Accountable Care Organizations are a key mechanism of the Patient Protection and Affordable Care Act. ACOs will influence incentives for providers, who must understand these changes to make well-considered treatment decisions. Our paper defines an ethical framework for physician decisions and action within ACOs. Emerging ethical pressures providers will face as members of an ACO were classified under major headings representing three of the four principles of bioethics: autonomy, beneficence, and justice. Conflicts include a bias against transient populations, a motive (...) to undertreat conditions lacking performance measures, and the mandate to improve population health incentivizing life intrusions. After introducing and explaining each conflict, recommendations are offered for how providers ought to precede in the face of novel ethical choices. Our description of novel ethical choices will help providers know what to expect and our recommendations can guide providers in choosing well. (shrink)

Though accountable care organizations are increasingly important to American healthcare, ethical inquiry into ACOs remains in its nascent stages. Several articles have raised the concern that ACOs have an incentive to avoid enrolling high-cost patients and, thereby, have an incentive to deny care to those who need it the most. This concern is borne out by the reports of consultants working with newly formed ACOs. This paper argues that, contra initial appearances, there is no financial incentive for ACOs to avoid (...) enrolling high-cost patients. (shrink)

I provide a case-by-case definition of essential truths based on the notions of metaphysical necessity and ontological dependence. Relying on suggestions in the literature, I adopt a definition of the latter notion in terms of the notion of ground. The resulting account is adequate in the sense that it is not subject to Kit Fine’s famous counterexamples to the purely modal account of essence. In addition, it provides us with a novel conception of truths pertaining to the essence of objects, (...) which might help to dispel doubts on the legitimacy of the notion of essence itself. (shrink)

Drawing from extensions of existing ideas in the logic of ground, a novel account of the grounds of necessity is presented, the core of which states that necessary truths are necessary because they stand in specific grounding connections.

In Metaphysics of States of Affairs, Bo Meinertsen reviews and works out several underdeveloped points in the existing scholarly debate on states of affairs, and presents his own original account in detail. In this paper, we raise three problems for Meinertsen’s account and draw attention to an alternative view that, though not discussed in the book, is not beset by these problems.

Cet article est une contribution à la lecture de Fûdo, le milieu humain, ouvrage du philosophe japonais Watsuji Testurô qui aborde le thème du rapport de l’être humain au monde. Cette réflexion veut en éclairer certaines thèses, les comparer aux catégories de la philosophie occidentale et déterminer si Fûdo peut se comprendre comme une pensée de la finitude.

P. van Inwagen famously offered three precise versions of the so-called Consequence Argument for incompatibilism. The third of these essentially employs the notion of an agent’s having a choice with respect to a proposition. In this paper, I offer two intuitively attractive accounts of this notion in terms of the explanatory connective ‘because’ and explore the prospects of the third argument once they are in play. Under either account, the argument fails.

Beneath the stylized violence and thrilling car crashes, the Mad Max films consider universal questions about the nature of human life, order and anarchy, justice and moral responsibility, society and technology, and ultimately, human redemption. In Mad Max and Philosophy, a diverse team of political scientists, historians, and philosophers investigates the underlying themes of the blockbuster movie franchise, following Max as he attempts to rebuild himself and the world. -/- This book guides you through the barren wastelands of a post-apocalyptic (...) future as you explore ethics and politics in The Wasteland, the importance of costumes and music, humankind's relationship with nature, commerce, gender, religion, madness, and more. (shrink)

The first edition of The Scientific Background to Modern Philosophy took the dialogue of science and philosophy from Aristotle through to Newton. This second edition adds eight chapters, taking the dialogue through the Enlightenment and up to Darwin. This anthology is an attempt to help bridge the gap between the history of science and the history of philosophy.

This paper initiates analytic inquiry into the metaphysics of masculinity. I argue that individual masculinities (such as ‘clone masculinity’ and ‘incel masculinity’) are distinct homeostatic property cluster kinds related to gender structures via processes of adherence, failed-adherence, selective adherence, and/or reinterpretation with respect to male-coded social norms.

In the third chapter of his major work, the Controversy over the Existence of the World, Roman Ingarden discusses four varieties of dependence entities might exhibit. The aim of this essay is to explore these varieties and to put the claims Ingarden makes concerning them on a rigorous footing.

European Journal of Philosophy, EarlyView.

