Since the passage of Medicare, the self-regulation characteristic of professionalism in health care has come under steady assault. While Canadian physicians chose to relinquish financial autonomy, they have enjoyed far greater professional autonomy over their medical judgments than their U.S. counterparts who increasingly have their practices micromanaged. The Affordable Care Act illustrates the ways that managerial strategies and a market model of health care have shaped the financing and delivery of health care in the U.S., often with little or no (...) evidence of their effectiveness. (shrink)

This essay describes how longstanding conceptions of professionalism in American medical care came under attack in the decades since the enactment of Medicare in 1965 and how the reform strategy and core provisions of the 2010 Affordable Care Act illustrate the weakening of those ideas and the institutional practices embodying them.The opening identifies the dominant role of physicians in American medical care in the two decades after World War II. By the time Medicare was enacted in 1965, associations of American (...) physicians were almost completely in charge of medical education, specialist certification, and the enforcement of professional norms on their members. Who could be a doctor, what education and training would be required, and what collegial oversight was operative was first a professional matter and only secondly implicated the state through malpractice or major corporations via the employment of physicians. (shrink)

The development of any novel reproductive technology involving manipulation of human embryos is almost inevitably going to be controversial and evoke sincerely held, but diametrically opposing views. The plethora of scientific, ethical and legal issues that surround the clinical use of such techniques fuels this divergence of opinion. During the policy change that was required to allow the use of mitochondrial donation in the UK, many of these issues were intensely scrutinised by a variety of people and in multiple contexts. (...) This extensive process resulted in the publication of several reports that informed the recommendations made to government. We have been intrinsically involved in the development of mitochondrial donation, from refining the basic technique for use in human embryos through to clinical service delivery, and have taken the opportunity in this article to offer our own perspective on the issues it raises. (shrink)

Robert Batterman examines a form of scientific reasoning called asymptotic reasoning, arguing that it has important consequences for our understanding of the scientific process as a whole. He maintains that asymptotic reasoning is essential for explaining what physicists call universal behavior. With clarity and rigor, he simplifies complex questions about universal behavior, demonstrating a profound understanding of the underlying structures that ground them. This book introduces a valuable new method that is certain to fill explanatory gaps across disciplines.

Many scientists and philosophers of science are troubled by the relative isolation of developmental from evolutionary biology. Reconciling the science of development with the science of heredity preoccupied a minority of biologists for much of the twentieth century, but these efforts were not corporately successful. Mainly in the past fifteen years, however, these previously dispersed integrating programmes have been themselves synthesized and so reinvigorated. Two of these more recent synthesizing endeavours are evolutionary developmental biology and developmental systems theory. While the (...) former is a bourgeoning and scientifically well-respected biological discipline, the same cannot be said of DST, which is virtually unknown among biologists. In this review, we provide overviews of DST and EDB, summarize their key tenets, examine how they relate to one another and to the study of epigenetics, and survey the impact that DST and EDB have had on biological theory and practice. (shrink)

Corporate governance and finance are dynamic academic fields that offer myriad opportunities for business ethics analysis. Within the corporate governance triad in recent years, shareholders have increased their power over boards of directors and executives through both regulation and movements to change corporate by-laws. The impact of board characteristics on firm performance has proven elusive, leading to questions concerning board processes and individual director beliefs and behaviors. At the same time, CEOs have lost considerable power, leaving many struggling to regain (...) their control and maintain their compensation levels, while others adopt a stewardship approach to their posts. In the field of finance, the recent financial debacle has led to a reexamination of financial regulation and of the fundamental nature and purpose of the industry. All of these issues provide business ethicists fodder for investigation and analysis. (shrink)

The author presents a discussion of existentialistic themes as they are found in sartrean literature and scholarly writings. (staff).

But do animals know that other creatures have minds? And how would we know if they do? In "Mindreading Animals," Robert Lurz offers a fresh approach to the hotly debated question of mental-state attribution in nonhuman animals.

