Proposals for allocating scarce lifesaving resources in the face of the Covid-19 pandemic have aligned in some ways and conflicted in others. This paper attempts a kind of priority setting in addressing these conflicts. In the first part, we identify points on which we do not believe that reasonable people should differ—even if they do. These are (i) the inadequacy of traditional clinical ethics to address priority-setting in a pandemic; (ii) the relevance of saving lives; (iii) the flaws of first-come, (...) first-served allocation; (iv) the relevance of post-episode survival; (v) the difference between age and other factors that affect life-expectancy; and (vi) the need to avoid quality-of-life judgments. In the second part, we lay out some positions on which reasonable people can and do differ. These include (i) conflicts between maximizing benefits and priority to the worst off; (ii) role-based priority; and (iii) whether patients’ existing lifesaving resources should be subject to redistribution. (shrink)

Nelson et al.(2023) argue that the inclusion of personal experience in bioethical debates has significant benefits and liabilities, illustrating their claim with two examples: unproven medical treatments and disability bioethics. We believe that the benefits of including personal experience in disability bioethics far exceed its liabilities. The absence of participants with relevant experience impoverishes and biases bioethical debates, while the biases risked by their inclusion are hardly unique to personal experiences and are readily mitigated.

One widely used method for allocating health care resources involves the use of cost-effectiveness analysis (CEA) to rank treatments in terms of quality-adjusted life-years (QALYs) gained. CEA has been criticized for discriminating against people with disabilities by valuing their lives less than those of non-disabled people. Avoiding discrimination seems to lead to the ’QALY trap’: we cannot value saving lives equally and still value raising quality of life. This paper reviews existing responses to the QALY trap and argues that all (...) are problematic. Instead, we argue that adopting a moderate form of prioritarianism avoids the QALY trap and disability discrimination. (shrink)

When the benefits of surgery do not outweigh the harms or where they do not clearly do so, surgical interventions become morally contested. Cutting to the Core examines a number of such surgeries, including infant male circumcision and cutting the genitals of female children, the separation of conjoined twins, surgical sex assignment of intersex children and the surgical re-assignment of transsexuals, limb and face transplantation, cosmetic surgery, and placebo surgery.

This article examines one of the sources of David Benatar’s anti-natalism. This is the view that ‘all procreation is [morally] wrong.’ (Benatar and Wasserman, 2015:12) One of its sources is the claim that each of our lives is objectively bad, hence bad whether we think so or not. The question I will pose is whether the constraints of metaphysical naturalism allow for an objective devaluation of human life sufficiently negative to justify anti-natalism. My thesis is that metaphysical naturalism (...) does not have the resources to support such a negative evaluation. Metaphysical naturalism is the view that causal reality is exhausted by nature, the space-time system and its contents. The gist of my argument is that the ideal standards relative to which our lives are supposed to be axiologically substandard cannot be merely subjective expressions of our desires and aversions; they must be (i) objectively binding standards that are (ii) objectively possible in the sense of concretely realizable. The realizability condition, however, cannot be satisfied on metaphysical naturalism; ergo, failure to meet these ideal standards cannot show that our lives are objectively bad. (shrink)

How should one react when one has a belief, but knows that other people—who have roughly the same evidence as one has, and seem roughly as likely to react to it correctly—disagree? This paper argues that the disagreement of other competent inquirers often requires one to be much less confident in one’s opinions than one would otherwise be.

I insist that I was able to raise my hand, and I acknowledge that a law would have been broken had I done so, but I deny that I am therefore able to break a law. To uphold my instance of soft determinism, I need not claim any incredible powers. To uphold the compatibilism that I actually believe, I need not claim that such powers are even possible. My incompatibilist opponent is a creature of fiction, but he has his prototypes (...) in real life. He is modeled partly after Peter van Inwagen and partly on myself when I first worried about van Inwagen's argument against compatibilism. (shrink)

