Holmes is concerned with a conflict between law and medicine about the problem of psychopathy, in particular as it relates to homicide. He looks for a consistent set of legal principles based on a variety of medical concepts and in doing so criticises the court for its commonsense approach, its disregard for medical evidence and for employing lay notions of responsibility and illness. This commentary explores how Holmes's notions fit into existing legal rules and explains how the court seeks the (...) assistance of medical evidence when looking at the evidence as a whole to enable it to decide upon issues of defence, which involve legal and not medical concepts. (shrink)

Governments are increasingly using randomized controlled trials (RCTs) to evaluate policy interventions. RCTs are often understood to provide the highest quality evidence regarding the causal efficacy of an intervention. While randomization plays an essential epistemic role in the context of policy RCTs however, it also plays an important distributive role. By randomly assigning participants to either the intervention or control arm of an RCT, people are subject to different policies and so, often, to different types and levels of benefits. In (...) this paper, I identify one necessary condition as well as a set of sufficient conditions for the permissible use of random assignment by government agencies. I argue first that random assignment is permissible only if it is consistent with governments’ duty to realize morally important outcomes. I argue second that random assignment is permissible in cases where investigators are in a state of genuine equipoise regarding all arms of the experiment and the policy to which people have a claim of justice. Finally, I defend a set of conditions under which random assignment is permissible in cases where one or more arms of a policy RCT are reasonably expected to be either superior or inferior to this policy. (shrink)

Policy analyses begin with a systematic overview of the policy problem they address. This includes a comprehensive discussion of the nature and context of the problem, and the institutional and behavioral factors responsible for its emergence. Problem statements must also explain why the status quo is bad or undesirable, why it is something that governments, rather than private actors, should address, and establish that the relevant government institutions have the legitimacy to intervene. In this chapter, I provide an overview of (...) the principal types of policy problems that it is morally appropriate for governments to address. Each type denotes a class of states of affairs that (1) are bad, undesirable, or unjust, (2) the government is particularly well-suited to address, and (3) arise from spheres of action over which the relevant government institutions have the right to intervene. I begin with a discussion of collective action problems, that is, states of affairs in which action by rational and self-interested private actors is collectively self-defeating. I then argue for two additional types of policy problems. First, since the goal of government action is the construction of a just legal order, not merely an efficient one, states of affairs which are unjust constitute an additional type of policy problem. Relatedly, second, whereas analyses of collective action problems typically presuppose the existence of effective government institutions which can address them, such institutions may be deficient and/or unjust. A third type of policy problem is therefore deficient government institutions. -/- . (shrink)

In the paper “An archeology of corruption in medicine”, Miles Little, Wendy Lipworth, and Ian Kerridge present an account of corruption and describe its prevalent forms in medicine. In presenting an individual-focused account of corruption found within “social entities”, Little et al. argue that these entities are corruptible by nature and that certain individuals are prone to take advantage of the corruptibility of social entities to pursue their own ends. The authors state that this is not preventable, so the way (...) to remedy corruption is via management and, where necessary, punishment. This commentary will briefly lay out the key features and functions of corruption as presented by Little et al., before providing a critical discussion that will focus on whether corruptibility is a necessary feature of social entities. I will propose that it is not a necessary feature, though it may frequently arise where individualistic values are unchecked. Corruption can be prevented within social entities by enhancing structures that direct toward virtue and which promote and reward cooperation instead of competition. (shrink)

This paper proposes that public health is the sort of institution that has a role in producing structures of virtue in society. This proposal builds upon work that describes how virtues are structured by the practices of institutions, at the collective or whole-of-society level. This work seeks to fill a gap in public health ethics when it comes to virtues. Mainstay moral theories tend to incorporate some role for virtues, but within public health ethics this role has not been fully (...) articulated. Two recent papers have proposed ways in which the virtues might be incorporated: working from a structural account, Rozier suggests that public health could work to instil virtues, like temperance, in the public in order to achieve its health-related goals; Nihlén Fahlquist suggests that compassion is among three virtues that practitioners of public health should cultivate in order to do their work well. In the end, both accounts recommend incorporating virtues at the level of individuals, among the public and among practitioners. I propose a third kind of role for virtue in public health that focuses on structures. Public health activities take place at the population level, and a public health virtue ethics must also be suitably population-focussed. (shrink)

