of science Imre Lakatos's account of the methodology and structure of scientific research programs, guided by Nancy Murphy's application of Lakatos's work in the construction of theological research programs. But first, some preliminary clarifications about what I mean by "religious pluralism" and "religious diversity."4 The Structure of the Experience of Religious Pluralism In a recent book on the lives of four Catholic writers—Dorothy Day, Thomas Merton, Flannery O'Connor, and Walker Percy—Paul Elie provides one of the most accurate descriptions of the structure of postmodern experience of religious diversity in English print: We are all skeptics now, believer and unbeliever alike. There is no one faith, evident at all times and places. Every religion is one among many. The clear lines of orthodoxy are made crooked by our experience, and are complicated by our lives. Believer and unbeliever are in the same predicament, thrown back onto ourselves in complex circumstances, looking for a sign. As ever, religious belief makes its claim somewhere between revelation and projection, between holiness and human frailty, but the problem of proof, indeed the burden of belief, for so long upheld by society, is now back on the believer, where it should be.5Assuming that Elie's description is an accurate one, certain implications follow that will serve as working assumptions of this essay."Pluralism" is not just another name for "diversity." Diversity names the fact of the existence of differing... (shrink)

Noam Chomsky and Frances Egan argue that David Marr’s computational theory of vision is not intentional, claiming that the formal scientific theory does not include description of visual content. They also argue that the theory is internalist in the sense of not describing things physically external to the perceiver. They argue that these claims hold for computational theories of vision in general. Beyond theories of vision, they argue that representational content does not figure as a topic within formal computational theories (...) in cognitive science. I demonstrate that Chomsky’s and Egan’s claims about Marr’s theory are false. Marr’s computational theory contains a mathematical theory of visual content, based on empirical psychophysical evidence. It also contains mathematical descriptions of distal physical surfaces and objects, and of their optic projection to the perceiver. Much computational research on vision contains these types of intentional and externalist components within the formal, mathematical, theories. Chomsky’s and Egan’s claims demonstrate inadequate study and understanding of Marr’s work and other research in this area. Computational theories of vision, by containing empirically based mathematical theories of visual content, to this extent present naturalizations of semantics. (shrink)

Desiring Whiteness provides a compelling new interpretation of how we understand race. Race is often seen to be a social construction. Nevertheless, we continue to deploy race thinking in our everyday life as a way of telling people apart visually. How do subjects become raced? Is it common sense to read bodies as racially marked? Employing Lacan's theories of the subject and sexual difference, Seshadri-Crooks explores how the discourse of race parallels that of sexual difference in making racial identity a (...) fundamental component of our thinking. Through close readings of literary and film texts, Seshardi-Crooks also investigates whether race is a system of difference equally determined by Whiteness. She argues that it is in relation to Whiteness that systems of racial classification are organized, endowing it with a power to shape human difference. (shrink)

Medical tourists, persons that travel across international borders with the intention to access non-emergency medical care, may not be adequately informed of safety and ethical concerns related to the practice of medical tourism. Researchers indicate that the sources of information frequently used by medical tourists during their decision-making process may be biased and/or lack comprehensive information regarding individual safety and treatment outcomes, as well as potential impacts of the medical tourism industry on third parties. This paper explores the feedback from (...) former Canadian medical tourists regarding the use of an information sheet to address this knowledge gap and raise awareness of the safety and ethical concerns related to medical tourism. (shrink)

First words on silence -- The secret of literary silence -- Law, "life/living," language -- Between Derrida and Agamben -- The wild child : politics and ethics of the name -- The wild child and scientific names -- HumAnimal acts : potentiality or movement as rest.

Materialist metaphysicians want to side with physics, but not to take sides within physics.If we took literally the claim of a materialist that his position is simply belief in the claim that all is matter, as currently conceived, we would be faced with an insoluble mystery. For how would such a materialist know how to retrench when his favorite scientific hypotheses fail? How did the 18th century materialist know that gravity, or forces in general, were material? How did they know (...) in the 19th century that the electromagnetic field was material, and persisted in this conviction after the aether had been sent packing?The doctrine of physicalism casts a long shadow in contemporary philosophy, configuring all kinds of philosophical issues and projects. Unsurprisingly, its proponents argue that physicalism has all the obvious features necessary for a scientific hypothesis to be in what we will call ‘good standing,’ i.e. being worthy of serious scientific investigation. In fact, many claim much more, arguing that physicalism is a well-confirmed hypothesis and possibly amongst the best of our theories. But, as our second opening passage makes clear, a persistent worry has been that physicalism, or ‘materialism’ as van Fraassen terms it, is an edifice built on sand. For many philosophers question whether the ‘physical’ can be specified at all, or at least in a manner that will produce a physicalism that would be in good standing. (shrink)