We present data and argument to show that in Tetris - a real-time interactive video game - certain cognitive and perceptual problems are more quickly, easily, and reliably solved by performing actions in the world rather than by performing computational actions in the head alone. We have found that some translations and rotations are best understood as using the world to improve cognition. These actions are not used to implement a plan, or to implement a reaction; they are used to (...) change the world in order to simplify the problem-solving task. Thus, we distinguish pragmatic actions ñ actions performed to bring one physically closer to a goal - from epistemic actions - actions performed to uncover information that is hidden or hard to compute mentally. To illustrate the need for epistemic actions, we first develop a standard information-processing model of Tetris-cognition, and show that it cannot explain performance data from human players of the game - even when we relax the assumption of fully sequential processing. Standard models disregard many actions taken by players because they appear unmotivated or superfluous. However, we describe many such actions that are actually taken by players that are far from superfluous, and that play valuable roles in improving human performance. We argue that traditional accounts are limited because they regard action as having a single function: to change the world. By recognizing a second function of action - an epistemic function - we can explain many of the actions that a traditional model cannot. Although, our argument is supported by numerous examples specifically from Tetris, we outline how the one category of epistemic action can be incorporated into theories of action more generally. (shrink)

Perceptualists say that having a pain in a body part consists in perceiving the part as instantiating some property. I argue that perceptualism makes better sense of the connections between pain location and the experiences undergone by people in pain than three alternative accounts that dispense with perception. Turning to fellow perceptualists, I also reject ways in which David Armstrong and Michael Tye understand and motivate perceptualism, and I propose an alternative interpretation, one that vitiates a pair of objections—due (...) to John Hyman—concerning the meaning of ‘Amy has a pain in her foot’ and the idea of bodily sensitivity. Perceptualism, I conclude, remains our best account of the location of pains. (shrink)

A critical examination of the Reflection principle in Bayesian epistemology, and of the diachronic Dutch-book-style arguments that have been invoked to support Reflection and Conditionalization.

The old evidence problem affects any probabilistic confirmation measure based on comparing pr(H/E) and pr(H). The article argues for the following points: (1) measures based on likelihood ratios also suffer old evidence difficulties; (2) the less-discussed synchronic old evidence problem is, in an important sense, the most acute; (3) prominent attempts to solve or dissolve the synchronic problem fail; (4) a little-discussed variant of the standard measure avoids the problem, in an appealing way; and (5) this measure nevertheless reveals a (...) different problem for probabilistic confirmation measures, a problem that is unlikely to lend itself to formal solution. (shrink)

A wide range of prominent epistemological theories include a principle of conservatism. Such principles take the fact that an agent currently holds a certain belief to constitute at least some measure of epistemic justification for her to maintain that belief. I examine the main arguments that have been made in conservatism's behalf, and find them unsound. Most interestingly, conservatism does not fall out of confirmational holism (the view that the justification of each of our beliefs is in part determined by (...) our other beliefs). I argue that conservatism is a mild form of dogmatism, and should be abandoned. (shrink)

Much recent discussion in the philosophy of mathematics has concerned the indispensability argument—an argument which aims to establish the existence of abstract mathematical objects through appealing to the role that mathematics plays in empirical science. The indispensability argument is standardly attributed to W. V. Quine and Hilary Putnam. In this paper, I show that this attribution is mistaken. Quine's argument for the existence of abstract mathematical objects differs from the argument which many philosophers of mathematics ascribe to him. Contrary to (...) appearances, Putnam did not argue for the existence of abstract mathematical objects at all. I close by suggesting that attention to Quine and Putnam's writings reveals some neglected arguments for platonism which may be superior to the indispensability argument. (shrink)

The most immediately appealing model for formal constraints on degrees of belief is provided by probability theory, which tells us, for instance, that the probability of P can never be greater than that of (P v Q). But while this model has much intuitive appeal, many have been concerned to provide arguments showing that ideally rational degrees of belief would conform to the calculus of probabilities. The arguments most frequently used to make this claim plausible are the so-called "Dutch Book" (...) arguments. (shrink)

