While there is a growing body of work on moral issues and global governance in the fields of global justice and international relations, little work has connected principles of global health justice with those of global health governance for a theory of global health. Such a theory would enable analysis and evaluation of the current global health system and would ethically and empirically ground proposals for reforming it to more closely align with moral values. Global health governance has been framed (...) as an issue of national security, human security, human rights, and global public goods. The global health governance literature is essentially untethered to a theorized framework to illuminate or evaluate governance. This article ties global health justice and ethics to principles for governing the global health realm, developing a theoretical framework for global and domestic institutions and actors. (shrink)

In this critical response to Charles Ess’ ‚Ethical Pluralism and Global Information Ethics’ presented in this Special Issue of Ethics and Information Technology, it is firstly argued that his account of pros hen pluralism can be more accurately reformulated as a three layered doctrine by separating one acceptance of diversity at a cultural level and another at an ethical theoretic level. Following this clarificatory section, the next section considers Ess’ political and sociological reasons for the necessity and desirability of pros (...) hen pluralism, criticising the former reasons as social scientifically problematic, while elaborating on the latter as more persuasive. In the last section, I discuss how pros hen pluralism may be realised, making three arguments in particular. First, Ess’ requirement for sensitivity to cultural diversity is to be interpreted as differentiated and extended sensitivity. Second, his discussion of shared responses to central ethical problems is ambiguous and needs further elaboration and clarification. Third, his focus on dialogue and Socratic education is persuasive, although excessive optimism is not reasonable. (shrink)

The existence of deep and persistent moral disagreement poses a problem for a defender of moral knowledge. It seems particularly clear that a philosopher who thinks that we know a great many moral truths should explain how human populations have failed to converge on those truths. In this paper, I do two things. First, I show that the problem is more difficult than it is often taken to be, and second, I criticize a popular response, which involves claiming that many (...) false moral beliefs are the product of nonmoral ignorance. (shrink)

In this article we focus on female genital mutilation. We analyse this problem as one of the most important issues of multiculturalism, which is also coming to the attention of the public in Italy as a consequence of the growing number of immigrants from African countries. The fundamental problem is about the acceptability of this practice: can female genital mutilation be permitted and, if so, on what basis? We will try to cope with this as a genuine conflict between culture-relative (...) values and universal values, such as human rights. Some attention will be drawn to Italian law. Finally, the impact on nurses of requests for genital mutilation will be described. (shrink)

The existence of fundamental moral disagreements is a central problem for moral realism and has often been contrasted with an alleged absence of disagreement in mathematics. However, mathematicians do in fact disagree on fundamental questions, for example on which set-theoretic axioms are true, and some philosophers have argued that this increases the plausibility of moral vis-à-vis mathematical realism. I argue that the analogy between mathematical and moral disagreement is not as straightforward as those arguments present it. In particular, I argue (...) that pluralist accounts of mathematics render fundamental mathematical disagreements compatible with mathematical realism in a way in which moral disagreements and moral realism are not. 11. (shrink)

A problem arises, both for philosophy and for argumentation theory, in a pluralist world where people hold widely different beliefs about what to do. Some responses to this problem, including relativism, might settle but do not provide any criteria for resolving such differences. Alternative responses seek a means of resolution in universalist, culture-neutral criteria which must be invoked in assessing all human action. A philosophically adequate account of universalism would contribute to an ideal of critical rationality, as well as to (...) the ideas of field-invariance and of convincing, as opposed to persuasive, argumentation. The account's adequacy would require universality both in form and in content. Universality in form is secured by seeking universal preconditions for practical reasoning in general, rather than specifically for morality. Universality in content is harder, and candidates such as freedom, autonomy and health are problematic. An alternative content is provided by the proposition that the satisfaction of material preconditions is necessary for the performance of any action whatever. Neglect of these preconditions may constitute a fallacy in the extended sense found in argumentation theory, and assumptions about them should form part of the point of departure for any practical deliberation. (shrink)

This article argues for a realist conception of human needs. By ‘realist’ we mean that certain fundamental needs are categorically distinct from consumer wants, holding independently of people's subjective beliefs as objective life requirements. These basic needs, we contend, are baseline measures of social justice in the sense that no society that does not prioritise their satisfaction can be legitimate. The paper concludes with a comprehensive response to seven core objections to our position.