This paper imagines what the liberatory possibilities of (full) ectogenesis are, insofar as it separates woman from female reproductive function. Even before use with human infants, ectogenesis productively disrupts the biological paradigm underlying current gender categories and divisions of labour. I begin by presenting a theory of women’s oppression drawn from the radical feminisms of the 1960s, which sees oppression as deeply rooted in biology. On this view, oppressive social meanings are overlaid upon biology and body, as artefacts of culture (...) and history. I then argue that ectogenesis should be pursued to replace two modes of assisted gestation that can be seen as outgrowths of oppressive assumptions about women's function, ectogenesis should be pursued to replace two modes of assisted gestation. These are gestational surrogacy and uterine transplant, which arise partly from gendered, pronatalist, and geneticist norms. These practices are supported by assumptions about women’s identity and value. Pursuing technologies such as ectogenesis, which weaken the presumed link between biology and gender, is beneficial to (trans-inclusionary radical) feminist aims, as part of a broad project of challenging dominant power relations resting on and maintaining gender categories. By allowing the conceptual separation of female reproductive function from ‘woman’, ectogenesis raises questions about how we determine who counts in this gender identity, and also how we value those who claim the identity ‘woman’. I conclude that ectogenesis has the potential to challenge traditional patriarchal family structures, and thence all other male-dominated structures (of work, education, cultural production), allowing a reimagining of the family and society in more radical ways than we have yet achieved. (shrink)

The problem of standard of care in clinical research concerns the level of treatment that investigators must provide to subjects in clinical trials. Commentators often formulate answers to this problem by appealing to two distinct types of obligations: professional obligations and natural duties. In this article, I investigate whether investigators also possess institutional obligations that are directly relevant to the problem of standard of care, that is, those obligations a person has because she occupies a particular institutional role. I examine (...) two types of institutional contexts: (1) public research agencies – agencies or departments of states that fund or conduct clinical research in the public interest; and (2) private-for-profit corporations. I argue that investigators who are employed or have their research sponsored by the former have a distinctive institutional obligation to conduct their research in a way that is consistent with the state's duty of distributive justice to provide its citizens with access to basic health care, and its duty to aid citizens of lower income countries. By contrast, I argue that investigators who are employed or have their research sponsored by private-for-profit corporations do not possess this obligation nor any other institutional obligation that is directly relevant to the ethics of RCTs. My account of the institutional obligations of investigators aims to contribute to the development of a reasonable, distributive justice-based account of standard of care. (shrink)

A chief objection to opt-out organ donor registration policies is that they do not secure people's actual consent to donation, and so fail to respect their autonomy rights to decide what happens to their organs after they die. However, scholars have recently offered two powerful responses to this objection. First, Michael B Gill argues that opt-out policies do not fail to respect people's autonomy simply because they do not secure people's actual consent to donation. Second, Ben Saunders argues that opt-out (...) policies do secure people's actual—if not explicit—consent, provided that certain conditions are satisfied. I argue that Gill and Saunders’ arguments are not successful. My conclusion does not imply that jurisdictions should not implement opt-out policies—their failure to secure people's actual consent may be outweighed by other considerations. But, my conclusion does imply that Gill and Saunders are mistaken to claim that opt-out policies are respectful of people's autonomy. (shrink)

In this article, I ask whether a principle analogous to the principle of clinical equipoise should govern the design and conduct of RCTs evaluating the effectiveness of policy interventions. I answer this question affirmatively, and introduce and defend the principle of policy equipoise. According to this principle, all arms of a policy RCT must be, at minimum, in a state of equipoise with the best proven policy that is also morally and practically attainable and sustainable. For all arms of a (...) policy RCT, policy experts must either reasonably disagree about whether the trial arms are more effective than this policy, or know that they are. (shrink)

Australia, Canada, and New Zealand currently apply health requirements to prospective immigrants, denying residency to those with health conditions that are likely to impose an “excessive demand” on their publicly funded health and social service programs. In this paper, I investigate the charge that such policies are wrongfully discriminatory against persons with disabilities. I first provide a freedom-based account of the wrongness of discrimination according to which discrimination is wrong when and because it involves disadvantaging people in the exercise of (...) their freedom on the basis of morally arbitrary features of their identity. Discrimination is permissible, I suggest, when it is necessary to advance a valuable exercise of the discriminating agent’s freedom. I then apply this account to the case of social cost health requirements. Against critics of these requirements, I argue that it is sometimes permissible for states to discriminate against prospective immigrants with disabilities. States may do so, I suggest, when such discriminatory treatment is necessary to prevent an increase in rates of mortality and/or morbidity amongst citizens. Alongside critics of social cost health requirements however, I argue that existing policies are likely a form of wrongful discrimination insofar as they are too broad to satisfy this standard. (shrink)

The duty to rescue is a highly plausible and powerful ethical principle. It requires agents to assist others in extreme need in cases where doing so does not conflict with some weighty moral aim; requires little personal sacrifice; and is likely to significantly benefit the recipients.1 As a general obligation, it binds all persons simply qua persons, and it is owed to all persons simply qua persons. Clinical investigators working in low-income countries frequently encounter sick or destitute people to whom (...) they might possess a duty to rescue. Investigators may often ask themselves, what can I do, what should I do, to help? Such investigators often help people in the future by carrying out their... (shrink)

