Public health preparedness must use a comprehensive approach that includes both communities and public health systems. There are three basic questions that should be asked when evaluating public health preparedness in communities of color: 1) Is the community basically healthy?; 2) Does the community have access, to necessary information, resources and services?; and 3) Are the information, resources and services available and provided to the community in a nondiscriminatory manner?Racial-based health disparities is a well documented fact for many communities of (...) color. Individuals from these communities tend to have more morbidity and higher mortality. This health disparity is race based and not just a function of social class. Similarly, access to basic goods and health care is racialized and class based. (shrink)

Public health preparedness must use a comprehensive approach that includes both communities and public health systems. There are three basic questions that should be asked when evaluating public health preparedness in communities of color: 1) Is the community basically healthy?; 2) Does the community have access, to necessary information, resources and services?; and 3) Are the information, resources and services available and provided to the community in a nondiscriminatory manner?Racial-based health disparities is a well documented fact for many communities of (...) color. Individuals from these communities tend to have more morbidity and higher mortality. This health disparity is race based and not just a function of social class. Similarly, access to basic goods and health care is racialized and class based. (shrink)

Firearm violence in the United States produces over 36,000 deaths and 74,000 sustained firearm-related injuries yearly. The paper describes the burden of firearm violence with emphasis on the disproportionate burden on children, racial/ethnic minorities, women and the healthcare system. Second, this paper identifies factors that could mitigate the burden of firearm violence by applying a blend of key ethical theories to support population level interventions and recommendations that may restrict individual rights. Such recommendations can further support targeted research to inform (...) and implement interventions, policies and laws related to firearm access and use, in order to significantly reduce the burden of firearm violence on individuals, health care systems, vulnerable populations and society-at-large. By incorporating a blended public health ethics to address firearm violence, we propose a balance between societal obligations and individual rights and privileges. (shrink)

This is the first philosophical study of artifacts that is book length. In it Randall Dipert develops a theory of what artifacts are and applies it extensively to one of the most complex and intriguing kind of artifacts, art works. He presents his own account of what agents, intentions, and actions are, then uses these notions to clarify what it is for an agent to "make" something. From this starting point, he develops a full theory of artifacts and other (...) artificial things - and, especially, a theory of art works and performances of art works as artifacts. He proposes a theory of nature and of the value of nature as what is essentially nonartificial. Two chapters are devoted to value considerations: merit in artifacts generally, and the evaluation of art works and performance art as artifacts or intentional gestures. Believing that a developed theory of action and philosophy of mind is necessary for a developed aesthetics and philosophy of art, Dipert relies on classical and contemporary research on agency, actions, and intentions, and on the intentionalist theory of mental objects of Brentano and Meinong. Dipert considers artifacts to be physical entities, but he also includes in the definition thoughts, utterances, and performances. This vast category encompasses everyday household objects and tools, streets and edifices, as well as communicative and artistic artifacts. Especially with regard to artistic artifacts, Dipert proposes a theory of expression and communication as actions and extensively discusses the problems of interpreting and recognizing actions, artifacts, and art works. (shrink)

How a group G can know that p has been the subject of much investigation in social epistemology in recent years. This paper clarifies and defends a form of non-supervenient, non-summative group knowledge: G can know that p even if none of the members of G knows that p, and whether or not G knows that p does not locally supervene on the mental states of the members of G. Instead, we argue that what is central to G knowing that (...) p is whether G has an epistemic structure that is functioning appropriately in accord with the action-related purposes of the group, and this structure may include non-agential elements such as devices that retain or process information. We argue that recent objections to non-summative group knowledge given by Jennifer Lackey do not in fact succeed in undermining the view, but do help to clarify the nature of non-summative group knowledge. The main upshot of our response to Lackey’s objections is that groups put their knowledge into action in ways that often differ from how individuals do so, and social epistemologists should be careful to notice these differences, especially insofar as groups often structure themselves by employing various epistemically-relevant devices. (shrink)

Aristotle regarded law and education as the two fundamental and deeply interdependent tools of political art, making the use of education by the statesman a topic of the first importance in his practical philosophy. The present work develops the first comprehensive treatment of this neglected topic, and assesses the importance of Aristotle's defense of public education for current debates about school choice and privatization, and educational equality.