Henry Sheffer’s 1908 Harvard Ph.D. thesis contains an interesting appendix on a central feature of the logical work of his thesis advisor, Josiah Royce. This is the claim in Royce’s 1905 article “The Relations of the Principles of Logic to the Foundations of Geometry” that an unsymmetric ordering relation can be defined on the single symmetric O-relation for which he gives postulates in that paper. Sheffer criticizes Royce’s specific definition from the point of view of the evolving twentieth century conception (...) of axiomatic method and also shows more generally that an unsymmetric1 order relation cannot be defined in the system of the 1905 paper based on the O-relation. In this article I wish to consider the nature.. (shrink)

Scientific endeavor is the pursuit of knowledge with the aim of advancing the welfare of all human beings. This endeavor is built on the ideology of science; thus, society relies on the integrity of the practice of science and of scientists themselves. The responsible conduct of research is the essence of good science; however, many of the pedagogical approaches used to instill integrity in science accentuate the negative rather than exemplify ideal professionalism. This paper makes an argument for the inculcation (...) of the appropriate conduct of research via a positive approach. We address the acclimation to the culture of science that supersedes diverse cultural backgrounds of students. We suggest techniques for the implementation of positive strategies and reinforce the benefit of approaching the teaching of ethical behavior as a competitive advantage. We highlight ways in which this approach can empower the individual scientist and the scientific community as a whole. Transmission of the culture of scientific professionalism formalizes the aims of an ideal scientific professional and encourages assimilation and identification as a member of the scientific profession. We purport that instilling scientific professionalism will spur responsible conduct of research. (shrink)

Why does performing certain tasks cause the aversive experience of mental effort and concomitant deterioration in task performance? One explanation posits a physical resource that is depleted over time. We propose an alternative explanation that centers on mental representations of the costs and benefits associated with task performance. Specifically, certain computational mechanisms, especially those associated with executive function, can be deployed for only a limited number of simultaneous tasks at any given moment. Consequently, the deployment of these computational mechanisms carries (...) an opportunity cost – that is, the next-best use to which these systems might be put. We argue that the phenomenology of effort can be understood as the felt output of these cost/benefit computations. In turn, the subjective experience of effort motivates reduced deployment of these computational mechanisms in the service of the present task. These opportunity cost representations, then, together with other cost/benefit calculations, determine effort expended and, everything else equal, result in performance reductions. In making our case for this position, we review alternative explanations for both the phenomenology of effort associated with these tasks and for performance reductions over time. Likewise, we review the broad range of relevant empirical results from across sub-disciplines, especially psychology and neuroscience. We hope that our proposal will help to build links among the diverse fields that have been addressing similar questions from different perspectives, and we emphasize ways in which alternative models might be empirically distinguished. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Signs of Logic: Peircean Themes on the Philosophy of Language, Games, and CommunicationRobert W. BurchAhti-Veikko Pietarinen Signs of Logic: Peircean Themes on the Philosophy of Language, Games, and Communication Dordrecht, The Netherlands: Springer, 2006. xiv + 496 pp.This compendious volume of fourteen of Pietarinen's essays on Peirce, plus a three-page set of "Final Words" relating to the work of Robert Aumann, is a "must-have" for both the (...) Peirce scholar and any other philosopher who wishes to relate Peirce's thinking on language and logic to other major thinkers and logical themes of the twentieth century (and beyond). The essays extend or complement discussions of Peirce's logic and philosophy of language that have come to be expected from the "Finnish school" of philosophers, which includes Hintikka and Hilpinen, as well as Pietarinen.Nine of the essays (Chapters 3, 4, 5, 7, 8, 10, 12, 13, and 14), comprising about two-thirds of the entire book, are revised and expanded versions of essays that Pietarinen has previously published. The remaining one-third (approximately) of the book is brand new. Chapters 1 and 2 serve as general introductions to the book's major interests. Chapter 6 is on evidence for constructivism in Peirce, as well as several other topics. Chapter 9 compares Peirce's ideas with Wilfred Hodges's "dialogue foundations" and contains a small philosophical dialogue, which has Peirce, Wittgenstein, and Hodges as its characters. Chapter 11 concerns evolutionary semantics and language [End Page 577] games. And the cursory Chapter 15 of "Final Words" predicts that the game-theoretical approach to semantics and Peirce scholarship has an exploding future, like an erupting volcano.From the foregoing one can gather, correctly, that each essay in the book is separately conceived and that the book is not a single continuous line of argumentative development of one or even of a few themes. Still, the essays are similar to one another in two ways, which ways are closely related to each other. First, they all concern the Peircean doctrine that semeiotic and semeiosis constitute the heartland of logic, and that this heartland is vastly richer than the sort of pure mathematical calculi that might mistakenly be taken for logic itself (and were in fact so taken for much of the twentieth century). Second, they all deal with the Peircean insistence that semeiosis is inherently a form of Praxis in which interchanges occur between or among various "agents" or "actors," one of which might be nature itself; so that at the very least logic is dialogic, and so that more generally one may justifiably speak of semeiosis as involving something like a "game." These lines of exploration will surprise no seasoned Peirce scholar, but the special genius of the Finnish "school" of Peirce interpretation from Hintikka forward is to have spotlighted in dramatic fashion the game-theoretical nature of many elements in Peirce's semeiotic.In these essays Pietarinen amply exhibits two attainments of mind that are indispensable for the serious Peirce scholar. One is the object of what we might call "The Eisele Imperative" after the vehement urgings of Carolyn Eisele: this is the possession of some significant degree of sophistication in mathematics. Pietarinen's mathematical skills are plainly sufficient for his discussions of logic and game theory. For example, his Chapter 5 is an excellent technical discussion of Peirce's existential graphs, and his Chapter 7 is an admirable technical discussion of certain aspects of game theory and generalized quantifiers. Another crucial skill needed by the serious Peirce scholar is the object of what we might call "The Pietarinen Corrective" after the practices exemplified in these essays: this is the possession of extremely broad knowledge of recent and contemporary philosophy, especially philosophy of language, logic, metaphysics, epistemology, and philosophy of science.Indeed, the breadth of Pietarinen's acquaintance with twentieth century logic and philosophy of language, both "analytic" and "continental," is breathtaking. This allows him scope for comparisons of Peirce's views with an extraordinarily wide, and not always easily anticipated, range of philosophers and philosophic traditions. Pietarinen's range of reference is so extensive that it would be pointless to attempt to discuss in... (shrink)