In the past few years, a number of philosophers ; Horgan and Tienson 2002; Pitt 2004) have maintained the following three theses: there is a distinctive sort of phenomenology characteristic of conscious thought, as opposed to other sorts of conscious mental states; different conscious thoughts have different phenomenologies; and thoughts with the same phenomenology have the same intentional content. The last of these three claims is open to at least two different interpretations. It might mean that the phenomenology of a (...) thought expresses its intentional content, where intentional content is understood as propositional, and propositions are understood as mind-and language-independent abstract entities. And it might mean that the phenomenology of a thought is its intentional content—that is, that the phenomenology of a thought, like the phenomenology of a sensation, constitutes its content. The second sort of view is a kind of psychologism. Psychologistic views hold that one or another sort of thing—numbers, sentences, propositions, etc.—that we can think or know about is in fact a kind of mental thing. Since Frege, psychologism has been in bad repute among analytic philosophers. It is widely held that Frege showed that such views are untenable, since, among other things, they subjectivize what is in fact objective, and, hence, relativize such things as consistency and truth to the peculiarities of human psychology. The purpose of this paper is to explore the consequences of the thesis that intentional mental content is phenomenological and to try to reach a conclusion about whether it yields a tenable view of mind, thought and meaning. I believe the thesis is not so obviously wrong as it will strike many philosophers of mind and language. In fact, it can be defended against the standard objections to psychologism, and it can provide the basis for a novel and interesting account of mentality. (shrink)

This essay focuses on three recent books on morality and virtue, Michael Slote's 'Morals from Motives', Rosalind Hursthouse's 'On Virtue Ethics', and Philippa Foot's 'Natural Goodness'. Slote proposes an "agent-based" ethical theory according to which the ethical status of acts is derivative from assessments of virtue. Following Foot's lead, Hursthouse aims to vindicate an ethical naturalism that explains human goodness on the basis of views about human nature. Both Hursthouse and Slote take virtue to be morally basic in a way (...) that Foot, to her credit, does not. We argue that all three views face a range of serious difficulties. (shrink)

Much contemporary epistemology is informed by a kind of confirmational holism, and a consequent rejection of the assumption that all confirmation rests on experiential certainties. Another prominent theme is that belief comes in degrees, and that rationality requires apportioning one's degrees of belief reasonably. Bayesian confirmation models based on Jeffrey Conditionalization attempt to bring together these two appealing strands. I argue, however, that these models cannot account for a certain aspect of confirmation that would be accounted for in any adequate (...) holistic confirmation theory. I then survey the prospects for constructing a formal epistemology that better accommodates holistic insights. (shrink)

I argue that, unlike your brain, you are not composed of other things: you are simple. My argument centers on what I take to be an uncontroversial datum: for any pair of conscious beings, it is impossible for the pair itself to be conscious. Consider, for instance, the pair comprising you and me. You might pinch your arm and feel a pain. I might simultaneously pinch my arm and feel a qualitatively identical pain. But the pair we form would not (...) feel a thing.1 Pairs of people themselves are incapable of experience. Call this The Datum. What explains The Datum? I think the following exhaust the reasonable options. (1) Pairs of people lack a sufficient number of immediate parts. (2) Pairs of people lack immediate parts capable of standing in the right sorts of relations to each other and their environment. (3) Pairs of people lack immediate parts of the right nature. (4) Pairs of people are not structures (they are unstructured collections of their two immediate parts). (5) Some combination of (1) – (4). Finally, (6) pairs of people are not simple. (shrink)

Both Representation Theorem Arguments and Dutch Book Arguments support taking probabilistic coherence as an epistemic norm. Both depend on connecting beliefs to preferences, which are not clearly within the epistemic domain. Moreover, these connections are standardly grounded in questionable definitional/metaphysical claims. The paper argues that these definitional/metaphysical claims are insupportable. It offers a way of reconceiving Representation Theorem arguments which avoids the untenable premises. It then develops a parallel approach to Dutch Book Arguments, and compares the results. In each case (...) preferencedefects serve as a diagnostic tool, indicating purely epistemic defects. (shrink)

It is obvious that we would not want to demand that an agent' s beliefs at different times exhibit the same sort of consistency that we demand from an agent' s simultaneous beliefs; there' s nothing irrational about believing P at one time and not-P at another. Nevertheless, many have thought that some sort of coherence or stability of beliefs over time is an important component of epistemic rationality.

Glymour's "bootstrap" account of confirmation is designed to provide an analysis of evidential relevance, which has been a serious problem for hypothetico-deductivism. As set out in Theory and Evidence, however, the "bootstrap" condition allows confirmation in clear cases of evidential irrelevance. The difficulties with Glymour's account seem to be due to a basic feature which it shares with hypothetico-deductive accounts, and which may explain why neither can give a satisfactory analysis of evidential relevance.