The paper addresses several issues in the morality of cyberwar and cyberwarfare, defined as one nation's attacks on the governmental or civilian information systems of another nation. It sketches the diverse technical ways in which an attack may occur, including denial-of-service attacks and the insertion of various forms of malware. It argues that existing international law and widely discussed principles of Just War Theory do not straightforwardly apply to cyberwarfare, and many forms of cyberwarfare differ from previous forms of warfare (...) in neither injuring nor killing human beings, nor causing lasting physical damage ? but can nevertheless cause serious harm to a nation's vital interests. Another dissimilarity with traditional warfare is in the degree of knowledge of the identity of an attacker (the ?attribution problem?). The paper argues that cyberwarfare is not amenable to regulation by international pacts and that we can expect long periods of low-level, multilateral cyberwarfare, a Cyber Cold War, as a game-theoretic equilibrium is sought,. The paper laments the lack of a cyberwarfare policy, and concludes that it is only by applying game-theoretic principles that strategies can be discovered that are both moral and effective in suppressing overall harm to all parties in the long run. (shrink)

The main focus of this book is the normative or ethical aspects of sustainability, including matters of justice in governance that is important to sustainability. The idea of sustainability is widely perceived as having a normative dimension, often referred to as equity, but the character of this normative dimension is seldom explored. The book aims to fill this gap in the literature of sustainability. It proposes a conceptualization of sustainability that is geared to clarifying its essential ethical structure. It frames (...) sustainability in terms of the capacity of natural systems to provide opportunities to live well, as well as the conduciveness of human practices and systems to preserving such opportunity into the distant future. It develops the idea of sustainability as an art of preserving opportunity to live well – an ethically and scientifically grounded political art of living well together without diminishing opportunity to live well in the future. (shrink)

The treatment decisions of competent adults, especially treatment refusals, are generally respected. In the case of minors something turns on their age, and older minors ought increasingly to make their own decisions. On the other hand, parents decide on behalf of infants and young children. Their right to do so can best be justified in terms of the importance of preserving intimate family relationships, rather than in terms of the child's best interests, although the child's best interests will most often (...) follow from this arrangement. Nevertheless, there are and ought to be legal, ethical, and financial constraints on parental decision making. (shrink)

Randall R. Dipert argues that, at first glance, Rand's view of representational arts, such as literature and the visual arts, might seem to have little applicability to pure music. Nevertheless, Rand took music without words as a serious art form, and struggled to develop a plausible theory of music. As Torres and Kamhi note in What Art Is, Rand's approach probably contradicted certain elements of her full aesthetic theory. But her theory of music and its relationship to emotions offers (...) some fascinating suggestions that accord with—and in some respects go beyond—the best recent thinking in musical aesthetics. (shrink)

Too many patients are injured in the course of care. Clinicians may mistakenly cause new harm to a patient or fail to take established steps to improve the presenting condition. Medical institutions within which they work may lack mechanisms to reduce errors or prevent them from harming patients. Many, perhaps even most, injuries are preventable, probably numbering in the hundreds of thousands a year for hospital care alone. Long ignored by medical practitioners and health-care payers and little appreciated by the (...) public, the problem of medical injury is finally receiving high-level policy attention. Much credit goes to the Institute of Medicine for its landmark report of November 1999, which marshaled the evidence about medical injuries and highlighted new approaches to systematic improvement of safety within systems of care. (shrink)