Batterman examines a form of scientific reasoning called asymptotic reasoning, arguing that it has important consequences for our understanding of what physicists call universal behavior, as well as of the scientific process as a whole.

This paper examines a fundamental problem in applied mathematics. How can one model the behavior of materials that display radically different, dominant behaviors at different length scales. Although we have good models for material behaviors at small and large scales, it is often hard to relate these scale-based models to one another. Macroscale models represent the integrated effects of very subtle factors that are practically invisible at the smallest, atomic, scales. For this reason it has been notoriously difficult to model (...) realistic materials with a simple bottom-up-from-the-atoms strategy. The widespread failure of that strategy forced physicists interested in overall macro-behavior of materials toward completely top-down modeling strategies familiar from traditional continuum mechanics. The problem of the ``tyranny of scales'' asks whether we can exploit our rather rich knowledge of intermediate micro- scale behaviors in a manner that would allow us to bridge between these two dominant methodologies. Macroscopic scale behaviors often fall into large common classes of behaviors such as the class of isotropic elastic solids, characterized by two phenomenological parameters---so-called elastic coefficients. Can we employ knowledge of lower scale behaviors to understand this universality---to determine the coefficients and to group the systems into classes exhibiting similar behavior? (shrink)

The Imperial Web and the War on Terrorism: U.S. Military Bases and Empire. The attacks of September 11,2001 and the subsequent global War onTerrorism directed by the United States have made it clear that the world is now dominated by an American Empire, which extends far beyond the British Empire of old. The extent of U.S. imperial ambitions is perhaps best understoood in terms of the history of its military bases, which are now located in around 60 countries. These bases (...) are not to be understood as a purely military phenomenon but as part of a larger system of economic, political and military power rooted in the hegemonic position of U.S. capitalism in the world economy as a whole. [Article adapted from the March 2002 issue of Monthly Review, vol. 53, no. 10]. (shrink)

Reconstructing Damon is the first comprehensive study of Damon, the most important theorist of music and poetic meter in ancient Athens, detailing his extensive influence, and providing the first systematic collection, translation, and critical examination of all ancient testimonia for him.

This volume is a collection of fourteen essays by leading philosophers on issues concerning the nature, existence, and our knowledge of animal minds. The nature of animal minds has been a topic of interest to philosophers since the origins of philosophy, and recent years have seen significant philosophical engagement with the subject. However, there is no volume that represents the current state of play in this important and growing field. The purpose of this volume is to highlight the state of (...) the debate. The issues which are covered include whether and to what degree animals think in a language or in iconic structures, possess concepts, are conscious, self-aware, metacognize, attribute states of mind to others, and have emotions, as well as issues pertaining to our knowledge of and the scientific standards for attributing mental states to animals. (shrink)

