The tax code has served as the primary vehicle for subsidizing health care in the U.S. for most of the last century, and will likely play a role in any future reform efforts. This paper discusses the role that the tax law can play in the implementation of health reform. The interplay, however, between the law and health policy presents a series of critical design and implementation challenges with which any health care reform package must grapple. This paper considers some (...) of the most pressing of these issues, and while it does not prescribe a particular outcome, it attempts to identify potential tax solutions. Additionally, the paper addresses the policy and administrative design questions that any discussion of these solutions should take into account. (shrink)

This Legal Solutions in Health Reform paper discusses the role that tax law can play in the implementation of health reform. The tax code has served as the primary vehicle for subsidizing health care in the U.S. for most of the last century and will likely play a role in any future reform efforts. However, the interplay between tax law and health policy presents a series of critical design and implementation challenges with which any health care reform package — be (...) they liberal or conservative — must grapple. This paper considers some of the most pressing of these issues. While it does not prescribe a particular outcome, it will attempt to identify potential tax solutions that might receive broad support and to observe the policy and administrative design questions that any discussion of these solutions should take into account. (shrink)

It would seem that Geach's claim is that the relation expressed by 'is identical with' is like the relation expressed by 'is better than', at least in one respect. If x and y are people, it may turn out that x is a better golfer than y, while y is a better poet than x. If we merely say that x is better than y, we fail to specify the respect in which we hold x to be the better. Another (...) way to put this is to say that we have not made clear "in relation to what" x is the better. We can call the relation expressed by 'is better than' a "relative relation," since an ordered pair of things may stand in that relation relative to one thing but not relative to another thing. Geach seems to think that identity is a relative relation. (shrink)

Championed by Whitehead (1979), a process metaphysics has been forwarded as one way of conceptualizing the fundamental nature of our existence. On an applied level, we might use the notion of process within the framework of scientific method to advance our knowledge of how we might take steps to create particular outcomes or states that we desire within organizations. We discuss both forward and backward looking approaches to developing process theory. Ultimately, though, in this paper, we present discussion of the (...) limits of Mohr’s (1982) conceptualization of process theory and show (1) how his discussion focuses on a subset or limited view of process (and would render invisible other alternatives) and (2) how such limitation of view retards the accumulation of knowledge regarding individuals and organizations as a storehouse of process approaches toward achieving specified results. (shrink)

Organizations constitute morally-complex environments, requiring organization members to possess levels of moral courage sufficient to promote their ethical action, while refraining from unethical actions when faced with temptations or pressures. Using a sample drawn from a military context, we explored the antecedents and consequences of moral courage. Results from this four-month field study demonstrated that authentic leadership was positively related to followers’ displays of moral courage. Further, followers’ moral courage fully mediated the effects of authentic leadership on followers’ ethical and (...) pro-social behaviors. Theoretical and practical implications for further integrating the work on moral courage, authentic leadership and ethics are discussed. (shrink)

Drawing on insights from social learning and social cognitive perspectives and research on the multilevel reality of leadership influences, we developed and tested a multilevel model that examines mechanisms and conditions through which ethical leadership deters work unit- and individual-level ostracism. Based on two field studies using multiple measurement points, we found that at the work unit level of analysis, relational climate partially mediates the negative relationship between ethical leadership and work unit-level ostracism whereas state mindfulness partially mediates the cross-level (...) influence of ethical leadership on individual-level ostracism. Contrary to our hypothesis, we found that the relationship between ethical leadership and relational climate was stronger when work units had a more mechanistic structure, and not when it had an organic work unit structure. Finally, we found that relational climate not only moderates the relationship between state mindfulness and individual-level ostracism, but also moderates the indirect influence of ethical leadership on individual-level ostracism through state mindfulness such that the indirect effect is stronger when relational climate is high as opposed to low. These findings highlight the individual- and work unit-level conditions and mechanisms through which ethical leadership relates to decreased ostracism at work, and thus extends theory and research on ethical leadership and ostracism. (shrink)

The authors provide this addendum to the following article to provide corrections to the results reported and further explanation of the structural equation modeling techniques utilized: Sean T. Hannah, Bruce J. Avolio, and Fred O. Walumbwa, “The Relationships between Authentic Leadership, Moral Courage, and Ethical and Pro-Social Behaviors,” Business Ethics Quarterly 21:4 : 555–78.

