Given the current organ shortage, a prevalent alternative to the altruism-based policy is a market-based solution: pay people for their organs. Receiving much popular and scholarly attention, a salient normative argument against neoliberal pressures is the preservation of human dignity. This article examines how advocates of both the altruistic status quo and market challengers reason and weigh the central normative concept of dignity, meant as inherent worth and/or rank. Key rhetorical strategies, including motivations and broader social visions, of the two (...) positions are analyzed and evaluated, and the separation of morally normative understandings of dignity from market encroachment is defended. (shrink)

“Morality is relative to culture” is a descriptive claim; many people in many different cultures have different moral beliefs. When one adopts moral relativism, however, the claim accrues a normative dimension, in that what follows from relativity is the flattening out of rightness, of one moral belief being better than another regardless of culture. But in practice, humans rarely, if ever, actually behave as if certain things or beliefs are not better than others, as evidenced in everything from foreign policy (...) to religion to consumption choices. This leads to a problem of consistency: either the relativist does not act in accordance with her beliefs or her beliefs are different from what she espouses. Or so a.. (shrink)

ABSTRACT Reason, religion, and public culture have been of significant interest recently, with critics reevaluating modernity's conception of secularism and calling for a “postsecular” public discourse. Simultaneously, one sees rising religious fundamentalisms and a growing style of antirationalism in public debate. These conditions make a reconceptualization of public reason necessary. The main goals of this article are to establish agnostic public reason as the conceptual guide and normative ethic for public debate in liberal democracies by considering the secular/religious reason boundary (...) explicitly and to argue that this ethic of public reason requires a commitment to reason giving and a particular epistemic attitude but that it does not, nor should it, take precedence over first-order judgments. An ethics of citizenship based on the process of reason giving with the appropriate epistemic stance might be one step toward rectifying the problem of an increasing separation between enclave publics, even if, by design, it cannot solve fundamental disagreement. (shrink)

This article examines CURE Children’s Hospital of Uganda (CURE), a faith-based pediatric neurosurgery hospital in Sub-Saharan Africa, as a unique nexus of Western biomedical and holistic-spiritual healthcare in their philosophy, staff motivation, and delivery. Offering the concept of a healing narrative, the essential core of their practice is captured, I suggest, in the articulation and practice of a healing narrative of human flourishing, and we might productively think of the ethics of their clinical approach as premised on being with the (...) patient, understood as mutual vulnerability and attending to suffering, and being for the patient, understood as advocating joy within and beyond the clinic. Extrapolating from this case study, the ideas being with and being for might be added to our clinical ethical practices and lexicon as we think through alternatives to a fragmented, compartmentalized biomedical care. (shrink)