Progress towards Universal Health Coverage (UHC) requires making difficult trade-offs. In this journal, Dr. Margaret Chan, the WHO Director-General, has endorsed the principles for making such decisions put forward by the WHO Consultative Group on Equity and UHC. These principles include maximizing population health, priority for the worse off, and shielding people from health-related financial risks. But how should one apply these principles in particular cases and how should one adjudicate between them when their demands conflict? This paper by some (...) members of the Consultative Group and a diverse group of health policy professionals addresses these questions. It considers three stylized versions of actual policy dilemmas. Each of these cases pertains to one of the three principal dimensions of progress towards UHC: which services to cover first, which populations to prioritize for coverage, and how to move from out-of-pocket expenditures to pre-payment with pooling of funds. Our cases are simplified to highlight common trade-offs. While we make specific recommendations, our primary aim is to demonstrate both the form and substance of the reasoning involved in striking a fair balance between competing interests on the road to UHC. (shrink)

Bernard Gert argues that legitimate moral disagreement calls for tolerance and moral humility; when there is more than one morally acceptable course of action, then intolerance and what Gert calls “moral arrogance” would be objectionable. This article identifies some possible difficulties in distinguishing moral arrogance from moral reform and then examines Gert's treatment of abortion as a contemporary example of moral disagreement that he characterizes as irresolvable.

The idea of moral reform requires that morality be more than a description of what people do value, for there has to be some measure against which to assess progress. Otherwise, any change is not reform, but simply difference. Therefore, I discuss moral reform in relation to two prescriptive approaches to common morality, which I distinguish as the foundational and the pragmatic. A foundational approach to common morality (e.g., Bernard Gert’s) suggests that there is no (...) reform of morality , but of beliefs, values, customs, and practices so as to conform with an unchanging, foundational morality. If, however, there were revision in its foundation (e.g., in rationality), then reform in morality itself would be possible. On a pragmatic view, on the other hand, common morality is relative to human flourishing, and its justification consists in its effectiveness in promoting flourishing. Morality is dependent on what in fact does promote human flourishing and therefore, could be reformed. However, a pragmatic approach, which appears more open to the possibility of moral reform, would need a more robust account of norms by which reform is measured. (shrink)

Throughout his writings, and particularly in Religion within the Boundaries of Mere Reason, Kant alludes to the idea that evil is connected to self-deceit, and while numerous commentators regard this as a highly attractive thesis, none have seriously explored it. Kant on Evil, Self-Deception, and Moral Reform addresses this crucial element of Kant's ethical theory. -/- Working with both Kant's core texts on ethics and materials less often cited within scholarship on Kant's practical philosophy (such as Kant's logic (...) lectures), Papish explores the cognitive dimensions of Kant's accounts of evil and moral reform while engaging the most influential -- and often scathing -- of Kant's critics. Her book asks what self-deception is for Kant, why and how it is connected to evil, and how we achieve the self-knowledge that should take the place of self-deceit. (shrink)

I examine Kant’s claim in part one of Religion within the Boundaries of Mere Reason that moral reform requires both a ‘change of heart’ and gradual reformation of one’s sense (R, 6: 47). I argue that Kant’s conception of moral reform is neither fundamentally obscure nor is it as vulnerable to serious objections as several commentators have suggested. I defend Kant by explaining how he can maintain both that we can choose our moral disposition via (...) an intelligible choice and that we become good through a continuous struggle. I then provide an interpretation of how moral reform occurs in the phenomenal realm. (shrink)

This paper objects to certain forms of punishments, such as supermax confinement, on grounds that they are inappropriately contemptuous. Building on discussions in Kant and elsewhere, I flesh out what I take to be salient features of contempt, features that make contempt especially troubling as a form of moral regard and treatment. As problematic as contempt may be in the interpersonal context, I contend that it is especially troubling when a person is treated contemptuously by her political community’s institutions (...) -- such as by certain forms of punishment. Punishment is contemptuous if it fails to respect offenders as moral persons, who as such are always capable of moral reform. Respect for offenders therefore requires, at least, that punishment not tend to undermine the prospect of offenders’ reform. I flesh out this constraint by considering various ways in which punishments may tend to undermine offenders’ reform. In particular, I discuss ways in which supermax confinement tends to violate the reform-based constraint. Finally, I address several potential objections to my account. (shrink)

