Asgary and Smith (2013) identify an important challenge: the difficult position of physicians caught between the obligation to treat every human being with the same professional rigor, and their feelings of responsibility toward the state and its judicial decisions on asylum requests. The authors show that in some cases this conflict leads to a tendency to "sacrifice their medical responsibilities". The authors' core demand is that health care workers should be independent of the state and judiciary systems, and thus prioritize (...) the interests of the patient. We agree entirely with the authors, that well-performed documenting is the only ethically justifiable option and should not be influenced by a feeling of responsibility for contributing to judicial decisions. However, the authors also address the more general, and ethically more challenging, issue of the responsibility of health care workers and the state toward asylum seekers and ask, how much health care provision is appropriate? (shrink)

Embracing all humanity as one’s own is the core of the modern idea of cosmopolitanism, but the present time with rising tribalism, populism, racism, and narrow-minded nationalism is not propitious for cosmopolitanism. At a time like this, the cosmopolitan effort to see cultures and peoples as close to one another rather than absolutely different becomes all the more important. The comparative study of different cultures and literatures may promote a cosmopolitan stance, and from a comparative perspective, we may draw some (...) ideas from the ancient Chinese philosopher Mencius for a theory of global ethics. *. (shrink)

This essay argues that both the normative worth and practicality of conservatism depend on how much there is to enjoy and value in actual historical circumstances. I use examples from Russian history in the Tsarist period to show that if they live in times of great hardship, or under arbitrary political rule, political actors and thinkers with conservative sympathies (such as respect for tradition, and predilection for slow, gradual improvements) will face painful moral dilemmas, and perhaps even be justified in (...) renouncing conservative behaviors altogether. For this reason, the Russian example helps us to better understand why being conservative can sometimes be impossible. (shrink)