Purpose of the work is to identify and justify the moral priorities in multicultural communication. Theoretical basis is the works of foreign and Ukrainian authors, revealing the main approaches to the problem of multiculturalism; studies on ethics and philosophical anthropology that define the problem field in the anthropo-logy of morality. The work uses: the conceptual provisions of phenomenology – for the disclosure of the semantic uncertainty of human existence as a prerequisite of moral search; existential philosophy – to substantiate the (...) essential relationship of a man and culture. Originality of the results obtained consists of 1) understanding multiculturalism as a "dialogue of people", in which the moral search of every person is actualized; 2) in justifying the demand for inter-individual communication of "negative" ethics : its requirement not to commit immoral acts stimulates a person to moral search, reveals the specifics of the existence of a "person navigator" ; 3) in the definition of intercultural communication as the creation of opportunities for the search for tolerant forms of existence. Conclusions : 1) multiculturalism is a contradictory phenomenon, producing conflicts and creating prerequisites for overcoming them; 2) the possibilities of non-conflict existence in a situation of multiculturalism arise in inter-individual communication, which is a situation of moral search for every person; 3) "ethics of opportunities" unites universal and situational moral norms in multicultural communication: people enable each other to remain people; 4) "ethics of opportunities" creates conditions for tolerant interaction between people and cultures. (shrink)

The UK’s National Institute for Health and Care Excellence is responsible for conducting health technology assessment on behalf of the National Health Service. In seeking to justify its recommendations to the NHS about which technologies to fund, NICE claims to adopt two complementary ethical frameworks, one procedural—accountability for reasonableness —and one substantive—an ‘ethics of opportunity costs’ that rests primarily on the notion of allocative efficiency. This study is the first to empirically examine normative changes to NICE’s approach and to analyse (...) whether these enhance or diminish the fairness of its decision-making, as judged against these frameworks. It finds that increasing formalisation of NICE’s approach and a weakening of the burden of proof laid on technologies undergoing HTA have together undermined its commitment to EOC. This implies a loss of allocative efficiency and a shift in the balance of how the interests of different NHS users are served, in favour of those who benefit directly from NICE’s recommendations. These changes also weaken NICE’s commitment to AfR by diminishing the publicity of its decision-making and by encouraging the adoption of rationales that cannot easily be shown to meet the relevance condition. This signals a need for either substantial reform of NICE’s approach, or more accurate communication of the ethical reasoning on which it is based. The study also highlights the need for further empirical work to explore the impact of these policy changes on NICE’s practice of HTA and to better understand how and why they have come about. (shrink)