Among discrete emotions, basic emotions are the most elemental; most distinct; most continuous across species, time, and place; and most intimately related to survival-critical functions. For an emotion to be afforded basic emotion status it must meet criteria of: (a) distinctness (primarily in behavioral and physiological characteristics), (b) hard-wiredness (circuitry built into the nervous system), and (c) functionality (provides a generalized solution to a particular survival-relevant challenge or opportunity). A set of six emotions that most clearly meet these criteria (enjoyment, (...) anger, disgust, fear, surprise, sadness) and three additional emotions (relief/contentment, interest, love) for which the evidence is not yet quite as strong is described. Empirical approaches that are most and least useful for establishing basic-emotion status are discussed. Basic emotions are thought to have a central organizing mechanism and to have the capacity to influence behavior, thoughts, and other fundamental processes. (shrink)

This article discusses minimal model explanations, which we argue are distinct from various causal, mechanical, difference-making, and so on, strategies prominent in the philosophical literature. We contend that what accounts for the explanatory power of these models is not that they have certain features in common with real systems. Rather, the models are explanatory because of a story about why a class of systems will all display the same large-scale behavior because the details that distinguish them are irrelevant. This story (...) explains patterns across extremely diverse systems and shows how minimal models can be used to understand real systems. (shrink)

J.W. Olson addresses the Christian doctrine of revelation by asking how theological truth claims can possibly be rooted in God’s incarnational self-communication. Engaging with the phenomenology of Martin Heidegger, Olson offers an interpretation of the Eucharist that grounds Christian knowledge in an embodied understanding of the sacrament.

Written by some of the world's leading academics and professionals in the field, this collection of essays brings together two complementary views on child development - the role of society and the role of cognitive growth.

This Handbook provides an overview of many of the topics that currently engage philosophers of physics. It surveys new issues and the problems that have become a focus of attention in recent years. It also provides up-to-date discussions of the still very important problems that dominated the field in the past.

In many evolutionary/functionalist theories, emotions organize the activity of the autonomic nervous system and other physiological systems. Two kinds of patterned activity are discussed: coherence, and specificity. For each kind of patterning, significant methodological obstacles are considered that need to be overcome before empirical studies can adequately test theories and resolve controversies. Finally, links that coherence and specificity have with health and well-being are considered.

When Nishida Kitarô wrote Studies of the Good, he was a high school teacher in Kanazawa far from Tokyo, the center of Japanese scholarship. While he was praised for his intellectual effort, there was no substantive agreement about the content of his ideas. Critics disagreed with the way he conceived of reality and of truth as contained in reality. Taken together, I believe that the responses to Nishida's early work give us a window on the state of Japanese philosophy in (...) the early twentieth century. In what follows, I give evidence for the existence of such a debate about the nature of truth and reality. After a sketch of Nishida's position, I outline the positions of two other contemporary thinkers: Katô Hiroyuki and Takahashi Satomi. With respect to Nishida, they offer markedly different takes on the question of universal truth: Katô favors an antireligious, scientific positivism while Takahashi accepts an existentialist notion of radical human finitude, in which human access to any certainty is denied. I conclude that one is confronted with a lively debate by Japanese philosophers inside Japan about the definition of truth and consequently about the nature of reality. (shrink)

This paper examines contemporary attempts to explicate the explanatory role of mathematics in the physical sciences. Most such approaches involve developing so-called mapping accounts of the relationships between the physical world and mathematical structures. The paper argues that the use of idealizations in physical theorizing poses serious difficulties for such mapping accounts. A new approach to the applicability of mathematics is proposed.

In three volumes, a distinguished group of scholars from a variety of disciplines in the natural and social sciences, the humanities and the arts contribute essays in honor of Robert S. Cohen, on the occasion of his 70th birthday. The range of the essays, as well as their originality, and their critical and historical depth, pay tribute to the extraordinary scope of Professor Cohen's intellectual interests, as a scientist-philosopher and a humanist, and also to his engagement in the world (...) of social and political practice. In Science, Politics and Social Practice, (Volume II of Essays in Honor of Robert S. Cohen), an international group of scholars -- philosophers, sociologists, historians, and political scientists -- discuss issues at the cutting edge of contemporary social and political thought, and its bearing on science. Several essays discuss the relations of Marxism to science, and specifically, to the philosophies of science of Carnap and Popper, as well as Soviet Marxism, and the effects of Stalinism on Soviet science. There are also essays on the philosophy and methodology of the social sciences, on questions of method and aim in historical narrative, on the issue of cultural relativism, and more. (shrink)