Paul Thom's book presents Kilwardby's science of logic as a body of demonstrative knowledge about inferences and their validity, about the semantics of non-modal and modal propositions, and about the logic of genus and species. This science is thoroughly intensional. It grounds the logic of inference on "that in virtue of which" the inference holds. It bases the truth conditions of propositions on relations between conceptual entities. It explains the logic of genus and species through the notion of essence. (...) Thom interprets this science as a formal logic of intensions with its own proof theory and semantics. This comprehensive reconstruction of Kilwardby's logic shows the medieval master to be one of the most interesting logicians of the thirteenth century. (shrink)

De milieuproblematiek staat pas sinds kort op de agenda als een fenomeen dat de mensheid bedreigt. Toch blijkt het negentiende-eeuwse gedachtegoed van Karl Marx verrassende inzichten te bieden om deze actuele problemen te duiden. Marx laat zien dat het menselijk ingrijpen in de natuur leidt tot zelfvervreemding: de mens ondermijnt zijn bestaan als een wezen dat zelf deel uitmaakt van de natuur. Deze zelfvervreemding cumuleert in de kapitalistische samenleving. Marx lezend zien we dat de milieuproblematiek geen historische vergissing is, maar (...) fundamenteel samenhangt met de mens als redelijk wezen. Onze beheersingsrede heeft geleid tot de vervreemding van de natuur. Toch geeft dezelfde rede die de mens de vrijheid biedt zich boven het ecologische evenwicht te verheffen, hem de mogelijkheid zich te verzoenen met de natuur. Marx verwijst naar dit dubbele gezicht van de rede als hij stelt dat het 'rijk van de vrijheid' in de schoot van het kapitalisme wordt geboren. In dit boek onderzoekt Paul Cobben welke aanzetten de huidige samenleving biedt om vorm te geven aan de verzoening met de natuur. Paul Cobben is emeritus hoogleraar geschiedenis van de moderne filosofie aan Tilburg University. Momenteel is hij gastonderzoeker aan de Vrije Universiteit Amsterdam en redacteur van de serie 'Critical Studies in German Idealism'. Van zijn hand verscheen o.a. 'Value in Capitalist Society. Rethinking Marx's Criticism of Capitalism' (2015)."-- Publisher information. (shrink)

This paper describes how to ethically conduct research with Black populations at the intersection of COVID-19 and the Black Lives Matter movement. We highlight the issues of historical mistrust in the USA and how this may impact Black populations’ participation in COVID-19 vaccination trials. We provide recommendations for researchers to ethically engage Black populations in research considering the current context. Our recommendations include understanding the impact of ongoing trauma, acknowledging historical context, ensuring diverse research teams and engaging in open and (...) honest conversations with Black populations to better address their needs. The core of our recommendation is recognising the impact of trauma in our research and health care practices. (shrink)

Materialist metaphysicians want to side with physics, but not to take sides within physics.If we took literally the claim of a materialist that his position is simply belief in the claim that all is matter, as currently conceived, we would be faced with an insoluble mystery. For how would such a materialist know how to retrench when his favorite scientific hypotheses fail? How did the 18th century materialist know that gravity, or forces in general, were material? How did they know (...) in the 19th century that the electromagnetic field was material, and persisted in this conviction after the aether had been sent packing?The doctrine of physicalism casts a long shadow in contemporary philosophy, configuring all kinds of philosophical issues and projects. Unsurprisingly, its proponents argue that physicalism has all the obvious features necessary for a scientific hypothesis to be in what we will call ‘good standing,’ i.e. being worthy of serious scientific investigation. In fact, many claim much more, arguing that physicalism is a well-confirmed hypothesis and possibly amongst the best of our theories. But, as our second opening passage makes clear, a persistent worry has been that physicalism, or ‘materialism’ as van Fraassen terms it, is an edifice built on sand. For many philosophers question whether the ‘physical’ can be specified at all, or at least in a manner that will produce a physicalism that would be in good standing. (shrink)

