Background Artificial intelligence-driven Clinical Decision Support Systems (AI-CDSS) are increasingly being integrated into healthcare for various purposes, including resource allocation. While these systems promise improved efficiency and decision-making, they also raise significant ethical concerns. This study aims to explore healthcare professionals’ perspectives on the ethical implications of using AI-CDSS for healthcare resource allocation. Methods We conducted semi-structured qualitative interviews with 23 healthcare professionals, including physicians, nurses, administrators, and medical ethicists in Turkey. Interviews focused on participants’ views regarding the use of (...) AI-CDSS in resource allocation, potential ethical challenges, and recommendations for responsible implementation. Data were analyzed using thematic analysis. Results Participant responses are clustered around five pre-determined thematic areas: (1) balancing efficiency and equity in resource allocation, (2) the importance of transparency and explicability in AI-CDSS, (3) shifting roles and responsibilities in clinical decision-making, (4) ethical considerations in data usage and algorithm development, and (5) balancing cost-effectiveness and patient-centered care. Participants acknowledged the potential of AI-CDSS to optimize resource allocation but expressed concerns about exacerbating healthcare disparities, the need for interpretable AI models, changing professional roles, data privacy, and maintaining individualized care. Conclusions The integration of AI-CDSS into healthcare resource allocation presents both opportunities and significant ethical challenges. Our findings underscore the need for robust ethical frameworks, enhanced AI literacy among healthcare professionals, interdisciplinary collaboration, and rigorous monitoring and evaluation processes. Addressing these challenges proactively is crucial for harnessing the potential of AI-CDSS while preserving the fundamental values of equity, transparency, and patient-centered care in healthcare delivery. (shrink)

It is the proudest boast of the sciences that they are objective, clean of moral judgments, wertfrei. This insistence was salutary as the physical sciences struggled to loose themselves from the bonds of tradition, and it was natural that the social sciences took over the emphasis. Yet by a quirk of history the latter disciplines in striving for objectivity and amorality are unscientific. Far from being the hallmark of scientific method that students of society think it, the doctrine of Wertfreiheit (...) is of religious origin. It has always been the spokesmen of tradition who have said that science is without reference to morals and value, relegating this province to themselves. (shrink)

Human beings are epistemically interdependent. Much of what we know and much of what we need to know we glean from others. Being a gregarious bunch, we are prone to venturing opinions whether they are warranted or not. This makes information transfer a tricky business. What we want from others is not just information, but reliable information. When we seek information, we are in the position of enquirers not examiners. We ask someone whether p because we do not ourselves already (...) know whether p. So we cannot check our informant’s bona fides by seeing whether she is speaking the truth about p. We need grounds for trust. In What’s the Point of Knowledge? Michael Hannon maintains that this is the predicament that underlies the concept of knowledge. The we here is comprehensive. Evidently, every language has a word for knowledge. This, Hannon suggests, indicates that the concept of knowledge satisfies a universal human need. A goal, if not the goal, of epistemology is to identify that need and ascertain how it is satisfied. Following Craig, Hannon argues that the point of knowledge is to enable us to identify good – that is, suitably reliable – informants. Let us call this the information transfer view. (shrink)

Science relies on models and idealizations that are known not to be true. Even so, science is epistemically reputable. To accommodate science, epistemology should focus on understanding rather than knowledge and should recognize that the understanding of a topic need not be factive. This requires reconfiguring the norms of epistemic acceptability. If epistemology has the resources to accommodate science, it will also have the resources to show that art too advances understanding.

Everyone is agreed that mankind today finds itself virtually swimming in crises. The typical discussion of every world problem is so fraught with a sense of urgency, so steeped in the hyperbole of danger, that the discussions would be funny were they not so tragic.

Teaching is not testimony. Although both convey information, they have different uptake requirements. Testimony aims to impart information and typically succeeds if the recipient believes that informationon account of having been told by a reliable informant. Teaching aims to equip learners to go beyond the information given—to leverage that information to broaden, deepen, and critique their current understanding of a topic. Teaching fails if the recipients believe the information only because it is what they have been told.

Understanding, as I construe it, is holistic. It is a matter of how commitments mesh to form a mutually supportive, independently supported system of thought. It is advanced by bootstrapping. We start with what we think we know and build from there. This makes education continuous with what goes on at the cutting edge of inquiry. Methods, standards, categories and stances are as important as facts. So something like E. D. Hirsch’s list of facts every fourth grader should know is (...) slightly silly. What makes for a good fourth grade education is not the set of facts the fourth grader knows, but the level of understanding she has achieved and the resources she can deploy to advance that understanding. Facts are part of the story, but so are fictions, methods, standards, and categories. A major part of understanding is recognizing what problems remain to be solved. (shrink)

Among contemporary philosophers, there is widespread consensus that begging the question is a grave argumentative flaw. However, there is presently no satisfactory analysis of what this flaw consists of. Here, I defend a notion of question-begging in terms of analyticity. In particular, I argue that an argument begs the question just in case its conclusion is an analytic part of the conjunction of its premises.