Many high-income countries have skill-selective immigration policies, favoring prospective immigrants who are highly skilled. I investigate whether it is permissible for high-income countries to adopt such policies. Adopting what Joseph Carens calls a " realistic approach " to the ethics of immigration, I argue first that it is in principle permissible for high-income countries to take skill as a consideration in favor of selecting one prospective immigrant rather than another. I argue second that high-income countries must ensure that their skill-selective (...) immigration policies do not contribute to the non-fulfillment of their duty to aid residents of low-and middle-income countries. (shrink)

In the paper “An archeology of corruption in medicine”, Miles Little, Wendy Lipworth, and Ian Kerridge present an account of corruption and describe its prevalent forms in medicine. In presenting an individual-focused account of corruption found within “social entities”, Little et al. argue that these entities are corruptible by nature and that certain individuals are prone to take advantage of the corruptibility of social entities to pursue their own ends. The authors state that this is not preventable, so the way (...) to remedy corruption is via management and, where necessary, punishment. This commentary will briefly lay out the key features and functions of corruption as presented by Little et al., before providing a critical discussion that will focus on whether corruptibility is a necessary feature of social entities. I will propose that it is not a necessary feature, though it may frequently arise where individualistic values are unchecked. Corruption can be prevented within social entities by enhancing structures that direct toward virtue and which promote and reward cooperation instead of competition. (shrink)

A person of average height would assert a truth by the conditional ‘if I were seven feet tall, I would be taller than I am,’ in which an indicative clause ‘I am’ is embedded in a subjunctive conditional. By contrast, no one would assert a truth by ‘if I were seven feet tall, I would be taller than I would be’ or ‘if I am seven feet tall, I am taller than I am’. These examples exemplify the fact that whether (...) a sentence's evaluation remains at the actual world in the scope of a modal or conditional depends on the combination of mood in the embedded and matrix clauses rather than, as is commonly thought, just on the presence of an operator ‘actually’. This essay argues that this phenomenon provides evidence that mood admits of bound and free readings along the lines of tenses and pronouns. It therefore favors the hypothesis that natural language contains variables and quantifiers for possible worlds in the object language. This, in turn, requires that the truth of a semantic value of a sentence (or whatever structure is embedded in a modal) be relativized to a sequence of worlds rather than to an individual world, and thus be distinguished from a proposition in the traditional sense. The essay also compares the framework defended with an alternative account of similar phenomena by Kai Wehmeier. (shrink)

I argue that ‘actually’ does not have a reading according to which it is synonymous with the actuality operator of modal logic, and propose an alternative account of ‘actually’. The cases that have been thought to show that ‘actually’ is synonymous with the actuality operator are modal and counterfactual sentences in which an embedded clause's evaluation is held fixed at the world of the context. In these cases, though, this embedded clause's evaluation is not due to the presence of ‘actually’. (...) As an alternative, I propose that ‘actually’ is a presupposition trigger along the lines of ‘even’ or ‘too’, and it signals that presupposed information states in the discourse are evolving in a non-standard way. (shrink)

In this paper, I explore the ethics of subject selection in the context of biomedical research. I reject a key principle of what I shall refer to as the standard view. According to this principle, investigators should select participants so as to minimise aggregate risk to participants and maximise aggregate benefits to participants and society. On this view, investigators should exclude prospective participants who are more susceptible to risk than other prospective participants. I argue instead that investigators should select subjects (...) in accordance with an alternative principle: formal equality of opportunity. According to this principle, investigators must treat all prospective participants the same unless differential treatment is warranted by the scientific goals of the study or the need to promote participants' medically related interests. All prospective participants (1) who meet the scientifically defined eligibility criteria and (2) for whom participation is consistent with their medically related interests should have an equal, formal opportunity to participate in the study. Prospective participants should not be excluded simply because they are more susceptible to risk than others. (shrink)