The Renaissance was a period of great intellectual change and innovation as philosophers rediscovered the philosophy of classical antiquity and passed it on to the modern age. Renaissance philosophy is distinct both from the medieval scholasticism, based on revelation and authority, and from philosophers of the seventeenth and eighteenth centuries who transformed it into new philosophical systems. Despite the importance of the Renaissance to the development of philosophy over time, it has remained largely understudied by historians of philosophy and professional (...) philosophers. This anthology aims to correct this by providing scholars and students of philosophy with representative translations of the most important philosophers of the Renaissance. Its purpose is to help readers appreciate philosophy in the Renaissance and its importance in the history of philosophy. The anthology includes translations from philosophers from the thirteenth to the seventeenth centuries, and it ranges from works on moral and political philosophy, to metaphysics, epistemology, and natural philosophy, thereby providing historians and students of philosophy with a sense for the nature, breadth, and complexity of philosophy in the Renaissance. Each translation is accompanied by an introduction by a historian of Renaissance philosophy, as well as select secondary sources, in order to encourage further study. (shrink)

This paper reports on a two-year, field-based study set in a charter management organization, a not-for-profit educational organization that operates 18 public schools exclusively in the Black and Latinx communities of South and East Los Angeles. At CMO-LAX, the nine-member Data Team pursues the organization's avowed mission of making public schools data-driven, primarily through the aggregation, analysis, and visualization of digital data derived from quotidian educational activities. This paper draws on the theory of racialized organizations to characterize aspects of data-driven (...) management of public education as practiced by CMO-LAX. I explore two examples of how CMO-LAX shapes data to support racial projects: the reconstruction of the figure of chronic truants and the incorporation of this figure in a calculative regime of student accomplishment. Organizational uses of data support a strategy I call productive myopia, a way of pursuing racial projects via seemingly independent, objective quantifications. This strategy allows the organization to claim to mitigate racial projects and, simultaneously, to accommodate them. This paper concludes by arguing for approaches to research and practice that center racial projects, particularly when data-intensive tools and platforms are incorporated into the provision of public goods and services such as education. (shrink)

The relationship between abstract formal procedures and the activities of actual physical systems has proved to be surprisingly subtle and controversial, and there are a number of competing accounts of when a physical system can be properly said to implement a mathematical formalism and hence perform a computation. I defend an account wherein computational descriptions of physical systems are high-level normative interpretations motivated by our pragmatic concerns. Furthermore, the criteria of utility and success vary according to our diverse purposes and (...) pragmatic goals. Hence there is no independent or uniform fact to the matter, and I advance the ‘anti-realist’ conclusion that computational descriptions of physical systems are not founded upon deep ontological distinctions, but rather upon interest-relative human conventions. Hence physical computation is a ‘conventional’ rather than a ‘natural’ kind. (shrink)

Currently, much of the western world is experiencing a shift in the places where care is provided, namely from institutional settings like hospitals to diverse community settings such as the home. However, little is known about how language and the physical and social aspects of place interact to influence how health‐care is delivered and experienced in the home environment. Drawing on ethnographic participant observations of homecare nursing visits and semi‐structured interviews with Canadian family caregivers, care recipients and nurses, the intersection (...) of language, place and health‐care was explored in this secondary analysis. Our findings reveal four themes: homecare nurses view themselves as ‘guests’; home environments facilitate the development of nurse–client relationships; nurses adapt healthcare language to each home environment; and storytelling and illness narratives largely prevail during medical interactions in the home. These findings demonstrate the spatiality of language and how the home environment informs decisions regarding language use. Furthermore, these findings exemplify how language and place mutually influence the experiences and delivery of home health‐care. We conclude by discussing the importance of considering the language–place–healthcare intersection in order to gain a better understanding of medical exchanges in places and the associated implications for optimizing best nursing practice. (shrink)

We sometimes strive to achieve difficult goals when our evidence suggests that success is unlikely – not just because it will require strength of will, but because we are targets of prejudice and discrimination or because success will require unusual ability. Optimism about one’s prospects can be useful for persevering in these cases. That said, excessive optimism can be dangerous; when our evidence is unfavourable, we should be at most agnostic about whether we will succeed. This paper explores the nature (...) and rational significance of agnostic practical commitments. Most importantly, the rationality of striving against the odds can depend on investing in a plan for failure: a plan B. I aim to make headway on an account of what backup plans are, how they are related to primary plans, and whether the standard norms of plan rationality apply to our agnostic commitments. (shrink)

The Oxford Handbook of Epistemology contains 19 previously unpublished chapters by today's leading figures in the field. These chapters function not only as a survey of key areas, but as original scholarship on a range of vital topics. Written accessibly for advanced undergraduates, graduate students, and professional philosophers, the Handbook explains the main ideas and problems of contemporary epistemology while avoiding overly technical detail.