For a stable visual world, the colours of objects should appear the same under different lights. This property of colour constancy has been assumed to be fundamental to vision, and many experimental attempts have been made to quantify it. I contend here, however, that the usual methods of measurement are either too coarse or concentrate not on colour constancy itself, but on other, complementary aspects of scene perception. Whether colour constancy exists other than in nominal terms remains unclear.

The Brock-Rosen problem has been one of the most thoroughly discussed objections to the modal fictionalism bruited in Gideon Rosen’s ‘Modal Fictionalism’. But there is a more fundamental problem with modal fictionalism, at least as it is normally explained: the position does not resolve the tension that motivated it. I argue that if we pay attention to a neglected aspect of modal fictionalism, we will see how to resolve this tension—and we will also find a persuasive reply to the Brock-Rosen (...) objection. Finally, I discuss an alternative reading of Rosen, and argue that this position is also able to fend off the Brock-Rosen objection. (shrink)

This paper concerns the question of how to specify what is to count as physical for the purposes of debates concerning either physicalism or the completeness of physics. I argue that what is needed from an account of the physical depends primarily on the particular issue at stake, and that the demand for a general a priori specification of the physical is misplaced. A number of attempts to say what should be counted as physical are defended from recent attacks by (...) Chris Daly, and a specific proposal due to David Papineau developed and extended. I argue that this approach is more than suitable for the debates for which it is intended. (shrink)

The arguments of Fodor, Garret, Walker and Parkes [(1980) Against definitions, Cognition, 8, 263-367] are the source of widespread skepticism in cognitive science about lexical semantic structure. Whereas the thesis that lexical items, and the concepts they express, have decompositional structure (i.e. have significant constituents) was at one time "one of those ideas that hardly anybody [in the cognitive sciences] ever considers giving up" (p. 264), most researchers now believe that "[a]ll the evidence suggests that the classical [(decompositional)] view is (...) wrong as a general theory of concepts" [Smith, Medin & Rips (1984) A psychological approach to concepts: comments on Rey, Cognition, 17, 272], and cite Fodor et al. (1980) as "sounding the death knell for decompositional theories" [MacNamara & Miller (1989) Attributes of theories of meaning, Psychological Bulletin, 106, 360]. I argue that the prevailing skepticism is unmotivated by the arguments in Fodor et al. Fodor et al. misrepresent the form, function and scope of the decompositional hypothesis, and the procedures they employ to test for the psychological reality of definitions are flawed. I argue, further, that decompositional explanations of the phenomena they consider are preferable to their primitivist alternatives, and, hence, that there is prima facie reason to accept them as evidence for the existence of decompositional structure. Cognitive scientists would, therefore, do well to revert to their former commitment to the decompositional hypothesis. (shrink)

It is commonly acknowledged that, in order to test a theoretical hypothesis, one must, in Duhem' s phrase, rely on a "theoretical scaffolding" to connect the hypothesis with something measurable. Hypothesis-confirmation, on this view, becomes a three-place relation: evidence E will confirm hypothesis H only relative to some such scaffolding B. Thus the two leading logical approaches to qualitative confirmation--the hypothetico-deductive (H-D) account and Clark Glymour' s bootstrap account--analyze confirmation in relative terms. But this raises questions about the philosophical interpretation (...) of the technical conditions these accounts describe. What does it mean to say that E confirms H "relative to B"? How should we interpret the relation we are trying to analyze? (shrink)

Externalism is the view that the intentional content of a mental state supervenes on its relations to objects in the extramental world. Nativism is the view that some of the innate states of the mind/brain have intentional content. I consider both “causal” and “nomic” versions of externalism, and argue that both are incompatible with nativism. I consider likely candidates for a compatibilist position – a nativism of “narrow” representational states, and a nativism of the contentless formal “vehicles” of representational states. (...) I argue that “narrow nativism” is either too implausible to appeal to the nativist – because it entails that innate representational states are lost as the mind becomes more experienced, or too costly to appeal to the externalist – because a reasonable version of it requires the analytic-synthetic distinction. Finally, I argue that “syntactic nativism” is indistinguishable from classical anti-nativist empiricism, given the latter’s broad tolerance for innate implementation of psychological principles and mechanisms. (shrink)

What would it take to design a real place online where real learning would happen?