A principal rationale for public policy is to address market failures. Pareto efficiency is therefore a highly common and relatively non-controversial evaluative criterion for many policy analyses and is discussed at length in policy analysis texts. This makes sense, for Pareto improvements involve making at least one person better off without making anyone worse off. Who could object to that? But does efficiency deserve the prominence it enjoys in public policy? Is one policy option better than another, at least in (...) one respect, simply because it is more Pareto efficient? Or, is efficiency valuable for some other reason? In this chapter, I discuss Pareto efficiency as an evaluative criterion and argue that it is a stand-in for a more foundational criterion: wellbeing. I begin with an overview of Pareto efficiency, discuss the various ways in which it is operationalized to evaluate policy options, and argue that it is valuable insofar as more efficient states of affairs promise more wellbeing than less efficient states of affairs. I then raise questions regarding whether the conception of wellbeing presupposed by Pareto efficiency – preference satisfaction – is a defensible conception of wellbeing. I go on to introduce three alternative conceptions of wellbeing which have been proposed and defended by both philosophers and policy scholars, namely, hedonism, objective goods views, and the capability approach, and suggest ways in which each can be operationalized as an evaluative criterion. I close by discussing four ‘theory-free’ approaches to thinking about the impact of policies on the quality of people’s lives. Such approaches reject the idea that there is one single theory of wellbeing that should be used to evaluate policy options, and instead develop ways to evaluate the impact of policies on people’s lives that are not grounded in a specific theory. (shrink)

In this commentary on Brown and colleagues’ paper, entitled ‘Against Moral Responsibilisation of Health: Prudential Responsibility and Health Promotion’, I highlight the tension between individual responsibility—even when this is prudential and not moral—and systemic factors that impact people's health. Brown and colleagues and I agree that individuals are frequently held inappropriately responsible for health-related behaviours or diseases that have become associated with the so-called ‘lifestyle’ diseases. We further agree that health is an instrumental value to people, allowing them to achieve (...) their goals or plans. However, while Brown and colleagues argue that health promotion is justified in providing education campaigns that highlight the pragmatic reasons people have for improving their health-related behaviours, I argue that this amounts to the same inaction on systemic issues as holding individuals morally responsible. Further, without action on systemic issues such as the social determinants of health, some people lack the kinds of future-oriented pragmatic reasons that Brown and colleagues place at the centre of their argument. Rather, for some groups, the pragmatic thing is to enjoy current pleasures even if unhealthy, rather than to forego them for the sake of health in a mythical future. (shrink)

The value of health states is often understood to depend on their impact on the goodness of people's lives. As such, prominent health states metrics are grounded in particular conceptions of wellbeing – e.g. hedonism or preference satisfaction. In this paper, I consider how liberals committed to the public justification requirement – the requirement that public officials choose laws and policies that are justifiable to their citizens – should evaluate health states. Since the public justification requirement prohibits public officials from (...) appealing to controversial conceptions of the good life, liberals committed to this principle face a significant puzzle. (shrink)

How has feminism changed in the UK since the 1960s? This was the question I set out to explore in my research on the British Women’s Liberation Movement, published as Radical Feminism: Feminist Activism in Movement. I found that the motivations and aspirations of activists today were similar to those reported by feminists of the Second Wave; but the methods and tactics were more professionalized and there was less of a focus on women-only space.

Philippe Schlenker gives a method of deriving local contexts from an expression’s classical semantics. In this paper I show that this method, when applied to the traditional variably strict semantics for subjunctive conditionals of Robert Stalnaker, David Lewis, and Angelika Kratzer, delivers an empirically incorrect prediction. The prediction is that the antecedent of a conditional should have the whole domain of possible worlds as its local context and therefore should be allowed to have only necessary presuppositions. In the later part (...) of the paper, I suggest the outlines of a solution to the problem. The solution involves adding a shifting contextual restriction on the domain of possible worlds. (shrink)

It would seem possible in principle … to reconstruct the ordinary sentential calculus in terms of phrastics only, and then apply it to indicatives and imperatives alike simply by adding the appropriate neustics.… It might be asked how we are to know, given two premisses in different moods, in what mood the conclusion is to be. The problem of the effect upon inferences of the moods of premisses and conclusion has been ignored by logicians who have not looked beyond the (...) indicative mood, … But if, as I do, we regard the entailment-relations of ordinary logic as relations between the phrastics of sentences, the problem becomes pressing. (R. M. Hare, The Language of Morals, pp. 26–28.). (shrink)

In this article, I focus on two problematic aspects of British health-promotion campaigns regarding feeding children, particularly regarding breastfeeding and obesity. The first of these is that health-promotion campaigns around “lifestyle” issues dehumanize mothers with their imagery or text, stemming from the ongoing undervaluing and objectification of mothers and women. Public health-promotion instrumentalizes mothers as necessary components in achieving its aims, while at the same time undermining their agency as persons and interlocutors by tying “mother” to particular images. This has (...) a double effect: first, it excludes mothers who do not fit the campaign picture of a mother; second, it encloses those who do fit the picture into an objectified image of motherhood that is defined by and subject to the dominant white, heteropatriarchal gaze. The second problem is that campaigns place unjustified demands on mothers, which stem from a misinterpretation of the maternal duty to benefit. I argue that nutrition-related health concerns regarding children are improperly framed as individual failures of maternal duty, rather than as failures of a system to function correctly. These arguments ultimately support shifting the focus of responsibility for issues around childhood nutrition away from mothers and back toward policymakers. (shrink)