The paper aims at finding a way out of deadlocks in Malthus scholarship concerning his relationship to utilitarianism. The main claim is that Malthus viewed his own population theory and political economy as Hifsdisziplinen to moral and political philosophy, that is, empirical enquiries required in order to be able to pronounce justified value judgments on such matters as the Poor Laws. On the other hand, Malthus’s population theory and political economy were no value-free science and his policy advice – (...) far from being “utilitarian” – resulted from his overall system of ideas and was explicitly based on a set of traditional moral assumptions. These in turn were justified by a peculiar meta-ethical theory, which has been named in a somewhat improper way “theological utilitarianism” and which I propose to name instead “consequentialist voluntarism”. The issue of poverty and its remedies is the one where Malthus’s peculiar approach, once applied to a real-world issue, displays it potentialities, yielding a kind of policy-advice that is softer and more flexible than the one that may be drawn from Benthamite utilitarianism. The reconstruction shows how, through subsequent approximations and under pressure of critics, Malthus yields finally a kind of Institutional approach to policies concerning poverty, making room for generalized basic education, free markets for labour and for corn, colonies, and private beneficence. Such a mix of policies should bring about for the lower classes of society “the means of being respectable, virtuous and happy”. -/- . (shrink)

Kant on Evil, Self-Deception, and Moral Reform, by PapishLaura. New York, NY: Oxford University Press, 2018. Pp. xvii + 257.

Laura Papish’s Kant on Evil, Self-Deception, and Moral Reform is an ambitious attempt to breath new life into old debates and a welcome contribution to a recent renaissance of interest in Kant’s theory of evil. ​The book has eight chapters, and these chapters fall into three main divisions. Chapters 1 and 2 focus on the psychology of nonmoral and immoral action. Chapters 3, 4, and 5 focus on self-deception, evil, and dissimulation. And chapters 6, 7, and 8 focus (...) on self-cognition, moral reform, and moral progress. I shall begin with a brief summary of these chapters. Then I shall turn to commentary. (shrink)

Laura Papish se propone en este libro investigar un tema poco explorado en la teoría moral Kantiana, a saber, el problema del mal en los seres humanos. Su esfuerzo radica en desentrañar el significado y las consecuencias filosóficas de la afirmación que Kant hace en la Primera Parte de La Religión dentro de los límites de la mera Razón, a saber, que el mal en los seres humanos es universal. El objetivo central es encontrar si hay en Kant una (...) verdadera conexión entre la teoría del mal y el autoengaño. Una de las principales ideas que la autora sostiene en este libro es que si nos basamos en el texto de Religión, podemos desarrollar una conexión entre la teoría del mal y el autoengaño, la cual nos puede proporcionar una manera más lúcida de comprender la teoría kantiana del mal. A su vez, ella sostiene que si las fallas cognitivas están implicadas en el mal, eso nos conducirá a encontrar una nueva forma de conceptualizar la reforma moral. En lo que sigue propongo presentar la descripción general de los pasos argumentativos que la autora desarrolla capítulo a capítulo. (shrink)

Under the title The Reformation of Morals , the tenth-century Syrian Orthodox scholar Yahya ibn 'Adi offered encouragement to the effort to promote moral perfection, especially among kings and other members of the social elite: his tract, on the social virtues and vices, gives extensive advice about the cultivation of the former and the extirpation of the latter. Where there are many echoes of Hellenistic moral philosophy in his presentation, the topical profile of the work and the language (...) the author uses reveal his participation in the Baghdad circle of philosophers and intellectuals--both Christian and Muslim--who were responsible for much that has come to be regarded as typical of the classical culture of the Islamic world. In fact, this text has occasionally been attributed to one or another famous Muslim author. It now stands as an important Christian contribution, in Arabic, to a strand of moral philosophy that is an integral component of the intellectual tradition of the world of Islam. (shrink)

Laura Papish’s new book comes in the wake of a series of studies of Kant’s conception of evil. Two features distinguish her approach: its emphasis on the connection between evil and self-deception (chapters 1–5), and its attentiveness to the role of self-cognition in moral reform (chapters 6–8). Lucidly written and conversant with recent debates in social and moral psychology, Papish’s book expands the range of topics that typically worry Kantians. Its most important contribution is perhaps to have (...) shown that self-deception and self-cognition are countervailing concepts, which together shed light on the neglected, epistemic dimension of Kant’s practical philosophy. My review will adopt the three-part structure of the book indicated in its title. (shrink)

Review of: Kant on Evil, Self-Deception, and Moral Reform, by PapishLaura. New York, NY: Oxford University Press, 2018. Pp. xvii + 257.

The reformed tradition on moral virtue -- Barth's objections -- Objections overcome -- The shape of reformed virtue after Barth -- Living out the reformed virtues.