Behavioral paternalism raises deep concerns that do not arise in traditional welfare economics. These concerns stem from behavioral paternalism’s acceptance of the defining axioms of neoclassical rationality for normative purposes, despite having rejected them as positive descriptions of reality. We argue that behavioral paternalists have indeed accepted neoclassical rationality axioms as a welfare standard; that economists historically adopted these axioms not for their normative plausibility, but for their usefulness in formal and theoretical modeling; that broadly rational individuals might fail to (...) satisfy the axioms for various reasons, making them unpersuasive as normative criteria; and that even if their violation did constitute irrationality, that would not justify paternalists’ choosing among inconsistent preferences to define an individual’s “true” preferences. (shrink)

Many philosophers have shown sympathy to the thought that reality is fundamentally positive. Julio De Rizzo formulates this idea precisely by means of the notion of grounding, and examines how the resulting thesis fares with respect to three much discussed classes of negative truths, namely that of negative predications, that of negative causal reports, and that of negative existential truths. By shedding light on the issues advocates of the thesis have to deal with, this work shows the positivist account (...) to be a tenable position in metaphysics. (shrink)

Gareth Matthews suggests that we can better understand the nature of philosophical inquiry if we recognize the central role played by perplexity. The seminal representation of philosophical perplexity is in Plato's dialogues; Matthews examines the intriguing shifts in Plato's attitude to perplexity and suggests that these may represent a course of philosophical development that philosophers follow even today.

Recent research on the evolution of religion has focused on whether religion is an unselected by-product of evolutionary processes or if it is instead an adaptation by natural selection. Adaptive hypotheses for religion include direct fitness benefits from improved health and indirect fitness benefits mediated by costly signals and/or cultural group selection. Herein, I propose that religious denominations achieve indirect fitness gains for members through the use of ecologically arbitrary beliefs, rituals, and moral rules that function as recognition markers of (...) cultural inheritance analogous to kin and species recognition of genetic inheritance in biology. This recognition signal hypotheses could act in concert with either costly signaling or cultural group selection to produce evolutionarily altruistic behaviors within denominations. Using a cultural phylogenetic analysis, I show that a large set of religious behaviors among extant Christian denominations supports the prediction of the recognition signal hypothesis that characters change more frequently near historical schisms. By incorporating demographic data into the model, I show that more-distinctive denominations, as measured through dissimilar characteristics, appear to be protected from intrusion by nonmembers in mixed-denomination households, and that they may be experiencing greater biological growth of their populations even in the present day. (shrink)

I distinguish two ways of explaining our capacity for ‘transparent’ knowledge of our own present beliefs, perceptions, and intentions: an inferential and a reflective approach. Alex Byrne (2011) has defended an inferential approach, but I argue that this approach faces a basic difficulty, and that a reflective approach avoids the difficulty. I conclude with a brief sketch and defence of a reflective approach to our transparent self-knowledge, and I show how this approach is connected with the thesis that we must (...) distinguish between a kind of self-knowledge that is of oneself as agent and another kind that is of oneself as patient. (shrink)

An important theme in recent experimental philosophy is that certain judgements (e.g. our judgements involving intentional action and causation) exhibit a kind of normative penetration whereby, in spite of a not-obviously-normative subject matter, they turn out to be sensitive to, and co-vary with, our normative attitudes in interesting and surprising ways. We present the results of several new experimental studies that suggest that our judgements about feasibility also appear to exhibit this kind of normative penetration in at least some cases; (...) that the best explanation of it involves attributing to subjects a certain kind of extensional error that results from conflating the question at hand with another question that is more salient given their normative attitudes; and that these conclusions have significant, though not straightforward, implications for our understanding of both normative penetration and feasibility, respectively. (shrink)

Research that involves the creation of animals with human-derived parts opens the door to potentially valuable scientific and therapeutic advances, yet invokes unsettling moral questions. Critics and champions alike stand to gain from clear identification and careful consideration of the strongest ethical objections to this research. A prevailing objection argues that crossing the human/nonhuman species boundary introduces inexorable moral confusion (IMC) that warrants a restriction to this research on precautionary grounds. Though this objection may capture the intuitions of many who (...) find this research unsettling, it relies on mistaken views of both biology and moral standing, ultimately distorting the morally relevant facts. We critically examine IMC, identify mistaken essentialist assumptions, and reframe ethical concerns. The upshot is a stronger line of objection that encourages a more inclusive and productive ethical discourse. (shrink)

This paper is a response to McKenzie (2017). I argue that the case she presents is not a genuine counterexample to the thesis she labels Brute Fundamentalism. My response consists of two main points. First, that the support she presents for considering her case a metaphysical explanation is misguided. Second, that there are principled reasons for doubting that partial explanations in Hempel’s sense, of which her case is an instance, are genuinely explanatory in the first place. Thus McKenzie’s attack on (...) Brute Fundamentalism fails. (shrink)