In a carefully argued article, Haley K. Sullivan and Benjamin E. Berkman address the important question of whether investigators have a duty to report incidental findings to research participants in low‐resource settings. They suggest that the duty to rescue offers the most plausible justification for the duty to return incidental findings, and they explore the implications of this duty for the context of research in low‐resource settings. While I think they make valuable headway on an important problem, in this commentary, (...) I identify a significant difference between the paradigmatic rescue case and the return of incidental findings in low‐resource settings. This difference, I suggest, implies that their framework may be too narrow in scope. If investigators (and their sponsors) really wish to fulfill their duty to rescue, they must consider factors that are left out of Sullivan and Berkman's framework. (shrink)

Governments often aim to improve children’s wellbeing by targeting the decision-making of their parents. In this paper, I explore this phenomenon, providing an ethical evaluation of the ways in which governments target parental decision-making in the context of anti-poverty policies. I first introduce and motivate the concept of parent-targeted paternalism to categorize such policies. I then investigate whether parent-targeted paternalism is ever pro tanto wrong, arguing that it is when directed at parents who meet a threshold of parental competency. I (...) next explore the factors that affect the degree of pro tanto wrongness of paternalistic anti-poverty policies targeting parents, and provide an account of the conditions under which such policies are on balance permissible, and when they are not. Finally, I illustrate the plausibility and usefulness of my framework by considering a case. (shrink)

The field of public policy is dominated by the social sciences. Schools and departments of public policy and public administration are largely populated by economists, political scientists, and sociologists, and the vast majority of work in prestigious public policy journals employs empirical methods. This is unsurprising, in one respect, for collecting data, predicting and identifying the causal impacts of policies, and understanding political institutions and processes are massive, important tasks that require the tools of the social sciences. It is surprising, (...) in another respect however, since much policy scholarship and analysis aspires to offer recommendations to policymakers, and recommendations necessarily involve evaluative judgments, for example, that the status quo is deficient and that a certain course of action will make things better. To defend such judgments, policy scholars and analysts cannot appeal to the social sciences alone for these judgments concern the realm of values, not facts. Instead, careful ethical reflection and analysis is required. This need for ethical reflection in public policy is particularly evident in the practice of policy analysis, a principal analytic tool of the field. Policy analyses involve the identification of policy problems, the specification of criteria for evaluating possible solutions, and the recommendation that a policy option offers the best balance of trade offs. This identification of bads, the specification of goods policies should realize, and the weighing of these goods with the judgment that policymakers should or ought to pursue this course of action or that, are all deeply ethical activities. Ethical reflection and analysis is thus a constituent feature of policy analysis, and like the amassing of evidence and projection of outcomes, this reflection and analysis may be performed well or badly. The overall aim of this book is to provide students, scholars, and practitioners of public policy with guidance regarding the ethical dimensions of policy analysis. My aim in this chapter is to set the stage, providing an overview of these dimensions. After providing a brief overview of the practice of policy analysis, I identify the steps of an analysis where analysts must make ethical judgments in order to move forward, and fully articulate the ethical questions they must confront and take a position on. (shrink)

In Rescuing Justice and Equality, G.A. Cohen argues that the incentive inequalities permitted by John Rawls's difference principle are unjust since people cannot justify them to their fellow citizens. I argue that citizens of a Rawlsian society can justify their acceptance of a wide range of incentive inequalities to their fellow citizens. They can do so because they possess the right to freedom of occupational choice, and are permitted – as a matter of justice – to exercise this right by (...) making occupational decisions on the basis of a wide range of values and preferences. (shrink)

I. Glenn Cohen’s Patients with Passports: Medical Tourism, Law, and Ethics offers a thorough examination of the growing practice of medical tourism, the legal regulations governing it, and the many ethical issues it raises for policy-makers, health care providers, and prospective medical tourists. Demonstrating mastery of the relevant literatures in the social sciences, law, ethics, and political philosophy, Cohen provides a comprehensive overview of the current practice of medical tourism, and offers well-argued, sensible policy advice to guide its reform. Cohen’s (...) book is a significant achievement of interdisciplinary scholarship and is essential reading for scholars and policy-makers. Medical... (shrink)