Classical embryological studies have provided a great deal of information on the autonomy and stability of cell fate determination in early sea urchin embryos. However, these studies were limited by the tools available at the time, and the interpretation of the results of these experiments was limited by the lack of information available at the molecular level. Recent studies which have re‐examined classical experiments at the molecular level have provided important new insights into the mechanism of determination in sea urchins, (...) and require us to re‐evaluate some long standing theories on the process of differentiation. (shrink)

This book provides practical and research-based chapters that offer greater clarity about the particular kinds of teacher reflection that matter and avoids talking about teacher reflection generically, which implies that all kinds of reflection are of equal value.

This short and vigorous book consists of a penetrating collection of interrelated essays whose defining characteristic is that they pin down, magnify and mirror back to us, with embarrassing clarity and force, our most dysfunctional yet unexamined ways of thinking, living and relating to each other in the early 21st century. Our ills are diagnosed with x-ray vision and laser precision. The book assesses our situation from a neutral vantage point outside the cultural echo chamber of values, opinions and beliefs (...) in which most of us find ourselves immersed. In doing so, it reveals what most of us can't see. It confronts us with unpleasant truths about ourselves, the acknowledgement of which is imperative if we are to heal and improve our lives. The book also points to sane ways forward, and the appropriateness of these ways become self-evident once they are elucidated."--Page 4 of cover. (shrink)

From the time of Reid through Coleridge to T. H. Green, Hume was interpreted as a sceptic and as a wholly negative philosopher. And from their perspective such an interpretation no doubt makes some sense, given the vested interest in religion and the absolute of the idealists: from that perspective it is an essential part of a positive position that it take one beyond the realm of ordinary objects known by sense experience to a realm of entities that transcend that (...) world of everyday life. That interpretation lingers on, like bad jokes, to retail in Philosophy 100 classes. On the other hand, in an age where the demand that one have access to a transcendent entity is less insistent, it has become possible to challenge the orthodox reading of Hume. The first to do this was Norman Kemp Smith, who argued that, while Hume was a sceptic, he in fact also had a positive view, not to be sure that of Reid & Co., but that of anaturalist, that is, one who holds that our beliefs, and our moral commitments, are none of them rational, none of them products of reason, but rather are products of our instinctive and passionate natures. This interpretation continues to have important defenders such as Popkin and Stroud. More recently, however, some scholars have gone further and argued that there are good senses in which Hume is not a sceptic, and that he constructs a case that our instinctual beliefs are not only natural but also rational. Major works defending this reading of Hume as a naturalized epistemologist are those of Livingston and Jones. The Kemp Smith interpretation has, however, found a major new defender in John Wright'sThe Sceptical Realism of David Hume. (shrink)

The manufacturing industry faces a trend in which employees’ work processes are being redesigned into simple, repetitive tasks that maximize performance and efficiency. This neo-Tayloristic business model reduces social interactions and stifles relationship building, leading to disgruntled employees and raising questions about leaders’ moral obligation as to the mechanisms they use to enhance employees’ performance at work. As an alternative to redesigning work processes, we contend that servant leaders can enhance employees’ overall performance by cultivating positive interpersonal dynamics at work (...) where social connectedness flourishes. Integrating insights from self-determination theory with servant leadership’s moral foundations, we investigate the degree to which servant leadership fosters two elements of a relationally supportive social context, interactional justice climate and coworker support, that facilitate its influence on followers’ intrinsic motivation and, subsequently, their voice and in-role performance. Temporally-separated data collected from a sample of 296 employees and their supervisors situated in 44 teams yielded results that support our hypotheses. Results underscore the importance of servant leadership cultivating a positive relational context to increase employees’ intrinsic motivation and improve their behaviors at work. (shrink)

