Possible distributive justice frameworks for providing health care by general practitioners are discussed. The ethical considerations before and after the recent changes to the British National Health Service are contrasted, with particular emphasis on a possible ethical divide that has been produced between fund-holding and non-fund-holding general practitioners. It is argued that general practitioners in non-fund-holding practices can continue as ethical advocates for their patients and distribute health care within an egalitarian framework. However, those in fund-holding practices may now be (...) seen as interest advocates and may have to practise utilitarian distributive justice. Patient groups may be needed to ensure that these general practitioners are seen to act justly in the distribution of the health care resources for which they are now responsible. (shrink)

Joachim Schulte’s introduction provides a distinctive and masterful account of the full range of Wittgenstein’s thought. It is concise but not compressed, substantive but not overloaded with developmental or technical detail, informed by the latest scholarship but not pedantic. Beginners will find it accessible and seasoned students of Wittgenstein will appreciate it for the illuminating overview it provides.

IntroductionThe identity thesis asserts that for every psychological state P there is a neural state N such that P=N. In the hope of rendering IT clear and plausible many identity theorists have compared psycho-neural identity claims to such theoretical identities as temperature is identical with molecular mean kinetic energy. However such a comparison admits a weak and a strong interpretation. According to the weak interpretation, psycho-neural identities are said to be like theoretical identities in the sense that the former are (...) contingent claims just as the latter are presumed to be. Identity theorists have appealed to the contingent status of IT in order to meet prima facie objections of the following sort. We can imagine ourselves undergoing a pain, although we are not undergoing the neural process which the identity theorist claims is identical with the pain. Indeed we can imagine ourselves being in pain and yet not having a brain at all. Hence IT is false. Identity theorists have replied by arguing that this objection merely shows that IT is not a necessary truth, or that psychological and neurological terms do not have the same meaning. (shrink)

Polyclonal antibodies raised against the human erythrocyte nucleoside transporter were used to investigate the distribution of the nucleoside transporters in the placenta. Immunoblots of brush-border membranes isolated from the human syncytiotrophoblast revealed a cross-reactive species that co-migrated with the erythrocyte nucleoside transporter as a broad band of apparent M 55,000. In contrast, no labelling was detected in basal membranes containing a similar number of equilibrative nucleoside transporters as assessed by nitrobenzylthioinosine -binding. The absence of cross-reactive epitopes in basal membranes and (...) their presence in brush-border membranes was confirmed by confocal immunofluorescence microscopy. The results suggest that at least two isoforms of the NBMPR-sensitive nucleoside transporter are present in the human placenta. The lumenal surfaces of fetal capillaries, small placental vessels and umbilical vein ware also strongly labelled by the antibody, a finding that suggests that the high fetal-placental adenosine uptake previously reported is due to endothelial transporters. (shrink)