The problem of standard of care in clinical research concerns the level of treatment that investigators must provide to subjects in clinical trials. Commentators often formulate answers to this problem by appealing to two distinct types of obligations: professional obligations and natural duties. In this article, I investigate whether investigators also possess institutional obligations that are directly relevant to the problem of standard of care, that is, those obligations a person has because she occupies a particular institutional role. I examine (...) two types of institutional contexts: (1) public research agencies – agencies or departments of states that fund or conduct clinical research in the public interest; and (2) private‐for‐profit corporations. I argue that investigators who are employed or have their research sponsored by the former have a distinctive institutional obligation to conduct their research in a way that is consistent with the state's duty of distributive justice to provide its citizens with access to basic health care, and its duty to aid citizens of lower income countries. By contrast, I argue that investigators who are employed or have their research sponsored by private‐for‐profit corporations do not possess this obligation nor any other institutional obligation that is directly relevant to the ethics of RCTs. My account of the institutional obligations of investigators aims to contribute to the development of a reasonable, distributive justice‐based account of standard of care. (shrink)

Social scientists and research ethicists have begun, somewhat belatedly, to confront and address the ethical challenges raised by public policy experiments. In doing so however, they have not fully availed themselves of the large and sophisticated literature on the ethics of clinical research which has developed over the past 40 years. While clinical and public policy research are different, I argue that the clinical research ethics literature yields valuable insights for discussions of the ethics of policy experiments. Focusing on seven (...) ethical issues which have received a good deal of attention in public and scholarly discussions of the ethics of policy experiments, I make use of the history of reflection on the ethics of clinical research to provide guidance to researchers planning and conducting policy experiments. (shrink)

In two‐dimensional semantics in the tradition of Davies and Humberstone, whether a singular term receives an epistemically shifted reading in the scope of a modal operator depends on whether the world considered as actual is shifted. This means that epistemically shifted readings should be available only in environments where an explicit contrast between the actual world and some counterfactual worlds cannot be made. In this paper, I argue that this is incorrect. Whether a singular term receives an epistemically shifted reading (...) is independent of whether the world treated as actual is shifted. This, I argue, undermines the two‐dimensionalist account of epistemic shift. I then turn to the question how a positive view should handle these two phenomena separately. I argue for treating singular terms with a version of counterpart theory in which the difference between epistemically shifted and other readings is determined in the context of utterance. (shrink)

In the case discussion, ‘Equity in Public Health Ethics: The Case of Menu Labelling Policy at the Local Level’ , Mah and Timming state that menu labelling would ‘place requirements for information disclosure on private sector food businesses, which, as a policy instrument, is arguably less intrusive than related activities such as requiring changes to the food content’. In this commentary on Mah and Timming’s case study, I focus on discussing how menu-labelling policy permits governments to avoid addressing the heart (...) of the problem, which is high-calorie, high-sodium restaurant food. Menu labelling policy does not address food content in a way that is meaningful for change, instead relying on individuals to change their behaviour given new information. Besides having questionable efficacy, this raises concerns about moralizing food choices. (shrink)

In the Nicomachean Ethics, Aristotle appears to use an elegant short argument to attack Plato's doctrine of the good, which argument equally appears to attack Aristotle's own doctrine of the good. I consider these two questions: First: Why does Aristotle reverse the judgment of Socrates/Plato on the issue: Which is better - things that are good in themselves, or things that are both good in themselves and good for their consequences? Second: Why does Aristotle attack Plato's doctrine that the Form (...) of the Good is the chief good, with an argument that appears to threaten his own view that eudaimonia is the chief good? I think the answers to these two questions are related. The elegant short argument in question I call "Aristotle's Fast Argument." After apologizing for criticizing views held by friends of his, Aristotle deploys the Fast Argument as a clincher to cap off his refutation of Plato's view that the Form of the Good is the chief good: "And one might ask the question, what in the world they mean by 'a thing itself', if in man himself and in a particular man the account of man is one and the same. For in so far as they are men, they will in no respect differ; and if this is so, neither will there be a difference in so far as they are good. But again it will not be good any the more for being eternal, since that which lasts long is no whiter than that which perishes in a day.". I explore this sketchily presented Fast Argument. I consider why Aristotle may think it is valid and why he does not seem to realize that, on readings that make it effective against Plato's view, his Fast Argument also seems to apply to his own view that eudaimonia is the chief good. This is what I will call "Aristotle's Dilemma." If the Fast Argument is interpreted too narrowly, its point about the whiteness of a white thing being independent of its duration will not apply to the goodness of the Form of the Good. If it is interpreted broadly enough to undermine the claim of the Form of the Good to be the chief good, it will equally undermine that claim for eudaimonia. Finally, I discuss some of the things Plato and Aristotle say about the chief good, and comparable things Immanuel Kant says about the good will. I draw some speculative conclusions that focus on the importance for Aristotle of the goodness of the chief good not being at risk. (shrink)

