In 2001, leaders with palliative care convened to discuss the standardization of palliative care and formed the National Consensus Project for Quality Palliative Care. In 2004, the National Consensus Project for Quality Palliative Care produced the first edition of Clinical Guidelines for Quality Palliative Care. The Guidelines were developed by leaders in the field who examined other national and international standards with the intent to promote consistent, accessible, comprehensive, optimal palliative care through the health care spectrum. Within the guidelines there (...) are eight domains to the provision of palliative care. This article focuses on the last, but very significant Domain 8—Ethical and Legal Aspects of Care. (shrink)

Exploitation of the executive exercise of covert operations has presented a dilemma, but Colby maintains that even in peacetime a "democratic society must have and respect some secrets.".

This popular and classic text chronicles America's roller-coaster journey through the decades since World War II. Considering both the paradoxes and the possibilities of postwar America, William H. Chafe portrays the significant cultural and political themes that have colored our country's past and present, including issues of race, class, gender, foreign policy, and economic and social reform. He examines such subjects as the Vietnam War, the civil rights movement, the origins and the end of the Cold War, the culture (...) of the 1970s, the rise of the New Right, the events of September 11th and their aftermath, and various presidencies.Now thoroughly revised and updated, the seventh edition of The Unfinished Journey combines and reorganizes several chapters. The former Chapter 14, "New Rules, Old Realities," is now divided into two chapters. The new Chapter 14, "An Era of Political Malaise," covers the political history of the 1970s. It is followed by Chapter 15, "A Divided Culture, A Divided Society," which assesses the shifting cultural landscape of the 1970s and the emergence of major fissures in the social system of the nation. The final chapter contains substantial new material on the administration of George W. Bush, the wars in Iraq and Afghanistan, the election of 2008, and the first year of Barack Obama's presidency. Brilliantly written by a prize-winning historian, The Unfinished Journey, Seventh Edition, is an essential text for all students of recent American history. (shrink)

Combining engaging discussions and stimulating new case studies, BUSINESS ETHICS: A TEXTBOOK WITH CASES gives students a comprehensive survey of business ethics that will guide them toward becoming ethical professionals, even if they have never studied philosophy before. Rich with real-world examples, BUSINESS ETHICS: A TEXTBOOK WITH CASES invites students to critically analyze and apply a broad range of philosophical concepts and principles to today's most important issues in business and beyond. BUSINESS ETHICS: A TEXTBOOK WITH CASES is a concise (...) (without readings) and updated version of the eleventh edition of MORAL ISSUES IN BUSINESS. BUSINESS ETHICS: A TEXTBOOK WITH CASES is also available in an eBook format. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version. (shrink)

Aimed at undergraduates, _Contemporary Ethics_ presupposes little or no familiarity with ethics and is written in a clear and engaging style. It provides students with a sympathetic but critical guide to utilitarianism, explaining its different forms and exploring the debates it has spawned. The book leads students through a number of current issues in contemporary ethics that are connected to controversies over and within utilitarianism. At the same time, it uses utilitarianism to introduce students to ethics as a subject. In (...) these ways, the book is not only a guide to utilitarianism, but also an introduction to some standard problems of ethics and to several important topics in contemporary ethical theory. (shrink)

This book offers a detailed utilitarian analysis of the ethical issues involved in war. Utilitarianism and the Ethics of War addresses the two basic ethical questions posed by war: when, if ever, are we morally justified in waging war, and if recourse to arms is warranted, how are we permitted to fight the wars we wage? In addition, it deals with the challenge that realism and relativism raise for the ethical discussion of war, and with the duties of military personnel (...) and the moral challenges they can face. In tackling these matters, the book covers a wide range of topics—from pacifism to armed humanitarian intervention, from the right of national defense to pre-emptive or preventive war, from civilian immunity to the tenets of just war theory and the moral underpinnings of the rules of war. But, what is distinctive about this book is that it provides a consistent and thorough-going utilitarian or consequentialist treatment of the fundamental normative issues that war occasions. Although it goes against the tide of recent work in the field, a utilitarian approach to the ethics of war illuminates old questions in new ways by showing how a concern for well-being and the consequences of our actions and policies shape the moral constraints to which states and other actors must adhere. This book will be of much interest to students of the ethics of war, just war theory, moral philosophy, war and conflict studies and IR. (shrink)

Originally delivered at a conference of Marxist philosophers in China, this article examines some links, and some tensions, between business ethics and the traditional concerns of Marxism. After discussing the emergence of business ethics as an academic discipline, it explores and attempts to answer two Marxist objections that might be brought against the enterprise of business ethics. The first is that business ethics is impossible because capitalism itself tends to produce greedy, overreaching, and unethical business behavior. The second is that (...) business ethics is irrelevant because focusing on the moral or immoral conduct of individual firms or businesspeople distracts one’s attention from the systemic vices of capitalism. I argue, to the contrary, that, far from being impossible, business requires and indeed presupposes ethics and that for those who share Marx’s hope for a better society, nothing could be more relevant than engaging the debate over corporate social responsibility. In line with this, the article concludes by sketching some considerations favoring corporations’ adopting a broader view of their social and moral responsibilities, one that encompasses more than the pursuit of profit. (shrink)