BEFORE Frege’s Begriffsschrift, propositional logic was submerged in the often murky theory of the "hypothetical syllogism." With the exception of the Stoa, a handful of astute mediaeval logicians, Leibniz, and Bolzano, one might well obtain the impression from studying the history of logic that Frege created his theory ex nihilo—which is substantially true, since Frege was apparently little influenced by previous work. One might also obtain the impression, especially by reading Frege himself, that very little was being done on propositional (...) logic in the 19th century. This claim would be false. As one might expect from a philosopher who is sometimes grouped with Frege and De Morgan as one of the greatest nineteenth century logicians, Charles S. Peirce dealt extensively with propositional logic, or as he would have called it, with the theory of the hypothetical syllogism. (shrink)

Too many patients are injured in the course of care. Clinicians may mistakenly cause new harm to a patient or fail to take established steps to improve the presenting condition. Medical institutions within which they work may lack mechanisms to reduce errors or prevent them from harming patients. Many, perhaps even most, injuries are preventable, probably numbering in the hundreds of thousands a year for hospital care alone. Long ignored by medical practitioners and health-care payers and little appreciated by the (...) public, the problem of medical injury is finally receiving high-level policy attention. Much credit goes to the Institute of Medicine for its landmark report of November 1999, which marshaled the evidence about medical injuries and highlighted new approaches to systematic improvement of safety within systems of care. (shrink)

I do not think that previous writing on artifacts has been satisfactory, for reasons that will become clear. This situation has only been slightly remedied, I believe, by works such as my Artifacts, Agency, and Art Works, Dipert, sometimes referred to here as “AAA.” At the same time, I believe that a general notion of artifact is crucial for philosophy: the concept of an artifact is a central piece of our conception of the world. One of the important projects in (...) the theory of artifacts that is incomplete, or perhaps has not yet even been seriously undertaken, is a definition of artifacts. To give a definition of artifact, and to explore its difficulties and entanglements, is the central organizing goal of this essay. (shrink)

American health policy today faces dual problems of too little health coverage at too high a cost. The mix of public and private financing leaves about one seventh of the population without any insurance coverage. At the same time, the coverage Americans do have costs an ever-larger share of our country's productive capacity. This "paradox of excess and deprivation" results from the incremental approach the U.S. has taken to promoting incompatible policy goals of increasing health insurance coverage and medical quality (...) while trying to control costs, without squarely confronting tradeoffs. This essay examines the record of incremental developments and draws lessons for current efforts at reform. (shrink)

Philosophy of Education: An Anthology brings together the essential historical and contemporary readings in the philosophy of education. The readings have been selected for their philosophical merit, their focus on important aspects of educational practice and their readability. Includes classic pieces by Plato, Aristotle, Isocrates, Locke, Rousseau, Mill, and Dewey. Addresses topical issues such as teacher professionalism and accountability, the commercialization of schooling, multicultural education, and parental choice.

American health policy today faces dual problems of too little coverage at too high a cost. The mix of private and public financing leaves about one seventh of the population without any insurance coverage. At the same time, the coverage Americans do have costs an ever-larger share of our country’s productive capacity. The U.S. pays well above what other countries pay and what many people, health plans, businesses, and governments want to pay. This “paradox of excess and deprivation” results from (...) the incremental approach the U.S. has taken to promoting incompatible policy goals of increasing health insurance coverage and medical quality while trying to control costs, without squarely confronting tradeoffs. This essay examines the record of incremental developments and draws lessons for current efforts at reform. (shrink)