Is the macro grounded in the micro? That is, is every truth about a macroscopic object fully grounded in a truth wholly about its microscopic parts? In a recent interesting paper, Martin Glazier argued for a negative answer. Following him, call the position that the macro is grounded in the micro ‘priority micro pluralism’ (‘pluralism’ for short). In this discussion note, I propose a way out for the pluralist. In brief, it consists in the recognition that some metaphysical positions, including (...) pluralism, are best expressed by fundamentally de dicto grounding claims. In that these claims have a distinctive modal force, this recognition has far-reaching consequences that go beyond a defence of pluralism. (shrink)

MacIntyre argues that management embodies emotivism, and thus is inherently amoral and manipulative. His claim that management is necessarily Weberian is, at best, outdated, and the notion that management aims to be neutral and value free is incorrect. However, new forms of management, and in particular the increased emphasis on leadership which emerged after MacIntyre’s critique was published, tend to support his central charge. Indeed, charismatic and transformational forms of leadership seem to embody emotivism to a greater degree than do (...) more Weberian, bureaucratic forms of management; hence, MacIntyre’s central contention about our emotivistic culture seems to be well founded. Having criticised the details but defended the essence of MacIntyre’s critique of management, this paper sketches a MacIntyrean approach to management and leadership by highlighting the affinities between MacIntyre’s political philosophy and Greenleaf’s concept of servant leadership. (shrink)

Ageing causes progressive decline in metabolic, behavioural, and physiological functions, leading to a reduced health span. The extracellular matrix (ECM) is the three‐dimensional network of macromolecules that provides our tissues with structure and biomechanical resilience. Imbalance between damage and repair/regeneration causes the ECM to undergo structural deterioration with age, contributing to age‐associated pathology. The ECM ‘Ageing Across the Life Course’ interdisciplinary research network (ECMage) was established to bring together researchers in the United Kingdom, and internationally, working on the emerging field (...) of ECM ageing. Here we report on a consultation at a joint meeting of ECMage and the Medical Research Council / Versus Arthritis Centre for Integrated Research into Musculoskeletal Ageing, held in January 2023, in which delegates analysed the key questions and research opportunities in the field of ECM ageing. We examine fundamental biological questions, enabling technologies, systems of study and emerging in vitro and in silico models, alongside consideration of the broader challenges facing the field. (shrink)

_Zoographies_ challenges the anthropocentrism of the Continental philosophical tradition and advances the position that, while some distinctions are valid, humans and animals are best viewed as part of an ontological whole. Matthew Calarco draws on ethological and evolutionary evidence and the work of Heidegger, who called for a radicalized responsibility toward all forms of life. He also turns to Levinas, who raised questions about the nature and scope of ethics; Agamben, who held the "anthropological machine" responsible for the horrors (...) of the twentieth century; and Derrida, who initiated a nonanthropocentric ethics. Calarco concludes with a call for the abolition of classical versions of the human-animal distinction and asks that we devise new ways of thinking about and living with animals. (shrink)

This paper argues that a class of popular views of collective intention, which I call “quasi-psychologism”, faces a problem explaining common intuitions about collective action. Views in this class hold that collective intentions are realized in or constituted by individual, mental, participatory intentions. I argue that this metaphysical commitment entails persistence conditions that are in tension with a purported obligation to notify co-actors before leaving a collective action attested to by participants in experimental research about the interpersonal normativity of collective (...) action. I then explore the possibilities open to quasi-psychologists for responding to this research. (shrink)

A common objection to divine command meta-ethics is the horrendous deeds objection. Critics object that if DCM is true, anything at all could be right, no matter how abhorrent or horrendous. Defenders of DCM have responded by contending that God is essentially good: God has certain character traits essentially, such as being loving and just. A person with these character traits cannot command just anything. In recent discussions of DCM, this ‘essential goodness response’ has come under fire. Critics of DCM (...) have offered various objections to the essential goodness response. This paper responds to these critics. I examine and refute six such objections: the objection from counterpossibles, the objection from omnipotence, the objection from requirements of justice, the objection from God’s moral grounding power, the objection from evil and indifferent deities, and the epistemological objection. I will maintain that despite all that has been said about the horrendous deeds objection in recent analytic philosophy, the horrendous deeds argument is still a bad argument. (shrink)

A traditional account of coincidences has it that two facts are coincidental whenever they are not related as cause and effect and do not have a common cause. A recent contribution by Lando : 132–151, 2017) showed that this account is mistaken. In this paper, I argue against two alternative accounts of coincidences, one suggested by Lando, and another by Bhogal : 677–694, 2020), and defend a third one in their place. In short, I propose that how explanatory links relate (...) to non-coincidental facts in explanation is what drives a wedge between coincidences and non-coincidences. This proposal is not susceptible to the worries I raise, and is more general, since it is not restricted to coincidences and non-coincidences involving physical facts. (shrink)

