It is generally agreed that the current methods of providing health care in the West need to be reformed. Such reforms must operate within the practical limitations to which any future system of health care will be subject. These limitations include an increase in the demand for costly end-of-life health care coupled with a reduction in the proportion of the population who are working taxpayers (and hence a reduction in the proportionate amount of health care funding that can be secured (...) through taxation) and the fact that the imposition of bureaucratic regulations on health care systems is costly. Recognizing these limitations should naturally lead one to consider market-based reforms. Yet despite the practical impetus for such reforms, there is still widespread concern that market-based health care is unethical. The purpose of this paper is to address this concern and, in so doing, to pave the way for the market-based reform of health care to proceed. (shrink)

Karl Marx (1818-1883) is best known not as a philosopher but as a revolutionary communist, whose works inspired the foundation of many communist regimes in the twentieth century. It is hard to think of many who have had as much influence in the creation of the modern world. Trained as a philosopher, Marx turned away from philosophy in his mid-twenties, towards economics and politics. However, in addition to his overtly philosophical early work, his later writings have many points of contact (...) with contemporary philosophical debates, especially in the philosophy of history and the social sciences, and in moral and political philosophy. Historical materialism — Marx's theory of history — is centered around the idea that forms of society rise and fall as they further and then impede the development of human productive power. Marx sees the historical process as proceeding through a necessary series of modes of production, culminating in communism. Marx's economic analysis of capitalism is based on his version of the labour theory of value, and includes the analysis of capitalist profit as the extraction of surplus value from the exploited proletariat. The analysis of history and economics come together in Marx's prediction of the inevitable economic breakdown of capitalism, to be replaced by communism. However Marx refused to speculate in detail about the nature of communism, arguing that it would arise through historical processes, and was not the realisation of a pre-determined moral ideal. (shrink)

Historical materialism I take to be the view expressed in the well-known Preface to the Critique of Political Economy and exemplified in Capital and in many other writings by Marx and by Marxists. I shall begin with a few introductory remarks, next sketch in the theory, and finally contend that, despite real attractions, it too far limits the scope of legitimate historical enquiry to be ultimately acceptable.

In this paper I question the claims made for a ‘coming era of nanotechnology’ and the ethical challenges, it is argued, that are entailed by this particular technological revolution. I argue that such futurist claims are sustained by an untenable modernist narrative which separates the technical and the social. This is exemplified by the work of K. Eric Drexler and his claim that whilst the course of scientific knowledge may remain unpredictable we nevertheless can predict with accuracy the trajectory of (...) technology and particularly the emergence of nanotechnology. The problem then, on the basis of knowledge about the future state of technology, is to make choices now which will forestall unintended and undesirable consequences. Firstly, the paper argues for a radical scepticism towards all forms of forecasting or prediction but especially technological forecasting of the type exemplified in the debate around nanotechnology. Secondly, given this radical scepticism the paper criticises the idea that a prospective ethics can be created on the basis of an assessment of consequences of nanotechnology. (shrink)

The objective of this paper is to reconsider the relationship between marxism and existential-phenomenological sociology in light of margolis' (1978) recent articulation and systematic defense of what he terms nonreductive materialism--a material monist ontology which acknowledges an irreducible dualism of attributes. it is argued that reductive materialism is philosophically indefensible and that the most important reasons for thinking that marxism entails reductive materialism are mistaken.

Historical materialism I take to be the view expressed in the well-known Preface to the Critique of Political Economy (1859) and exemplified in Capital and in many other writings by Marx and by Marxists. I shall begin with a few introductory remarks, next sketch in the theory, and finally contend that, despite real attractions, it too far limits the scope of legitimate historical enquiry to be ultimately acceptable.