In the never-ending debate about the scope and limits of science, the hottest argument now centres on the scientific study of man himself. Can there be a science of man at all, in any comprehensive sense? Or is the idea in some way ultimately self-defeating, like that of pulling oneself up by one's own shoelaces? My purpose in this paper is not to venture a direct answer to this ticklish question, but rather to highlight one or two desirable characteristics of (...) a science which I think must inevitably be lacking in any attempt to turn the scientific spotlight upon ourselves. Whether we call the attainable residue by the name of ‘science’ is less important than that we see clearly what not to expect of it. (shrink)

Alternative food networks (AFNs) have become increasingly important in response to growing concerns about industrial animal agriculture’s harmful impacts on animals. Alternative animal agriculture seeks to address problems with industrial animal agriculture given its purported emphases on animal welfare and, more controversially, “happy” meat. Debates in critical food studies and animal studies literature, however, caution against the glorification of “alterity” and how welfare claims provide an ethical façade for violence towards farm animals. These debates, while critically important, leave little room (...) for exploring the complexities of alternative animal agriculture, human-farm animal relations, and care. In this article, I build upon the insights of critical food studies scholarship that takes a reflexive and hybrid approach to studying AFNs and literature that explores the complex dynamics of human-farm animal relations. Drawing on qualitative interviews with grass-fed beef farmers in Ontario, Canada, I present an analysis aimed at unsettling divisive thinking about food practices and relations. First, I reflect on how farmers understand their work as an ethical alternative to industrial beef production, benefiting animals, people, and the environment. I then detail the emotional dynamics that shape cows’ commodification and relations with farmers, adding to scholarship that demands more attention to affective dimensions of care for animals in AFNs. Lastly, I discuss grass-fed beef farming challenges and contradictions, empirically exploring, for example, how grass-fed beef farming operates as a niche market whose accessibility is shaped by socio-economic privilege. Collectively, these insights contribute to discussions about the complexities of grass-fed beef farming as an alternative food network with benefits and problems, impacting the wellbeing of animals, people, and the environment. (shrink)

In a recent article, Seana Valentine Shiffrin offers a distinctive egalitarian critique of the types of incentive inequalities that are permitted by John Rawls's difference principle. She argues that citizens of a well-ordered society, who publicly accept Rawls's two principles of justice and their justifications, may not demand incentives to employ their talents in productive ways since such demands are inconsistent with a major justification for the difference principle: the moral arbitrariness of talent. I argue that there is no such (...) inconsistency. Citizens can publicly accept the claim that talent is morally arbitrary and accept incentives to employ their talents productively without inconsistency. In the standard case that Rawls envisions, citizens who do so take their preferences to be a reason for a higher salary, not their talents. (shrink)

Although every cell in a human body contains the same DNA, every cell uses its DNA differently, in unique interaction with its environment. Human bodies live and thrive because their cells and tissues are sustained in a whole whose life emerges from, but cannot be reduced to, its parts. Living creatures are organized systems of processes that maintain their identity not despite change but because of it. These biological observations resonate with the foundational New Testament metaphor of the Body of (...) Christ and with process-theological descriptions of creatures as open-ended processes interacting within a creation itself sustained within the boundless loving creativity of the Creator. I will map contemporary biological understanding of bodies as emergent and processual onto the theological metaphor of the Body of Christ and explore the ideas that emerge in terms of relationships between scripture, communities, and the life of the church. (shrink)

In this paper I prove a theorem which is similar to Arrow's famous impossibility theorem. I show that no social welfare function can be both minimally majoritarian and also independent of irrelevant alternatives. My condition of minimal majoritarianism is substantially weaker than simple majority rule.

In this short piece, I attempt to respond to some of the challenges raised by Jessica Nihlén Fahlquist and Karen Meagher in their commentaries on my paper, ‘Public Health Virtue Ethics’. While these authors have made many insightful and challenging remarks, I mostly focus on two questions here: first, about the nature of collectives as moral agents, in response to Nihlén Fahlquist, and second, about the concept of a collective-level virtue, in response to Meagher.

