One-third of all human lives end in early death from poverty-related causes. Most of these premature deaths are avoidable through global institutional reforms that would eradicate extreme poverty. Many are also avoidable through global health-system reform that would make medical knowledge freely available as a global public good. The rules should be redesigned so that the development of any new drug is rewarded in proportion to its impact on the global disease burden (not through monopoly rents). This reform would bring (...) drug prices down worldwide close to their marginal cost of production and would powerfully stimulate pharmaceutical research into currently neglected diseases concentrated among the poor. Its feasibility shows that the existing medical-patent regime (trade-related aspects of intellectual property rights—TRIPS—as supplemented by bilateral agreements) is severely unjust—and its imposition a human-rights violation on account of the avoidable mortality and morbidity it foreseeably produces. (shrink)

: The debate over when medical research may be performed in developing countries has steered clear of the broad issues of social justice in favor of what seem more tractable, practical issues. A better approach will reframe the question of justice in international research in a way that makes explicit the links between medical research, the social determinants of health, and global justice.

Are global poverty and inequality on the rise or are they declining? And is the quality of life of the world's poorest people getting worse or better? These questions are often given conflicting answers by economists, the World Bank, and social activists. One reason for this is that assessments of quality of life can be made in terms of people's income, their resources, or their functionings and capabilities. This essay discusses the pros and cons of these evaluative approaches, and it (...) argues that all approaches have complementary strengths and should therefore in principle all be considered. Moreover, being aware that assessments of poverty and inequality can be made using these different frameworks helps us to understand the conflicting claims. (shrink)

Anyone familiar with The Economist knows the mantra: Free trade will ameliorate poverty by increasing growth and reducing inequality. This paper suggests that problems underlying measurement of poverty, inequality, and free trade provide reason to worry about this argument. Furthermore, the paper suggests that better evidence is necessary to establish that free trade is causing inequality and poverty to fall. Experimental studies usually provide the best evidence of causation. So, the paper concludes with a call for further research into the (...) prospects for ethically acceptable experimental testing of free trade's impact on poverty and inequality. Although the paper is unabashedly methodological, its conclusions bear on many ethical debates. Ethicists sometimes argue, for instance, that there is reason to encourage free trade because they believe free trade is decreasing poverty and inequality. Clarifying the empirical facts may not settle ethical debates but it may inform them. (shrink)

En este trabajo cuestiono las razones que ofrecen David Miller y Laura Valentini para afirmar que el deber de reducir la desigualdad dentro del propio Estado tiene prioridad sobre el deber de reducir la pobreza extrema global. Según Miller, los deberes globales, a diferencia de los domésticos, no pueden legítimamente hacerse cumplir mediante la fuerza, y por esa razón son meros deberes humanitarios que tienen menor peso que los deberes domésticos, que son deberes de justicia. Según Valentini, el deber de (...) reducir la desigualdad doméstica tiene prioridad sobre los deberes humanitarios globales porque el primero es un deber de no dañar, mientras que los segundos son meros deberes de ayudar. El problema principal de ambas propuestas consiste en que fallan en su intento de mostrar que los deberes de reducir la pobreza extrema global no son también deberes de justicia. In this article I question David Miller and Laura Valentini's reasons to claim that duties to reduce inequalities inside the State should be prioritized over duties to reduce extreme global poverty. According to Miller, global duties, unlike domestic ones, cannot be legitimately enforced, and they are therefore mere humanitarian duties that weigh less than domestic duties, which are duties of justice. According to Valentini, domestic duties should be prioritized over global humanitarian duties because the former are duties not to harm, while the latter are mere duties to help. I argue that both views fail in their attempt to show that duties to reduce extreme global poverty are not duties ofjustice too. (shrink)

The ontological and analytical status of Marxian social theory has been a matter of fierce controversy since Marx’s death, both within and without Marxist circles. A particular source of contention has been over whether Marxism should be construed as an objective science of the capitalist mode of production or as an ethico-philosophical critique of bourgeois society. This is paralleled by the dispute over whether Marxism ought to be considered a humanism or a structuralism. This article addresses both sides of this (...) debate. The argument is that, rather than Marx’s own social thought being split into incompatible poles, giving rise to ‘two Marxisms’, it forms a coherent unity. Marx’s social theory is neither humanist philosophy, nor structural science, but is in fact realist science, which synthesizes these apparent antinomies, and thereby transcends both. (shrink)