The past few decades of moral psychology research have yielded empirical anomalies for rationalist theories of moral judgments. An increasing number of psychologists and philosophers argue that these anomalies are explained well by sentimentalism, the thesis that the presence of an emotion is necessary for the formation of a sincere moral judgment. The present review reveals that while emotions and moral judgments indeed often co-occur, there is scant evidence that emotions directly cause or constitute moral judgments. Research on disgust, anger, (...) sympathy, and guilt indicates that people only reliably experience emotions when judging conduct that is relevant to the welfare of the self and valued others. Moreover, many recent studies have either failed to replicate or exposed crucial confounds in the most cited evidence in support of sentimentalism. Moral psychologists should jettison sentimentalism, and focus instead on how considerations of harm and welfare—the core concepts of rationalist theories— interact with empirical beliefs to shape moral judgments. (shrink)

Diphtheria is an acute toxin-mediated superficial infection of the respiratory tract or skin caused by the aerobic gram-positive bacillus Corynebacterium diphtheriae. The epidemiology of infection and clinical manifestations of the disease vary in different parts of the world. Historical accounts of diphtheria epidemics have been described in many parts of the world since antiquity. Developed in the late 19th century, the diphtheria antitoxin played a pivotal role in the history of public health and vaccinology prior to the advent of the (...) diphtheria-tetanus toxoids and acellular pertussis vaccine. One of the most significant demonstrations of the importance of DAT was its use in the 1925 diphtheria epidemic of Nome, Alaska. Coordinated emergency delivery of this life-saving antitoxin by dog-sled relay in the harshest of conditions has left a profound legacy in the annals of vaccinology and public health. Lead dogs Balto and Togo, and the dog-led antitoxin run of 1925 represent a dynamic illustration of the contribution made by non-human species towards mass immunization in the history of vaccinology. This unique example of cooperative interspecies fellowship and collaboration highlights the importance of the human-animal bond in the one-health initiative. (shrink)

Connecting people across the digital divide is as much a social effort as a technological one. We are developing a community-centred approach to learn how interaction techniques can compensate for poor communication across the digital divide. We have incorporated the lessons learned regarding social intelligence design in an abstraction and in a device called the SoftBridge. The SoftBridge allows communication to flow from endpoints through adapters, getting converted if necessary, and out to destination endpoints. Field trials are underway with two (...) communities in South Africa: disadvantaged Deaf users and an isolated rural community. Initial lessons learned show that we have to design user interfaces that allow users to understand and cope with delay. We also learned that social concerns are often more important than the technical issues in designing such systems. (shrink)

In the second half of the twentieth century, a surprising change in the notion of scientific truth gained ground when an evolutionary cosmology made the Newtonian world machine into no more than a passing phase of the cosmos, subject to exceptions in the neighborhood of Black Holes and other unusual objects. Physical and chemical laws ceased to be eternal and universal and became local and changeable, that is, fundamentally historical instead, and faced an uncertain, changeable future just as they had (...) in the initial phases of the cosmos.The earth sciences along with biology had become historical in the nineteenth century; and the Big Bang cosmology in effect brought physics and chemistry into line, allowing venturesome intellects to concoct a new all-embracing worldview that recognizes the catalytic role of the observer in defining what is observed, and how different levels of local complexity provoke new and surprising phenomena--including terrestrial life forms, and most notably for us, humanly-constructed symbolic meanings--of which science is only one example.The article then argues that it is time for historians to take note of the imperial role thus thrust upon their discipline by making a sustained effort to enlarge their views and explore the career of humankind on earth as a whole, thus making human history an integral part of the emerging scientific and evolutionary worldview.Tentative suggestions of how this might be addressed, focusing on changes in patterns of communication that expanded the scale of human cooperation, and thus conduced to survival, follow. Dance, then speech, were early breakthroughs expanding the practicable size of wandering human bands; then caravans and shipping allowed civilizations to arise; writing expanded the scale of coordination; warfare and trade harshly imposed best practice across wide areas of Eurasia and Africa and kept the skills of that part of the world ahead of what the peoples of other continents and islands had at their command. Then with the crossing of the oceans after 1492 our One World began to emerge and swiftly assumed its contemporary shape with further improvements in the range and capacity of communication--for example, printing, mechanically-powered transport, instantaneous data transmission--with consequences for human society and earth's ecosystem yet to be experienced.Much remains to be investigated and, in particular, interactions between the history of human symbolic meanings and the history of other equilibria--ecological, chemical, physical--within which we exist needs further study. But with suitable effort, history can perhaps become scientific and the emerging scientific evolutionary worldview begin to achieve logical completeness by bringing humankind within its scope. (shrink)

