In this discussion, we will consider arguments against the view that one person is entitled to medical care at the expense of another person, just because the one person might be able to extend it to the other. We all accept the view that we are entitled to nonviolence from each other, which in the medical case is roughly that we are entitled to other people not making us sick, at least insofar as this is something they can readily avoid. (...) But how are we also entitled to their help in making us well when we are sick? Few of us think that we are entitled to other people's new cars, or half of their incomes for our general use. Why, then, are we entitled to a hefty fraction of that income to pay our medical bills? (shrink)

In responding to Thomas Magnell's notion of 'collapsing goods', I draw attention to how medical and health ethics practices are not innocent, but political; and to suggest something about their relation to the moral climate. More specifically, I show that to take them as innocent, or as politically neutral, is not only a misunderstanding, but one that is likely to impact on the moral climate as well as being already a reflection of it. Ethics, and the various practices and understandings (...) of health and medical ethics in particular, may well turn out to be collapsing goods. (shrink)

John Cook Wilson (1849–1915) was Wykeham Professor of Logic at New College, Oxford and the founder of ‘Oxford Realism’, a philosophical movement that flourished at Oxford during the first decades of the 20th century. Although trained as a classicist and a mathematician, his most important contribution was to the theory of knowledge, where he argued that knowledge is factive and not definable in terms of belief, and he criticized ‘hybrid’ and ‘externalist’ accounts. He also argued for direct realism in perception, (...) criticizing both empiricism and idealism, and argued for a moderate nominalist view of universals as being in rebus and only ‘apprehended’ by their particulars. His influence helped swaying Oxford away from idealism and, through figures such as H. A. Prichard, Gilbert Ryle, or J. L. Austin, his ideas were also to some extent at the origin of ‘moral intuitionism’ and ‘ordinary language philosophy’ which defined much of Oxford philosophy until the second half of the twentieth-century. Nevertheless, his name and legacy were all but forgotten for generations after World War II. Still, his views on knowledge are with us today, being in part at work in the writings of philosophers as diverse as John McDowell, Charles Travis, and Timothy Williamson. (shrink)

The purpose of this paper is to clarify the role of value uncertainty and value instability in decision-making that concerns morally controversial issues. Value uncertainty and value instability are distinguished from moral uncertainty, and several types of value uncertainty and value instability are defined and discussed. The relations between value uncertainty and value instability are explored, and value uncertainty is illustrated with examples drawn from the social sciences, medicine and everyday life. Several types of factor producing value uncertainty and/or value (...) instability are then identified. They are grouped into three categories and discussed under the headings ‘value framing’, ‘ambivalence’ and ‘lack of self-knowledge’. The paper then discusses the role of value uncertainty in decision-making. The concluding remarks summarize what has been achieved and what remains to be done in this area. (shrink)