Truth is standardly considered a requirement on epistemic acceptability. But science and philosophy deploy models, idealizations and thought experiments that prescind from truth to achieve other cognitive ends. I argue that such felicitous falsehoods function as cognitively useful fictions. They are cognitively useful because they exemplify and afford epistemic access to features they share with the relevant facts. They are falsehoods in that they diverge from the facts. Nonetheless, they are true enough to serve their epistemic purposes. Theories that contain (...) them have testable consequences, hence are factually defeasible. (shrink)

The book contains a unique epistemological position that deserves serious consideration by specialists in the subject."--Bruce Aune, University of Massachusetts.

If understanding is factive, the propositions that express an understanding are true. I argue that a factive conception of understanding is unduly restrictive. It neither reflects our practices in ascribing understanding nor does justice to contemporary science. For science uses idealizations and models that do not mirror the facts. Strictly speaking, they are false. By appeal to exemplification, I devise a more generous, flexible conception of understanding that accommodates science, reflects our practices, and shows a sufficient but not slavish sensitivity (...) to the facts. (shrink)

This article shifts the emphasis away from debates on how to study the history of the Mediterranean. Instead, it examines the utopian perspectives that Mediterranean as a context and as a framework generates for artists and scholars. Arslan argues that the Mediterranean's _longue-durée_ history does not have to be thought of as a prison or a burden; rather, this history can provide new future visions. The article claims that artists can draw upon the Mediterranean's history to simultaneously resist against Western (...) imperialism and criticize discriminatory practices in their communities. Furthermore, recent works in Mediterranean studies can generate what the author calls a "disciplinary utopia," wherein critics can engage with theoretical issues without foregoing attention to the languages and historical contexts of the traditions they study. The Mediterranean is not solely a sea in which narratives are produced; it is also a context in which they can be reassessed. (shrink)

This paper concerns the grounds of nonground: what it is in virtue of that facts of the form [F1 does not ground F2] hold. While the literature on iterated ground is expansive, there is comparatively little written on the grounds of nonground. I argue that nonground is grounded in distinctness from ground. If F1 does not ground F2, then [F1 does not ground F2] is grounded in the fact that F1 is distinct from that which does ground F2. While this (...) proposal strikes me as natural, it faces puzzles involving conjunction, contingency, and cardinality. The bulk of this paper explores how the view might be precisified, and how these puzzles might be resolved. (shrink)

I provide a theory of the metaphysical foundations of identity: an account what grounds facts of the form a=b. In particular, I defend the claim that indiscernibility grounds identity. This is typically rejected because it is viciously circular; plausible assumptions about the logic of ground entail that the fact that a=b partially grounds itself. The theory I defend is immune to this circularity.

"Systematizes and develops in a comprehensive study Nelson Goodman's philosophy of language. The Goodman-Elgin point of view is important and sophisticated, and deals with a number of issues, such as metaphor, ignored by most other theories." --John R. Perry, Stanford University.

To understand a term or other symbol, I argue that it is generally neither necessary nor sufficient to assign it a unique determinate reference. Independent of and prior to investigation, it is frequently indeterminate not only whether a sentence is true, but also what its truth conditions are. Nelson Goodman's discussions of likeness of meaning are deployed to explain how this can be so.

Predictions concerning the end of the world have proven less reliable than your broker’s recommendations or your fondest hopes. Whether you await the end fearfully or eagerly, you may rest assured that it will never come—not because the world is everlasting but because it has already ended, if indeed it ever began. But we need not mourn, for the world is indeed well lost, and with it the stultifying stereotypes of absolutism: the absurd notions of science as the effort to (...) discover a unique, prepackaged, but unfortunately undiscoverable reality, and of truth as agreement with that inaccessible reality. All notions of pure givenness and unconditional necessity and of a single correct perspective and system of categories are lost as well.If there is no such thing as the world, what are we living in? The answer might be “A world” or, better, “Several worlds.” For to deny that there is any such thing as the world is no more to deny that there are worlds than to deny that there is any such thing as the number between two and seven is to deny that there are numbers between two and seven. The task of describing the world is as futile as the task of describing the number between two and seven.The world is lost once we appreciate a curious feature of certain pairs of seemingly contradictory statements: if either is true, both are. Although “The earth is in motion” and “The earth is at rest” apparently contradict each other, both are true. But from a contradiction, every statement follows. So unless we are prepared to acknowledge the truth of every statement, the appearance of contradiction in cases like these must somehow be dispelled. Nelson Goodman is professor emeritus of philosophy at Harvard University. He has written Of Mind and Other Matters, Ways of Worldmaking, Problems and Projects, Languages of Art, The Structure of Appearance, and Fact, Fiction, and Forecast. His most recent contribution to Critical Inquiry is “How Buildings Mean” . Catherine Z. Elgin is associate professor of philosophy at the University of North Carolina, Chapel Hill. She is the author of With Reference to Reference and is currently writing a book entitled Philosophy without Foundations. (shrink)