Based on an ethnographic project in a public high school in a low-income neighborhood in South Los Angeles, this paper argues that access to information and communication technologies cannot be taken as helpful or empowering on its own terms; instead, concerns about justice must be accounted for by the local communities technology is meant to benefit. This paper juxtaposes the concept of technological access with recent work in feminist science and technology studies on infrastructure, maintenance, and ethics. In contrast to (...) popular descriptions of ICTs as emancipatory and transformative, in the setting of an urban school, access produced extensive demands for attention, time, and information. This paper focuses on the labor of a group of student workers, Student Technology Leaders, and how they became responsible for the significant amount of repair and maintenance work involved in keeping hundreds of new computing devices available for use. An expanded process of accounting can more realistically frame issues of justice and its relationship to ICTs. I use a town hall meeting held with these students as an example of a processual vision of justice, one that encourages the beneficiaries of technological access to evaluate costs, benefits, and ethical concerns together. (shrink)

BackgroundMedical tourism, the practice of persons intentionally travelling across international boundaries to access medical care, has drawn increasing attention from researchers, particularly in relation to potential ethical concerns of this practice. Researchers have expressed concern for potential negative impacts to individual safety, public health within both countries of origin for medical tourists and destination countries, and global health equity. However, these ethical concerns are not discussed within the sources of information commonly provided to medical tourists, and as such, medical tourists (...) may not be aware of these concerns when engaging in medical tourism. This paper describes the methodology utilized to develop an information sheet intended to be disseminated to Canadian medical tourists to encourage contemplation and further public discussion of the ethical concerns in medical tourism.MethodsThe methodology for developing the information sheet drew on an iterative process to consider stakeholder feedback on the content and use of the information sheet as it might inform prospective medical tourists’ decision making. This methodology includes a literature review as well as formative research with Canadian public health professionals and former medical tourists.ResultsThe final information sheet underwent numerous revisions throughout the formative research process according to feedback from medical tourism stakeholders. These revisions focused primarily on making the information sheet concise with points that encourage individuals considering travelling for medical tourism to do further research regarding their safety both within the destination country, while travelling, and once returning to Canada, and the potential impacts of their trip on third parties. This methodology may be replicated for the development of information sheets intending to communicate ethical concerns of other practices to providers or consumers of a certain service. (shrink)

Medical tourism, the practice of persons intentionally travelling across international boundaries to access medical care, has drawn increasing attention from researchers, particularly in relation to potential ethical concerns of this practice. Researchers have expressed concern for potential negative impacts to individual safety, public health within both countries of origin for medical tourists and destination countries, and global health equity. However, these ethical concerns are not discussed within the sources of information commonly provided to medical tourists, and as such, medical tourists (...) may not be aware of these concerns when engaging in medical tourism. This paper describes the methodology utilized to develop an information sheet intended to be disseminated to Canadian medical tourists to encourage contemplation and further public discussion of the ethical concerns in medical tourism. The methodology for developing the information sheet drew on an iterative process to consider stakeholder feedback on the content and use of the information sheet as it might inform prospective medical tourists’ decision making. This methodology includes a literature review as well as formative research with Canadian public health professionals and former medical tourists. The final information sheet underwent numerous revisions throughout the formative research process according to feedback from medical tourism stakeholders. These revisions focused primarily on making the information sheet concise with points that encourage individuals considering travelling for medical tourism to do further research regarding their safety both within the destination country, while travelling, and once returning to Canada, and the potential impacts of their trip on third parties. This methodology may be replicated for the development of information sheets intending to communicate ethical concerns of other practices to providers or consumers of a certain service. (shrink)

The hatchet and the seed -- A tree with deep roots -- The critical tools -- A field crystallizes -- Destruction of nature -- Construction of nature -- Degradation and marginalization -- Conservation and control -- Environmental conflict -- Environmental identity and social movement -- Where to now?