The notion of a physiological individuals has been developed and applied in the philosophy of biology to understand symbiosis, an understanding of which is key to theorising about the major transition in evolution from multi-organismality to multi-cellularity. The paper begins by asking what such symbiotic individuals can help to reveal about a possible transition in the evolution of cognition. Such a transition marks the movement from cooperating individual biological cognizers to a functionally integrated cognizing unit. Somewhere along the way, did (...) such cognizing units simultaneously have cognizers as parts? Expanding upon the multiscale integration view of the Free Energy Principle, this paper develops an account of reciprocal integration, demonstrating how some coupled biological cognizing systems, when certain constraints are met, can result in a cognizing unit that is in ways greater than the sum of its cognizing parts. Symbiosis between V. Fischeri bacteria and the bobtail squid is used to provide an illustration this account. A novel manner of conceptualizing biological cognizers as gradient is then suggested. Lastly it is argued that the reason why the notion of ontologically nested cognizers may be unintuitive stems from the fact that our folk-psychology notion of what a cognizer is has been deeply influenced by our folk-biological manner of understanding biological individuals as units of reproduction. (shrink)

This chapter outlines something of Mario Bunge’s long life and career as a physicist-philosopher originally living and working in Argentina for 40 years, then in Canada for nearly 60 years. It indicates the extraordinary breadth, depth and quantity of his research publications. It deals briefly with some key components of his work, such as: systemism, causation, theory analysis, axiomatization, ontology, epistemology, physics, psychology and philosophy of mind, social science, probability and Bayesianism, defence of the Enlightenment project, and education. Finally, the (...) chapter gives an account of the structure of the festschrift, and an indication of each of the 41 contributions. (shrink)

Few if any distinctions are more easily recognisable and assented to than that between _objects_, that is, things which are some ways, and that which they are, that is, _ways for objects to be_ (‘ways of being’ for short). In this paper I present an argument designed to show that this distinction is indeterminate in the sense that the truth-conditions of predicational sentences leave open what should count as an object and a way of being. The bulk of the argument (...) is inspired by the celebrated permutation argument advanced by Quine, Wallace, Putnam and others. (shrink)

Ethics Lost in Modernity: Reflections on Wittgenstein and Bioethics turns to the philosopher Ludwig Wittgenstein as a guide to understand the immense success--yet great danger--of bioethics. Matthew Vest traces the story of bioethics since its inception in the late 1960s as a way to uncover a number of hidden assumptions within modern ethics that relies upon scientific theorizing as the fundamental way of thinking. Autonomy and utilitarianism, in particular, are two nearly unquestioned goals of scientific theorizing that are easily (...) accessible, but at what cost? Vest argues that such an ethics enacts a thin moral calculation that runs the risk of enslaving ethics to scientism. Far from the depth of religious ethos and practices of virtue, modern ethics is lost amidst thin ethical theories, enacting a language game that instrumentalizes ethics in service of technological, bureaucratic, and professional end goals. He proposes that true moral living is far from anti-science, but rather is envisioned best when ethics and science are balanced with keen insights from ancient sacred cosmology. (shrink)

The word 'ought' is one of the core normative terms, but it is also a modal word. In this book Matthew Chrisman develops a careful account of the semantics of 'ought' as a modal operator, and uses this to motivate a novel inferentialist account of why ought-sentences have the meaning that they have. This is a metanormative account that agrees with traditional descriptivist theories in metaethics that specifying the truth-conditions of normative sentences is a central part of the explanation (...) of their meaning. But Chrisman argues that this leaves important metasemantic questions about what it is in virtue of which ought-sentences have the meanings that they have unanswered. His appeal to inferentialism aims to provide a viable anti-descriptivist but also anti-expressivist answer to these questions. (shrink)

The notion that business organizations are akin to Aristotelian political communities has been a central feature of research into virtue ethics in business. In this article, I begin by outlining this “community thesis” and go on to argue that psychological research into the “just world fallacy” presents it with a significant challenge. The just world fallacy undermines our ability to implement an Aristotelian conception of justice, to each as he or she is due, and imperils the relational equality required for (...) shared participation in communities. In the final section, I offer a description of what Aristotelian community might look like within organizations, and some suggestions about how it may be possible to resist the challenge posed by the just world fallacy. (shrink)