This paper explores some general considerations bearing on the question of whether virtue can be measured. What is moral virtue? What are measurement and evaluation, and what do they presuppose about the nature of what is measured or evaluated? What are the prospective contexts of, and purposes for, measuring or evaluating virtue, and how would these shape the legitimacy, methods, and likely success of measurement and evaluation? We contrast the realist presuppositions of virtue and measurement of virtue with the behavioral (...) operationalism of a common conception of measurement in psychometrics. We suggest a realist and non-reductive conceptualization of the measurability of virtue. We then discuss three possible educational contexts in which the measurement of virtue might be pursued: high-stakes testing and accountability schemes, the evaluation of programs in character education, and routine student evaluation. We argue that high-stakes testing of virtue would be ill-advised and counterproductive. We make some suggestions for how program evaluation in character education might proceed, and offer some examples of evaluation of student virtue-related learning. We conclude that virtue acquisition might be measured in a population of students accurately enough for program evaluation, while also arguing that student and program evaluation do not require comprehensive evaluations of how virtuous individual students are. Routine student evaluation will typically focus on specific aspects of virtue acquisition, and program evaluations can measure the aggregate progress of virtue acquisition in all its aspects while evaluating only limited aspects of the learning of individual students. (shrink)

This paper assesses the historical meaning and contemporary significance of Aristotle’s educational ideas. It begins with a broad characterization of the project of Aristotle’s Nicomachean Ethics and Politics, which he calls “political science” (hê politikê epistêmê), and the central place of education in his vision of statesmanship. It proceeds through a series of topics fundamental to his educational ideas, culminating in the account of education in Politics VIII. A concluding section appraises the uses to which Aristotelian ideas are currently put (...) in philosophy of education, identifying some confusions in the influential literature of “practices.”. (shrink)

This chapter addresses some basic questions about the cultivation of responsibilist intellectual virtue. What is intellectual virtue? How are specific intellectual virtues defined and how do they contribute to intellectual virtue in general? What are the epistemic goods at which intellectual virtue and virtues aim? What justifies education in epistemic virtue, understood as a state of intellectual character? How should the motivational aspect of epistemic character be understood? How can educators cultivate a devotion to epistemic goods for themselves? How can (...) curricula, methods of instruction, and the evaluation of student learning and schools best support and not undermine the cultivation of intellectual virtue? (shrink)

One of the most significant discoveries of early twentieth century mathematical logic was a workable definition of ‘ordered pair’ totally within set theory. Norbert Wiener, and independently Casimir Kuratowski, are usually credited with this discovery. A definition of ‘ordered pair’ held the key to the precise formulation of the notions of ‘relation’ and ‘function’ — both of which are probably indispensable for an understanding of the foundations of mathematics. The set-theoretic definition of ‘ordered pair’ thus turned out to be a (...) key victory for logicism, providing one admits set theory is logic. The definition also was instrumental in achieving the appearance of ontological economy — since it seemed only sets were needed — although this feature was emphasized only later. (shrink)

Barnhardt, in “Dissociation: An Evolutionary Interpretation,” makes a case for understanding multiple personality as a “natural”phenomenon resulting from human biological evolution. He also argues that the reason that “multiple personalities” are not encountered more frequently is a result of a social construction encouraging “single” personalities. He concludes that it is from the interaction between the two that ethics derive. In this response I offer an alternative hermeneutic, using memory as the interpretive key, and by introducing Ricoeur’s work on narrative. highlight (...) how Barnhardt’s argument limits us to a “scientific” understanding of MultiplePersonality and thus limits our ability to understand and enact a viable “ethic” of care. (shrink)

Too many patients are injured in the course of medical care. This truth is as distressing now as it was four years ago when it began an article in this journal’s last similar symposium. Many or most injuries seem preventable. Yet today’s systems of care and of oversight of care too often fail to prevent them, despite generations of increasing legal intervention. Few injuries are litigated, even fewer addressed through medical peer review or state disciplinary authorities. The Institute of Medicine’s (...) landmark report To Err Is Human brought patient safety to national attention when released in late 1999. Half a decade later, significant reduction of injury remains a distant prospect, despite some apparent progress. (shrink)