Morality after Calvin' examines the development of ethical thought in the Reformed tradition immediately following the death of Calvin. The book explores a previously unstudied work of Theodore Beza, the Cato Censorius Christianus (1591). When read in conjunction with the works and correspondence of Beza and his colleagues (Simon Goulart, Lambert Daneau, Peter Martyr Vermigli, among others), the poems of the Cato reveal the theoretical underpinnings of the disciplinary activity during the period. Kirk M. Summers shows how the moral (...) fervor of the latter half of the sixteenth century had its genesis in a well-formulated theology that viewed a Christian's sanctification as a process of restoration to an original order created by God. 00. (shrink)

Reformed theology is often thought to be antipathetic to virtue theory. However, Jonathan Edwards is a counterexample to this way of thinking. In this article, I offer an account of Edwards’s moral thought as a case study of Reformed theology that is also a species of virtue theory, focusing on what he says about the formation of character. I argue that key doctrinal commitments drive his moral theology, and generate some interesting problems for his ethics. Although his work (...) is not without shortcomings, Edwards is a thinker whose moral theology might be usefully repaired and retrieved by contemporary theologians in the Reformed tradition for whom ‘duties are founded on doctrines’. (shrink)

Originally published in 1950, this book contains an edited version of the French text of Ernest Renan's 1871 work La réforme intellectuelle et morale, in which Renan makes suggestions intended to improve France in the wake of its defeat by Germany in the Franco-Prussian War. Charvet supplies a biographical note at the beginning of the book explaining Renan's life and opinions. This book will be of value to anyone with an interest in French history and the work of Renan.

Introduction : critical ethics, or, the subject of reform -- An ethics of Gesellschaft -- The "new ethic" : a particularist challenge -- Conflicted sexualities and conflicted secularisms -- Global influences, local responses -- Moral laws and impossible laws : the "female homosexual" and the Criminal Code -- Social matters : social democracy and the ethics of materialism -- Losses and unlikely legacies : psychoanalysis and femininity -- Afterword : moral citizenship, or, ethics beyond the law.

Examining health policy and its recent reform misadventures in the United States from a moral viewpoint is painful. That the nation devotes 14% of its Gross Domestic Product to health servicesand yet lets more than 40 million citizens go without health coverage strikes critics, both foreign and domestic, as a disgrace explicable only by ethical deficiencies distinctive to the American value system. There is certainly merit in this critique, which understandably incites fire and brimstone about the urgent (...) class='Hi'>moral imperative of getting the nation on the path of righteousness at last. (shrink)

In _Reforming Liberalism_, Robert Devigne challenges prevailing interpretations of the political and moral thought of John Stuart Mill and the theoretical underpinnings of modern liberal philosophy. He explains how Mill drew from ancient and romantic thought as well as past religious practices to reconcile conflicts and antinomies that were hobbling traditional liberalism. The book shows that Mill, regarded as a seminal writer in the liberal tradition, critiques liberalism’s weaknesses with a forcefulness usually associated with its well-known critics. Devigne explores (...) Mill’s writings to demonstrate how his thought has been misconstrued--as well as oversimplified--to the detriment of our understanding of liberalism itself. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Reformed Virtue after Barth: Developing Moral Virtue Ethics in the Reformed Tradition by Kirk J. NolanAmos Winarto Oei, PhDReformed Virtue after Barth: Developing Moral Virtue Ethics in the Reformed Tradition Kirk J. Nolan LOUISVILLE, KY: WESTMINSTER JOHN KNOX PRESS, 2014. 192 PP. $30.00In this addition to the Columbia Series in Reformed Theology, Kirk Nolan attempts to overcome the theological obstacles that Karl Barth raises to Reformed (...) moral virtues ethics. He hopes that his work will contribute to the broader discussion regarding Christian virtue ethics in two ways: the relational dimension of virtue and its prophetic contribution to challenge and influence personal life and future social arrangements (viii–ix). Nolan's thesis is that the attempt to overcome theological obstacles requires grounding virtue ethics in a covenant based in God's free election (8). Though virtue ethics may seem out of place in Reformed theology, especially in the thought of Karl Barth, Nolan argues that Barth's theology actually proves virtue ethics can be compatible with the Reformed tradition. [End Page 213]He elaborates the thesis by identifying those areas of greatest theological concern in the tradition and seeking to address them. He first looks at John Calvin's theology, the Westminster Confession, and Jonathan Edwards's theology (chapter 1). One concern to address is the problem of "Constantinianism" in their thought where they all "presume church-state relations in which the church is the dominant force in society" (35). Karl Barth challenges such presumption by pointing out that the church's role is not to coerce her morality on others but instead simply to present the power of the Holy Spirit. Virtue ethics is not top-down management.Nolan then looks at the theology of Karl Barth himself (chapters 2 and 3), especially those areas that may present difficulties to virtue ethics: Christocentric anthropology, rejection of the Analogia entis, and rejection of habitual grace. Nolan explores these difficulties by engaging with others such as Erich Przywara and William Werpehowski, arriving at so-called "virtue ethics without recourse to natural morality" (71). What does a virtue ethic without natural morality look like (chapter 4)? The key feature is that it is grounded in God's revelation instead of "an overly optimistic view of the effects of sin on humankind" (108). This implies, using a modified Thomist terminology, that all virtues in this ethic are infused; in this case, they are all shaped by grace, and this grace continues to work in the life of believers even when they stubbornly resist it (simul iustus et peccator).In the final chapter (chapter 5), Nolan shows the practice of virtue ethics by addressing a short history of social witness in the Presbyterian Church (USA). Virtue ethics after Barth will commit to practical wisdom, frugality, and charity. The PC(USA) should make these commitments explicit and then should integrate its institutional focus on social injustice with concern for individual moral change since "virtue ethics, with its link between the flourishing of society and the flourishing of individuals, provides rich resources for this integrative task" (133).Kirk Nolan has creatively argued for a Barthian virtue ethics, developing a virtue ethics based on Barth's doctrine of revelation. This is an important addition to the discussion of virtue ethics. One question comes up through the reading of this work: Can a virtue ethics without natural morality be really called Reformed? Reformed tradition, in the works of people such as John Calvin, Heinrich Bullinger, Peter Martyr Vermigli, and Francis Turretin had a well-developed view of the conscience as having an innate or implanted knowledge of the natural law—albeit one that could not motivate unregenerate sinners to do the good which pleases God. [End Page 214]Amos Winarto OeiAletheia Theological Seminary (Indonesia)Copyright © 2017 Society of Christian Ethics... (shrink)