In “Hume and Julius Caesar,” G.E.M. Anscombe argues that some historical claims, such as “Julius Caesar was assassinated,” serve as touchstones for historical knowledge. Only Cartesian doubt can call them into question. I examine her reasons for thinking that the discipline of history must be grounded in claims that it is powerless to discredit. I argue that she is right to recognize that some historical claims are harder to dislodge than others, but wrong to contend that any are invulnerable to (...) non-Cartesian doubt. (shrink)

I provide an analysis of sentences of the form ‘To beFis to beG’ in terms of exact truth-maker semantics—an approach that identifies the meanings of sentences with the states of the world directly responsible for their truth-values. Roughly, I argue that these sentences hold just in case that which makes somethingFalso makes itG. This approach is hyperintensional and possesses desirable logical and modal features. In particular, these sentences are reflexive, transitive, and symmetric, and if they are true, then they are (...) necessarily true, and it is necessary that all and onlyFs areGs. I motivate my account over Correia and Skiles’ [11] prominent alternative and close by defining an irreflexive and asymmetric notion of analysis in terms of the symmetric and reflexive notion. (shrink)

Jonathan Bennett (1974) maintains that Huckleberry Finn’s deliberations about whether to return Jim to slavery afford insight into the tension between sympathy and moral judgment; Miranda Fricker (2007) argues that the trial scene in To Kill a Mockingbird affords insight into the nature of testimonial injustice. Neither claims merely that the works prompt an attentive reader to think something new or to change her mind. Rather, they consider the reader cognitively better off for her encounters with the novels. Nor is (...) her cognitive improvement restricted to acquiring new justified true beliefs about the works themselves. What the reader gleans is supposed to enhance her knowledge or understanding of the .. (shrink)

Monism is the claim that only one object exists. While few contemporary philosophers endorse monism, it has an illustrious history – stretching back to Bradley, Spinoza and Parmenides. In this paper, I show that plausible assumptions about the higher-order logic of property identity entail that monism is true. Given the higher-order framework I operate in, this argument generalizes: it is also possible to establish that there is a single property, proposition, relation, etc. I then show why this form of monism (...) is inconsistent; because all propositions are identical, p is identical to ~p – and so they have the same truth-value. At least one of the assumptions that generate higher-order monism must be rejected. (shrink)

A challenger of traditions and boundaries A pivotal figure in 20th-century philosophy, Nelson Goodman has made seminal contributions to metaphysics, epistemology, aesthetics, and the philosophy of language, with surprising connections that cut across traditional boundaries. In the early 1950s, Goodman, Quine, and White published a series of papers that threatened to torpedo fundamental assumptions of traditional philosophy. They advocated repudiating analyticity, necessity, and prior assumptions. Some philosophers, realizing the seismic effects repudiation would cause, argued that philosophy should retain the familiar (...) framework. Others considered the arguments compelling, but despaired of doing philosophy without the framework. Goodman disagreed with both factions. Rather than regretting the loss of structure, he capitalized on the opportunities that arise when the strictures of tradition are loosened. Available individually by volume 1. Nominalism, Constructivism, and Relativism in the Work of Nelson Goodman (0-8153-2609-2) 296 pages 2. Nelson Goodman's New Riddle of Induction (0-8153-2610-6) 312 pages 3. Nelson Goodman's Philosophy of Art (0-8153-2611-4) 284 pages 4. Nelson Goodman's Theory of Symbols and its Applications (0-8153-2612-2) 344 pages. (shrink)

A challenger of traditions and boundaries A pivotal figure in 20th-century philosophy, Nelson Goodman has made seminal contributions to metaphysics, epistemology, aesthetics, and the philosophy of language, with surprising connections that cut across traditional boundaries. In the early 1950s, Goodman, Quine, and White published a series of papers that threatened to torpedo fundamental assumptions of traditional philosophy. They advocated repudiating analyticity, necessity, and prior assumptions. Some philosophers, realizing the seismic effects repudiation would cause, argued that philosophy should retain the familiar (...) framework. Others considered the arguments compelling, but despaired of doing philosophy without the framework. Goodman disagreed with both factions. Rather than regretting the loss of structure, he capitalized on the opportunities that arise when the strictures of tradition are loosened. (shrink)