Biological evolution provides a creative fount of complex and subtle adaptations, often surprising the scientists who discover them. However, because evolution is an algorithmic process that transcends the substrate in which it occurs, evolution’s creativity is not limited to nature. Indeed, many researchers in the field of digital evolution have observed their evolving algorithms and organisms subverting their intentions, exposing unrecognized bugs in their code, producing unexpected adaptations, or exhibiting outcomes uncannily convergent with ones in nature. Such stories routinely reveal (...) creativity by evolution in these digital worlds, but they rarely fit into the standard scientific narrative. Instead they are often treated as mere obstacles to be overcome, rather than results that warrant study in their own right. The stories themselves are traded among researchers through oral tradition, but that mode of information transmission is inefficient and prone to error and outright loss. Moreover, the fact that these stories tend to be shared only among practitioners means that many natural scientists do not realize how interesting and lifelike digital organisms are and how natural their evolution can be. To our knowledge, no collection of such anecdotes has been published before. This paper is the crowd-sourced product of researchers in the fields of artificial life and evolutionary computation who have provided first-hand accounts of such cases. It thus serves as a written, fact-checked collection of scientifically important and even entertaining stories. In doing so we also present here substantial evidence that the existence and importance of evolutionary surprises extends beyond the natural world, and may indeed be a universal property of all complex evolving systems. (shrink)

Some puzzles about happiness -- Pt. I. Some things that happiness isn't. Sensory hedonism about happiness -- Kahneman's "objective happiness" -- Subjective local preferentism about happiness -- Whole life satisfaction concepts of happiness -- Pt. II. What happiness is. What is this thing called happiness? -- Attitudinal hedonism about happiness -- Eudaimonism -- The problem of inauthentic happiness -- Disgusting happiness -- Our authority over our own happiness -- Pt. III. Implications for the empirical study of happiness. Measuring happiness -- (...) Empirical research; philosophical conclusions -- The central points of the project as a whole. (shrink)

Among philosophers, there are at least two prevalent views about the core concept of intentional action. View I (Adams 1986, 1997; McCann 1986) holds that an agent S intentionally does an action A only if S intends to do A. View II (Bratman 1987; Harman 1976; and Mele 1992) holds that there are cases where S intentionally does A without intending to do A, as long as doing A is foreseen and S is willing to accept A as a consequence (...) of S’s action. Joshua Knobe (2003a) presents intriguing data that may be taken to support the second view.1 Knobe’s data show an asymmetry in folk judgements. People are more inclined to judge that S did A intentionally, even when not intended, if A was perceived as causing a harm (e.g. harming the environment). There is an asymmetry because people are not inclined to see S’s action as intentional, when not intended, if A is perceived as causing a benefit (e.g. helping the environment). In this paper we will discuss Knobe’s results in detail. We will raise the question of whether his ordinary language surveys of folk judgments have accessed core concepts of intentional action. We suspect that instead Knobe’s surveys are tapping into pragmatic aspects of intentional language and its role in moral praise and blame. We will suggest alternative surveys that we plan to conduct to get at this difference, and we will attempt to explain the pragmatic usage of intentional language. (shrink)

No progress has been made over the past decade in improving equity of access to higher education for young people from low socio-economic backgrounds. New evidence indicates that both family income and cultural factors explain this situation. The cultural factor is particularly strong for boys from blue collar backgrounds. Current Government equity policy ignores these findings.

Utilitarians are attracted to the idea that an act is morally right iff it leads to the best outcome. But critics have pointed out that in many cases we cannot determine which of our alternatives in fact would lead to the best outcome. So we can’t use the classic principle to determine what we should do. It’s not “practical”; it’s not “action-guiding”. Some take this to be a serious objection to utilitarianism, since they think a moral theory ought to be (...) practical and action-guiding. In response, some utilitarians propose to modify utilitarianism by replacing talk of actual utility with talk of expected utility. Others propose to leave the original utilitarian principle in place, but to combine it with a decision procedure involving expected utility. What all these philosophers have in common is this: they move toward expected utility in order to defend utilitarianism against the impracticality objection. My aim in this paper is to cast doubt on this way of replying to the objection. My central claim is that if utilitarians are worried about the impracticality objection, they should not turn to expected utility utilitarianism. That theory does not provide the basis for a cogent reply to the objection. (shrink)

In this paper, I present my solutions to two closely related questions about pleasure. One of these questions is fairly well known. The second question seems to me to be at least as interesting as the first, but it apparently hasn't interested quite so many philosophers.