Drawing on the work of Jonathan Edwards, this essay explores two dimensions of Reformed thought central to considering the emotions’ moral significance. First, Reformed theology’s singular understanding of virtue and holiness as love to God and neighbor gives rise to a distinctive account of the emotions’ place in the moral life. Certain emotions are to be embraced insofar as they have the capacity to be sanctified and thereby made compatible with growth in love to God. Second, Reformed theology (...) historically links the emotions with the will, which is subject to moral necessity. Contemporary Reformed reflection on the emotions must therefore grapple with questions about moral agency and accountability that arise from this account of necessity. (shrink)

We have just completed an exhausting nine‐month debate on the future of the Affordable Care Act. I see this debate as having ended—as of this writing—in a draw. After months of repeal efforts, Republicans in the House barely passed in early May, with a 217‐to‐213 margin, the American Health Care Act, which would have significantly amended the ACA. Republicans in the Senate spent the summer trying to arrive at amendments to the AHCA that could attract fifty of their fifty‐two votes, (...) but in the end, the clock ran out on their opportunity to enact an amendment without Democratic input. With this legislative failure, we appear to be in a stalemate. The Affordable Care Act remains in place as the law of the land, but the Trump administration seems committed to at best condemning the ACA to malign neglect and at worst actively undermining it at every opportunity. Given the political stalemate, the time is right to reassess the deeper issues at stake and ponder the prospects for a considered compromise on health reform. (shrink)

Review of Terence Irwin, “The Reformation and Scholastic Moral Philosophy,” chapter 29 of The Development of Ethics: A Historical and Critical Study, Volume I: From Socrates to the Reformation.

In speculating on the motives for government, English philosopher Thomas Hobbes identified the pervasive role of fear and the danger of violent death, holding famously that where no government prevails to secure physical safety and property, there can also be no enduring knowledge, art, or civilization—leaving human lives “solitary, poore [sic], nasty, brutish and short.”.

A survey of moral theology from its biblical origins to the eve of the Reformation, demonstrating that Reformed moral sensibilities were received and developed from the greater church tradition.

Reform of the economic structure is a profound revolution that not only affects every aspect of China's political and economic life but stimulates changes in the way of social life, the mode of thought, and the concepts of social ethics and morality. The relationship between people reflected by these changes is closely related to the basic issues, principles, and standards of morality. Ethically, the changes themselves contain moral issues. The current economic reforms are changing and enriching people's concepts (...) of morality and will doubtless enhance their development. (shrink)

The Catholic Church in the United States provides extensive health care service through its more than 600 health facilities. The Church, on the basis of its moral teaching, sees health care as a basic human right and supports universal coverage. At the same time, the Church considers abortion morally wrong and opposes coverage of abortion as a health service in a national health plan. Mandated coverage of abortion would violate the moral commitments of Catholic hospitals and the consciences (...) of Catholics who would be required to financially support provision of abortion services. Keywords: abortion, Catholic hospitals, Clinton health plan, health care reform CiteULike Connotea Del.icio.us What's this? (shrink)