Aristotle presents his Nicomachean Ethics and Politics as an ordered pair comprising political science (hê politikê epistêmê), suggesting an axiomatic structure of theorems that are demonstratively deduced from first principles. He holds that this systematic knowledge of ethical and legislative matters provides the ‘universals’ essential to phronesis or practical wisdom, and that its acquisition begins in sound habituation. Aristotle thereby assigns habituation an epistemic role that must be understood in light of his account of the nature of a science. This (...) paper argues that what would be inductively established by, or on the basis of, sound habituation is the supposition that the natural kind of activity constitutive of living well exists; it establishes the supposition on which Aristotle’s definition of a eudaimon life rests. Having addressed this central interpretive issue, the paper sketches a psychologically grounded position on the substantive philosophical questions at stake. Are there natural signs of flourishing and failure to flourish present to us in our experience of attempts to live well? If such signs exist but are not sufficient to qualify ethical beliefs as knowledge in their own right, might they play a role in a science of what is good and bad for human beings? (shrink)

Too many patients are injured in the course of medical care. This truth is as distressing now as it was four years ago when it began an article in this journal’s last similar symposium. Many or most injuries seem preventable. Yet today’s systems of care and of oversight of care too often fail to prevent them, despite generations of increasing legal intervention. Few injuries are litigated, even fewer addressed through medical peer review or state disciplinary authorities. The Institute of Medicine’s (...) landmark report To Err Is Human brought patient safety to national attention when released in late 1999. Half a decade later, significant reduction of injury remains a distant prospect, despite some apparent progress. (shrink)

Few philosophers today know much about Charles Peirce’s metaphysics, although a great many know something about his epistemology, philosophy of science, and logic. Indeed, few Peirce experts have written much on his metaphysics or made it the focus of their research. To an extent, this is understandable. Peirce’s writings were left in a disastrously disorganized state (mostly unpublished), and the crucial papers on metaphysics from his later years have not yet been republished in the first-rate chronological edition, the incomplete Writings (...) of Charles S. Peirce: A Chronological Edition , edited at Indianapolis by my friends. And then there is Peirce’s writing: an awkward, abrasive, arrogant, eclectic style that demands technical knowledge in diverse fields, especially logic, mathematics, and the natural sciences. His worst personality traits manifested themselves in his highly technical metaphysics—with its idiosyncratic, anti-Cantorian conception of continua, a pecularly mathematical phenomenology, and elaborate views on Darwinian and non-Darwinian evolution, for example. Finally, there is what might appear to be the bizarreness of the theory itself, as we shall see. Peirce was a kind of philosophical swashbuckler, a bold, courageous speculator on philosophical questions beyond most of our temperaments even to ponder. Ours is not the philosophical age of Errol Flynn but the minimalist age of Harrison Ford, with no grand gestures or speeches, just a series of small, no-nonsense gestures: we typically like our philosophy short, neat, "science-like," and isolated from other philosophical issues. (shrink)

This essay makes three claims about preventive war, which is demarcated from preemptive war and is part of a broader class of ?anticipatory? wars. Anticipatory wars, but especially preventive war, are ?hard cases? for traditional Just War theory; other puzzles for this tradition include nuclear deterrence, humanitarian intervention, and provability a priori of the success of Tit-for-Tat. First, and despite strong assertions to the contrary, it is far from clear that preventive war is absolutely prohibited in traditional Just War Theory, (...) and it is also dubious that it is in all cases ?clearly illegal?. Second, the morality of both preemptive and preventive wars is shown to turn on epistemological considerations: on what degree and kind of justification the primary metaphysical facts of threat can be reasonably believed. Third, an argument is made that whatever epistemic threshold is held to be necessary, some preventive wars will exceed it, and that this is more likely with advancing technologies of information acquisition. Finally, the common argument that allowing all nations to follow policies of preventive war would result in more wars than barring such policies is shown to be mistaken by simulations in game theory. Suggestions are made about the derivation of traditional Just War criteria from more basic moral principles, and about their subtle failures as jointly necessary conditions for the morality of war. (shrink)