Abstract According to the Deprivation Approach, the evil of death is to be explained by the fact that death deprives us of the goods we would have enjoyed if we had lived longer. But the Deprivation Approach confronts a problem first discussed by Lucretius. Late birth seems to deprive us of the goods we would have enjoyed if we had been born earlier. Yet no one is troubled by late birth. So it’s hard to see why we should be troubled (...) by its temporal mirror image, early death. In a 1986 paper, Anthony Brueckner and John Martin Fischer appealed to a version of Derek Parfit’s “Bias toward the Future”; they claimed that early death deprives us of future goods that we care about, while late birth deprives us of past goods that we don’t care about. In this paper I show that the Brueckner–Fischer principle is open to several possible interpretations, but that it does not solve the Lucretius problem no matter how we understand it. Content Type Journal Article Pages 1-9 DOI 10.1007/s11098-011-9766-6 Authors Fred Feldman, Department of Philosophy, University of Massachusetts at Amherst, Amherst, MA 01003, USA Journal Philosophical Studies Online ISSN 1573-0883 Print ISSN 0031-8116. (shrink)

In this essay, Seddon provides a brief rejoinder to Long's reply to his review of the monograph Reason and Value: Aristotle versus Rand. Despite his criticisms, Seddon maintains that reading Long's monograph will pay rewards for all those interested in the history of philosophy as it impacts Ayn Rand's thought.

ABSTRACT Drawing inspiration from Fred Dretske, L. S. Carrier, John A. Barker, and Robert Nozick, we develop a tracking analysis of knowing according to which a true belief constitutes knowledge if and only if it is based on reasons that are sensitive to the fact that makes it true, that is, reasons that wouldn’t obtain if the belief weren’t true. We show that our sensitivity analysis handles numerous Gettier-type cases and lottery problems, blocks pathways leading to skepticism, and validates (...) the epistemic closure thesis that correct inferences from known premises yield knowledge of the conclusions. We discuss the plausible views of Ted Warfield and Branden Fitelson regarding cases of knowledge acquired via inference from false premises, and we show how our sensitivity analysis can account for such cases. We present arguments designed to discredit putative counterexamples to sensitivity analyses recently proffered by Tristan Haze, John Williams and Neil Sinhababu, which involve true statements made by untrustworthy informants and strange clocks that sometimes display the correct time while running backwards. Finally, we show that in virtue of employing the paradox-free subjunctive conditionals codified by Relevance Logic theorists instead of the paradox-laden subjunctive conditionals codified by Robert Stalnaker and David Lewis. (shrink)

In this article, we will describe higher order thought theories of consciousness. Then we will describe some examples from synesthesia. Finally, we will explain why the latter may be relevant to the former.

For T any completion of Peano Arithmetic and for n any positive integer, there is a model of T of size $\beth_n$ with no (n + 1)-length sequence of indiscernibles. Hence the Hanf number for omitting types over T, H(T), is at least $\beth_\omega$ . (Now, using an upper bound previously obtained by Julia Knight H (true arithmetic) is exactly $\beth_\omega$ ). If T ≠ true arithmetic, then $H(T) = \beth_{\omega1}$ . If $\delta \not\rightarrow (\rho)^{ , then any completion of (...) Peano Arithmetic has a model of size δ with no set of indiscernibles of size ρ. There are similar results for theories strongly resembling Peano Arithmetic, e.g., ZF + V = L. (shrink)

Peter Baumann and Nicholas Shackel defend me against a serious criticism by Christoph Jäger. They argue that my account of information is consistent with my denial of closure for knowledge. Information isn’t closed under known entailment either. I think that, technically speaking, they are right. But the way they are right doesn’t help me much in my effort to answer the skeptic. I describe a way in which information, like knowledge, fails to be closed in a way that makes an (...) information-based account of knowledge an effective tool in answering the skeptic. (shrink)