The present work is focussed on the completeness of physics, or what is here called the Completeness Thesis: the claim that the domain of the physical is causally closed. Two major questions are tackled: How best is the Completeness Thesis to be formulated? What can be said in defence of the Completeness Thesis? My principal conclusions are that the Completeness Thesis can be coherently formulated, and that the evidence in favour if it significantly outweighs that against it. In opposition to (...) those who argue that formulation is impossible because no account of what is to count as physical can be provided, I argue that as long as the purpose of the argument in which the account is to be used are borne in mind there are no significant difficulties. The account of the physical which I develop holds as physical whatever is needed to fix the likelihood of pre-theoretically given physical effects, and hypothesises in addition that no chemical, biological or psychological factors will be needed in this way. The thus formulated Completeness Thesis is coherent, and has significant empirical content. In opposition to those who defend the doctrine of emergentism by means of philosophical arguments I contend that those arguments are flawed, setting up misleading dichotomies between needlessly attenuated alternatives and assuming the truth of what is to be proved. Against those who defend emergentism by appeal to the evidence, I argue that the history of science since the nineteenth century shows clearly that the empirical credentials of the view that the world is causally closed at the level of a small number of purely physical forces and types of energy is stronger than ever, and the credentials of emergentism correspondingly weaker. In opposition to those who argue that difficulties with reductionism point to the implausibility of the Completeness Thesis I argue that completeness in no way entails the kinds of reductionism which give rise to the difficulties in question. I argue further that the truth of the Completeness Thesis is in fact compatible with a great deal of taxonomic disorder and the impossibility of any general reduction of non-fundamental descriptions to fundamental ones. In opposition to those who argue that the epistemological credentials of fundamental physical laws are poor, and that those laws should in fact be seen as false, I contend that truth preserving accounts of fundamental laws can be developed. Developing such an account, I test it by considering cases of the composition of forces and causes, where what takes place is different to what is predicted by reference to any single law, and argue that viewing laws as tendencies allows their truth to be preserved, and sense to be made of both the experimental discovery of laws, and the fact that composition enables accurate prediction in at least some cases. (shrink)

Accounts of the nature of unpleasant pain have proliferated over the past decade, but there has been little systematic investigation of which of them can accommodate its badness. This paper is such a study. In its sights are two targets: those who deny the non-instrumental disvalue of pain's unpleasantness; and those who allow it but deny that it can be accommodated by the view—advanced by me and others—that unpleasant pains are interoceptive experiences with evaluative content. Against the former, I argue (...) that pain's unpleasantness does indeed have noninstrumental disvalue; against the latter I argue both that my critics’ own desire-theoretic accounts of pain's unpleasantness cannot accommodate such disvalue, and that my evaluativist view can—either by appealing to “anti-unpleasantness” desires or by exploiting pain's perceptuality. (shrink)

This essay attempts to provide and defend what may be the first actual argument in support of P. F. Strawson's merely stated vision of a response-dependent theory of moral responsibility. It does so by way of an extended analogy with the funny. In part 1, it makes the easier and less controversial case for response-dependence about the funny. In part 2, it shows the tight analogy between anger and amusement in developing the harder and more controversial case for response-dependence about (...) a kind of blameworthiness. It then defends the view from three serious skeptical challenges. (shrink)

A criticism of Searle's Chinese Room thought experiment.

Studying Plato's "unwritten doctrines" in the light of his discussion of limit and unlimited in his dialogue Philebus. The essay raises also the question whether there is too much "atomism" in the usual presentation of Plato's Forms as individual absolute entities, rather than as themselves derived from a more fundamental limit/unlimited ontology.