A natural proposal for the grounds of negative existential truths, such as that Vulcan does not exist, states that these truths are grounded in the totality truth affirming the existence of every existent thing together with the truth that they are all. In this paper I will put forward three objections to straightforward formulations of this idea, and argue that a change in the usual grammar of grounding claims, allowing for pluralities of sentences to express not only grounds, but also (...) groundees, is effective in making the account immune to the objections raised. (shrink)

Pragmatism has enjoyed a considerable revival in the latter part of the twentieth century, but what precisely constitutes pragmatism remains a matter of dispute. In reconstructing the pragmatic tradition in political philosophy, Matthew Festenstein rejects the idea that it is a single, cohesive doctrine. His incisive analysis brings out the commonalities and shared concerns among contemporary pragmatists while making clear their differences in how they would resolve those concerns. His study begins with the work of John Dewey and the (...) moral and psychological conceptions that shaped his philosophy. Here Festenstein lays out the major philosophic issues with which first Dewey, and then his heirs, would grapple. The book's second part traces how Dewey's approach has been differently developed, especially in the work of three contemporary pragmatic thinkers: Richard Rorty, Jurgen Habermas, and Hilary Putnam. This first full-length critical study of the relationship between the pragmatist tradition and political philosophy fills a significant gap in contemporary thought. (shrink)

Surprisingly little has been written about hedged assertion. Linguists often focus on semantic or syntactic theorizing about, for example, grammatical evidentials or epistemic modals, but pay far less attention to what hedging does at the level of action. By contrast, philosophers have focused extensively on normative issues regarding what epistemic position is required for proper assertion, yet they have almost exclusively considered unqualified declaratives. This essay considers the linguistic and normative issues side-by-side. We aim to bring some order and clarity (...) to thinking about hedging, so as to illuminate aspects of interest to both linguists and philosophers. In particular, we consider three broad questions. 1) The structural question: when one hedges, what is the speaker’s commitment weakened from? 2) The functional question: what is the best way to understand how a hedge weakens? And 3) the taxonomic question: are hedged assertions genuine assertions, another speech act, or what? (shrink)

Recent work has defended “Euclidean” theories of set size, in which Cantor’s Principle (two sets have equally many elements if and only if there is a one-to-one correspondence between them) is abandoned in favor of the Part-Whole Principle (if A is a proper subset of B then A is smaller than B). It has also been suggested that Gödel’s argument for the unique correctness of Cantor’s Principle is inadequate. Here we see from simple examples, not that Euclidean theories of set (...) size are wrong, but that they must be either very weak and narrow or largely arbitrary and misleading. (shrink)

If knowledge is sensitive to practical stakes, then whether one knows depends in part on the practical costs of being wrong. When considering religious belief, the practical costs of being wrong about theism may differ dramatically between the theist (if there is no God) and the atheist (if there is a God). This paper explores the prospects, on pragmatic encroachment, for knowledge of theism (even if true) and of atheism (even if true), given two types of practical costs: namely, by (...) holding a false belief, or by missing out on a true belief. These considerations set up a more general puzzle of epistemic preference when faced with the choice between two beliefs, only one of which could become knowledge. (shrink)

This paper attempts to explain what a protest is by using the resources of speech-act theory. First, we distinguish the object, redress, and means of a protest. This provided a way to think of atomic acts of protest as having dual communicative aspects, viz., a negative evaluation of the object and a connected prescription of redress. Second, we use Austin’s notion of a felicity condition to further characterize the dual communicative aspects of protest. This allows us to distinguish protest from (...) some other speech acts which also involve a negative evaluation of some object and a connected prescription of redress. Finally, we turn to Kukla and Lance’s idea of a normative functionalist analysis of speech acts to advance the view that protests are a complex speech act constituted by dual input normative statuses and dual output normative statuses. (shrink)

A probability distribution is regular if it does not assign probability zero to any possible event. While some hold that probabilities should always be regular, three counter-arguments have been posed based on examples where, if regularity holds, then perfectly similar events must have different probabilities. Howson and Benci et al. have raised technical objections to these symmetry arguments, but we see here that their objections fail. Howson says that Williamson’s “isomorphic” events are not in fact isomorphic, but Howson is speaking (...) of set-theoretic representations of events in a probability model. While those sets are not isomorphic, Williamson’s physical events are, in the relevant sense. Benci et al. claim that all three arguments rest on a conflation of different models, but they do not. They are founded on the premise that similar events should have the same probability in the same model, or in one case, on the assumption that a single rotation-invariant distribution is possible. Having failed to refute the symmetry arguments on such technical grounds, one could deny their implicit premises, which is a heavy cost, or adopt varying degrees of instrumentalism or pluralism about regularity, but that would not serve the project of accurately modelling chances. (shrink)