In earlier work I defended Intrinsic Attitudinal Hedonism—a view about what makes for individual personal welfare. On this view, a person’s level of welfare is entirely determined by the amounts of intrinsic attitudinal pleasure and pain he or she takes in things. The view seems to run into trouble in cases involving individuals who take their pleasure in disgusting, immoral things; and in cases involving individuals who take their pleasure in things that really don’t actually happen; and in cases involving (...) individuals who enjoy pleasures but who lead meaningless lives; and in cases involving individuals whose lives fail to manifest an attractive narrative structure. After sharpening up the objections, I introduce a distinction between Pure Welfare Narrowly Conceived and Enriched Welfare Broadly Conceived. I go on to claim that if this distinction is recognized, we will be able to say that each of the objections rests on the fallacy of equivocation. If, years ago, I had been more sensitive to the distinction between Pure Welfare and Enriched Welfare I would have been able to respond to the objections in a more coherent and effective way. I present that response here. In an appendix, I compare my current view with a related view defended by Shelly Kagan in ‘Me and My Life’. (shrink)

There is a terminological matter that should be settled before getting down to business. Lopes himself is not confused about this, but a reader—especially one who doesn't pay much attention to footnotes —might easily be.

Policy Review, the organ of the conservative Heritage Foundation, devoted their winter 1984 issue to lamenting the failures of the Reagan administration. Publisher M. Stan ton Evans complained that “This has been essentially another Ford Administration, … not much different from any other Republican administration in our lifetime. While the other Senator from Colorado, arch-conservative William Armstrong noted that Reagan had ‘managed to polarize the country over budget cuts that didn't happen.” “He cut the budget,” bemoaned Armstrong, “enough to make (...) the special interests and the press mad, but not enough” to restructure the government. For his part, National Conservative Political Action Committee (NCPAC) chair Terry Donlan has complained of the administration failure to move on its social agenda. (shrink)

Berufliche Autonomie ist Voraussetzung für Zufriedenheit mit der eigenen Tätigkeit. Dem Arztberuf wird ein hohes Maß an Autonomie zugeschrieben, verbunden mit fachlicher und ethisch-moralischer Kompetenz für lebenswichtige Bereiche. Das sind wesentliche Elemente für das positive Image dieses Berufes. Zu Beginn der ärztlichen Tätigkeit ist die ethischmoralische Kompetenz weitgehend ausgebildet, während die fachliche Kompetenz erst erworben werden muss. Kliniken, in denen die Weiterbildung meist erfolgt, sind oft auch heute noch traditionell hierarchisch organisiert. Die z.T. feudalistischen oder militärischen Strukturen behindern autonome moralische (...) Entscheidungen und bewirken eine strukturelle Verantwortungslosigkeit. Behinderungen und Druck durch Vorgesetzte, finanzielle Sanktionen, Standesdünkel und Profilierungsbestreben werden an typischen Konfliktsituationen aufgezeigt. Es kommt dadurch zu Spannungen, Unzufriedenheit, Gewissenskonflikten und Erkrankungen bis zum Burn out. Engagement von Mitarbeitern wird verhindert, Kreativität nicht genutzt und Fehler werden nicht konstruktiv bearbeitet. Dadurch können Patienten unangemessen belastet oder geschädigt werden. Nicht nur Vorgesetzte, sondern auch Nachgeordnete können so in Gefahr geraten, ihre moralischen Werte anderen Interessen unterzuordnen. Es werden Wege zu einer autonomiefördernden Kultur zwischen Ärzten und mit anderen Berufsgruppen aufgezeigt. Dazu gehört eine institutionalisierte Kommunikation auf der Basis gegenseitiger Wertschätzung in einem partnerschaftlichen Team, das auch ethische Fragen im Diskurs bearbeiten kann. (shrink)

Fred Adams and Charlotte Shreve ABSTRACT: Last year Charlotte Shreve and I presented an argument that synesthesia contains evidence against higher order thought theories of consciousness. Rocco Gennaro took up the challenge and argued that H.O.T. theories like his could handle the example and dismiss the argument. Below we suggest...