In the Nicomachean Ethics, Aristotle appears to use an elegant short argument to attack Plato’s doctrine of the good, which argument equally appears to attack Aristotle’s own doctrine of the good. I consider these two questions: First: Why does Aristotle reverse the judgment of Socrates/Plato on the issue: Which is better – things that are (only) good in themselves, or things that are both good in themselves and good for their consequences? Second: Why does Aristotle attack Plato’s doctrine that the (...) Form of the Good is the chief good, with an argument that appears to threaten his own view that eudaimonia is the chief good? I think the answers to these two questions are related. The elegant short argument in question I call “Aristotle’s Fast Argument.”After apologizing for criticizing views held by friends of his, Aristotle deploys the Fast Argument as a clincher to cap off his refutation of Plato’s view that the Form of the Good is the chief good: “And one might ask the question, what in the world they mean by ‘a thing itself’, if in man himself and in a particular man the account of man is one and the same. For in so far as they are men, they will in no respect differ; and if this is so, neither will there be a difference in so far as they are good. But again it will not be good any the more for being eternal, since that which lasts long is no whiter than that which perishes in a day.” (Aristotle, Nichomachean Ethics, 1096 a34–b4). I explore this sketchily presented Fast Argument. I consider why Aristotle may think it is valid and why he does not seem to realize that, on readings that make it effective against Plato’s view, his Fast Argument also seems to apply to his own view that eudaimonia is the chief good. This is what I will call “Aristotle’s Dilemma.” If the Fast Argument is interpreted too narrowly, its point about the whiteness of a white thing being independent of its duration will not apply to the goodness of the Form of the Good. If it is interpreted broadly enough to undermine the claim of the Form of the Good to be the chief good, it will equally undermine that claim for eudaimonia. Finally, I discuss some of the things Plato and Aristotle say about the chief good, and comparable things Immanuel Kant says about the good will. I draw some speculative conclusions that focus on the importance for Aristotle of the goodness of the chief good not being at risk. (shrink)

This thesis aims to determine whether international gestational surrogacy contracts are exploitative, and whether they should be prohibited. I chose a group of women working as surrogates at Kaival Maternity Home and Surgical Hospital, in Anand, Gujarat, India as a study group. After examining their life circumstances, I argue that these women live in unjust circumstances caused by institutional sexism and poverty. I critically assess arguments launched against surrogacy, organ trade, and prostitution and find that none of these are sufficient (...) for demonstrating that contracts involving the sale of the body are necessarily exploitative. I find that surrogacy is exploitative because of a complex set of social conditions. Further, the contracts are beneficial to both the woman acting as surrogate and to the couple hiring her. I conclude that international gestational surrogacy is exploitative yet mutually beneficial, and prohibiting surrogacy would be harmful unless accompanied by drastic social change. (shrink)

Philippe Schlenker gives a method of deriving local contexts from an expression’s classical semantics. In this paper I show that this method, when applied to the traditional variably strict semantics for subjunctive conditionals of Robert Stalnaker, David Lewis, and Angelika Kratzer, delivers an empirically incorrect prediction. The prediction is that the antecedent of a conditional should have the whole domain of possible worlds as its local context and therefore should be allowed to have only necessary presuppositions. In the later part (...) of the paper, I suggest the outlines of a solution to the problem. The solution involves adding a shifting contextual restriction on the domain of possible worlds. (shrink)

Some theories of conditionals maintain that the difference between indicative and subjunctive conditionals involves the standard temporal interpretation of past tense. I provide an argument against such theories. The argument is based on the claim that these views do not correctly predict the correspondence between tense marking and temporal interpretation in certain conditionals.

Generally, saying: ‘feminist’, is revolutionary enough in this day and age, it's far more of a statement now than it was back in the eighties. And no, I wouldn't say I was a Revolutionary Feminist now ‘cos I'm less separatist than I was at that time and I think it's got overladen with such baggage that I'd have to spend about ten minutes defining what I meant. (Interview with Al Garthwaite, Leeds, 20 January 2012).

In the never-ending debate about the scope and limits of science, the hottest argument now centres on the scientific study of man himself. Can there be a science of man at all, in any comprehensive sense? Or is the idea in some way ultimately self-defeating, like that of pulling oneself up by one's own shoelaces? My purpose in this paper is not to venture a direct answer to this ticklish question, but rather to highlight one or two desirable characteristics of (...) a science which I think must inevitably be lacking in any attempt to turn the scientific spotlight upon ourselves. Whether we call the attainable residue by the name of ‘science’ is less important than that we see clearly what not to expect of it. (shrink)

Few topics in contemporary science hold the wide interest commanded by immunology, so this graceful and timely account of the development of this science is a welcomed addition to the literature. Succinct, well-written, and informed, Intolerant Bodies narrates the history of immunology through the lens of autoimmune disease. In what the authors call “a biography” , they have focused on four central illnesses: multiple sclerosis, systemic lupus erythematosus, rheumatoid arthritis, and type 1 diabetes mellitus. However, the story told here extends (...) far beyond the topic of “attack against self” to provide perhaps the best overview of immunity available for the general reader. The specialist will also appreciate the rich anecdotal material and benefit from the historical insights scattered throughout the text. So the book is, in fact, more than a history of autoimmunity and offers a compact history for those who need not consult more comprehensive accounts (e .. (shrink)