Musical works change. Bruckner revised his Eighth Symphony. Ella Fitzgerald and many other artists have made it acceptable to sing the jazz standard “All the Things You Are” without its original verse. If we accept that musical works genuinely change in these ways, a puzzle arises: why can’t I change Bruckner’s Eighth Symphony? More generally, why are some individuals in a privileged position when it comes to changing musical works and other artifacts, such as novels, films, and games? I give (...) a view of musical works that helps to answer these questions. Musical works, on this view, are created abstract objects with no parts. The paradigmatic changes that musical works undergo are socially determined normative changes in how they should be performed. Due to contingent social practices, Bruckner, but not I, can change how his symphony should be performed. Were social practices radically different, I would be able to change his symphony. This view extends to abstract artifacts beyond music, including novels, films, words, games, and corporations. (shrink)

Lipsey and Lancaster's "general theory of second best" is widely thought to have significant implications for applied theorizing about the institutions and policies that most effectively implement abstract normative principles. It is also widely thought to have little significance for theorizing about which abstract normative principles we ought to implement. Contrary to this conventional wisdom, I show how the second-best theorem can be extended to myriad domains beyond applied normative theorizing, and in particular to more abstract theorizing about the normative (...) principles we should aim to implement. I start by separating the mathematical model used to prove the second-best theorem from its familiar economic interpretation. I then develop an alternative normative-theoretic interpretation of the model, which yields a novel second best theorem for idealistic normative theory. My method for developing this interpretation provides a template for developing additional interpretations that can extend the reach of the second-best theorem beyond normative theoretical domains. I also show how, within any domain, the implications of the second-best theorem are more specific than is typically thought. I conclude with some brief remarks on the value of mathematical models for conceptual exploration. (shrink)

Daniel Dennett has offered a set of necessary and sufficient conditions for something's being the proper object of our moral commitment, that is, for something's being a person. Strict application of these largely pragmatic conditions, however, would result in a moral community with quite a surprising membership roster, because of both who is on it and who isn't. The problem is that "your" being a person should amount to more than a function of "my" goals and cleverness.

Habermas's criticizes Heidegger for insulating totalities of meaning from possible overturning by attempts to invalidate individual claims. I first state Habermas's criticism, then elaborate an example from Heideggerthat supports Habermas's attack. Then I defend Heidegger by distinguishing levels of meaning in Heidegger's "world" from Habermas's more propositional "lifeworld." I conclude by accepting Habermas's objection restated in terms of the contrast between transcendental and local conditions. If Heidegger is unwilling to pay the price of either Kantian generality or Hegelian unity, he (...) should give up the simple priority of his epochal understandings of being. (shrink)

Many philosophers embrace grounding, supposedly a central notion of metaphysics. Grounding is widely assumed to be irreflexive, but recently a number of authors have questioned this assumption: according to them, it is at least possible that some facts ground themselves. The primary purpose of this paper is to problematize the notion of self-grounding through the theoretical roles usually assigned to grounding. The literature typically characterizes grounding as at least playing two central theoretical roles: a structuring role and an explanatory role. (...) Once we carefully spell out what playing these roles includes, however, we find that any notion of grounding that isn’t irreflexive fails to play these roles when they are interpreted narrowly, and is redundant for playing them when they are interpreted more broadly. The upshot is that no useful notion of grounding can allow a fact to ground itself. (shrink)

In this paper I describe how Kant’s idea about the impossibility of moral luck has come to influence, via Rawls, recent writings in egalitarian theory. I argue that this influence has been detrimental for the study of equality. Further, I claim that the major deficiencies of this post-Rawlsian egalitarianism (nicely described by Elizabeth Anderson’s title “luck egalitarianism) are both effectively critiqued and corrected by the understanding of equality and its value located in John Dewey’s writings.

This article uses the case study of ethnobiological classification to develop a positive and a negative thesis about the state of natural kind debates. On the one hand, I argue that current accounts of natural kinds can be integrated in a multidimensional framework that advances understanding of classificatory practices in ethnobiology. On the other hand, I argue that such a multidimensional framework does not leave any substantial work for the notion “natural kind” and that attempts to formulate a general account (...) of naturalness have become an obstacle to understanding classificatory practices. (shrink)

In "A Modal Argument for Narrow Content" ("Journal of Philosophy", LXXXVIII, 1991, pp 5-26), Jerry Fodor proposes a necessary condition for the distinctness of causal powers. He uses this condition to support psychological individualism. I show that Fodor's argument relies on inconsistent interpretations of his condition on distinct causal powers. Moreover, on no consistent interpretation does Fodor's condition yield the results claimed for it.