This article attempts to account for professional historians’ relative neglect of the history of economic life over the past thirty years, looking mainly at the American case. This neglect seems paradoxical, considering the remarkable transformations that have taken place in world capitalism during this same period. I trace the neglect to the capture of the once interdisciplinary field of economic history by mathematically inclined economists and to the roughly simultaneous turn of historians from social to cultural history. I conclude by (...) suggesting some topics in the history of economic life that seem both timely and exciting. I also suggest some intellectual resources that other disciplines, particularly economic sociology and economic history, could offer should historians decide to tackle the history of economic life once again. (shrink)

This article considers the relative advantages of alternative enterprise forms in finance from the point of view of public accountability. The business corporation is compared to the state agency or authority, the cooperative, the state corporation, and the charitable nonprofit. These forms can be distinguished according to whether they aspire to enhance general electoral democracy or stakeholder democracy and whether their democratic controls operate directly or indirectly. The article suggests that the indirect democratic forms may be more promising than the (...) direct ones. It also argues that the project of democratizing finance depends on the development of practices of multifactor or “dialogic” performance assessment. Such practices must be institutionalized through public or private organizations that extend across firms. (shrink)

The 1994 edition is here enlarged with new sections on the goals and allocation of medicine and human cloning. There is no index.

This article discusses indigenous rights within the context of global governance. I begin by defining the terms “global governance” and “indigenous peoples” and summarizing the rights that are most important to indigenous peoples. The bulk of this article studies the global governance of indigenous rights in three areas. The first example is the creation of the 2007 UN Declaration on the Rights of Indigenous Peoples. A second example involves violations of indigenous rights brought before the Inter-American Court of Human Rights. (...) A third case looks at a relatively new international regime created by indigenous peoples themselves—the Inuit Circumpolar Council. I conclude by using theories of sovereignty to assess the relative successes and failures of indigenous efforts to secure their rights. (shrink)

a. Lessons from science and medicine b. Lessons from industrial revolutions c. How Deep Geothermal can replace coal. d. How to sink a lot of carbon quickly.

Despite the enormous impact that war and the threat of war have had on human well-being, utilitarians have had surprisingly little to say about when, if ever, we may fight wars. Discussion of this question has been dominated by realism, pacifism and just war theory. This article takes some preliminary steps toward remedying this situation. I begin by spelling out what I call the Utilitarian War Principle (UWP). After presenting some considerations in its favour and answering some possible objections to (...) it, I compare UWP with pacifism and with the principles of jus ad bellum found in the work of contemporary just war theorists. I argue that adherents of UWP should treat those principles as secondary moral principles, which, although subordinate to UWP, can and should guide its application and which, in turn, should be refined and revised with this goal in mind. (shrink)

The Centers for Disease Control and Prevention has focused its obesity prevention and control efforts on improving population-level health. A recent Institute of Medicine report identified systems that affect population health, to include health care delivery systems, schools, businesses and employers, communities, and governmental public health infrastructure. CDC uses the public health model to engage these systems, and this process coordinates multiple settings, sectors, and jurisdictions to develop an integrated approach to identify, prevent, and control obesity. The public health approach (...) goes beyond medical care to prioritize policy and environmental strategies that can be implemented across jurisdictional levels, in collaboration with traditional and nontraditional partners. The process ultimately produces tools, guidelines, and interventions that can be used to prevent and control obesity. In this manuscript, we provide an overview of the public health perspective on obesity, outline the public health framework for addressing obesity, and discuss the rationale for leveraging law-based efforts as a tool to accomplish the public health mission. (shrink)

In the nineteenth and twentieth centuries, federations became a widely used constitutional form. They were rare before the nineteenth century and it may be that they will become less attractive in the twenty‐first century. But for now they are well approved. And this is surprising because this era has also been an era of nationalism when the nation‐state, the sovereign political organization of the folk, is also well approved. These two forms are in some ways contradictory: nation‐states derive from, justify (...) and separate out a single ethnic group, while federations may – and often do – bring together political units with different ethnic bases. So a difficult problem for interpreting federalism is to explain the modern approval of this pragmatic, instrumental constitution in an era that embraces simultaneously the emotional and often irrational loyalties of nationalism. (shrink)

The article is a brief response to h putnam's brief response to my article, "empirical realism and other minds" ("philosophical investigations", Volume 2, 13-21, April 79). Putnam, In his response, Says that we might determine that an oddly behaving/talking person in an odd tribe was really in pain by discovering that he in fact has what (a further developed) science has determined he must have in order to be in pain. In my response I work out the imagined example with (...) a view to showing that logical difficulties associated with said working out, Strongly imply that "some" sort of logical relation between pain and behavior is unavoidable. (shrink)