We defend a fitting-attitude theory of the funny against a set of potential objections. Ultimately, we endorse a version of FA theory that treats reasons for amusement as non-compelling, metaphysically non-conditional, and alterable by social features of the joke telling context. We find that this version of FA theory is well-suited to accommodate our ordinary practices of telling and being amused by jokes, and helpfully bears on the related faultless disagreement dispute.

This paper offers a qualified defense of a historically popular view that I call sentimental perceptualism. At a first pass, sentimental perceptualism says that emotions play a role in grounding evaluative knowledge analogous to the role perceptions play in grounding empirical knowledge. Recently, András Szigeti and Michael Brady have independently developed an important set of objections to this theory. The objections have a common structure: they begin by conceding that emotions have some important epistemic role to play, but then go (...) on to argue that understanding how emotions play that role means that there must be some alternative, emotion-independent route to obtaining knowledge of value. If there has to be such an emotion-independent route, then the perceptual analogy breaks down in a significant way. In this paper, I argue that the right ways for sentimental perceptualists to respond to each of these objections are revealed by thinking through how analogous objections applied to perception and the empirical domain would be answered. Although Szigeti's and Brady's objections should not persuade sentimental perceptualists to give up their view, the objections do put important constraints on what a form of the view has to be like in order to do exciting metaethical work. (shrink)

In this dissertation I examine the topics of ethics, religion, and their relationship in the work of Charles Taylor. I take Taylor's attempt to confront modern disenchantment by seeking a kind of re-enchantment as my guiding thread. Seeking re-enchantment means, first of all, defending an `engaged realist' account of strong evaluation, i.e., qualitative distinctions of value that are seen as normative for our desires. Secondly, it means overcoming self-enclosure and achieving self-transcendence, which I argue should be understood in terms of (...) transcending a `lower' mode of selfhood for a `higher' one in concern for `strong goods'. One of the main issues that Taylor raises is whether re-enchantment requires theism for its full adequacy. He advances - often as `hunches' - controversial claims regarding the significance of theism (1) for defending strong evaluative realism and (2) for motivating an ethic of universal human concern. I seek to fill out his hunches in terms of a theistic teleological perspective that is centered on the `telos of communion'. I argue that such a view is important for overcoming the problem of what Bernard Williams calls the `radical contingency' of ethical beliefs, which seems to undermine their normative authority. However, I argue that if a non-theistic view of cosmic purpose (e.g., Thomas Nagel's view) can be regarded as a viable option, then it could also help to address this problem and support a kind of re-enchantment. Taylor also advances the controversial view that (3) there is an ineradicable draw to `transcendence' in human life in connection to the quest for the meaning of life. Here he opposes certain mainstream theories of secularization that see it as a process involving the ineluctable fading away of the relevance of religion. I seek to fill out and defend Taylor's view in this matter. Besides providing a reading of Taylor's work as a whole and advancing further some of the issues he raises, I also examine his general evaluative framework based on his account of strong evaluation. In doing so I show how he provides a distinct and important perspective among contemporary moral philosophers. (shrink)

Sociologists often ask why particular groups of people have the moral views that they do. I argue that sociology’s empirical research on morality relies, implicitly or explicitly, on unsophisticated and even obsolete ethical theories, and thus is based on inadequate conceptions of the ontology, epistemology, and semantics of morality. In this article I address the two main problems in the sociology of morality: (1) the problem of moral truth, and (2) the problem of value freedom. I identify two ideal–typical approaches. (...) While the Weberian paradigm rejects the concept of moral truth, the Durkheimian paradigm accepts it. By contrast, I argue that sociology should be metaphysically agnostic, yet in practice it should proceed as though there were no moral truths. The Weberians claim that the sociology of morality can and should be value free; the Durkheimians claim that it cannot and it should not. My argument is that, while it is true that factual statements presuppose value judgments, it does not follow that sociologists are moral philosophers in disguise. Finally, I contend that in order for sociology to improve its understanding of morality, better conceptual, epistemological, and methodological foundations are needed. (shrink)

Many proponents of deliberative democracy expect reasonable citizens to engage in rational argumentation. However, this expectation runs up against findings by behavioral economists and social psychologists revealing the extent to which normal cognitive functions are influenced by bounded rationality. Individuals regularly utilize an array of biases in the process of making decisions, which inhibits our argumentative capacities by adversely affecting our ability and willingness to be self-critical and to give due consideration to others’ interests. Although these biases cannot be overcome, (...) I draw on scientifically corroborated insights offered by Adam Smith to show that they can be kept in check if certain affective and cognitive capacities are cultivated. Smith provides a compelling account of how to foster sympathetic, impartial, and projective role-taking in the process of interacting with others, which can greatly enhance our capacity and willingness to critically assess our own interests and fairly consider those of others. (shrink)

On the standard view, pessimism is a philosophically intractable topic. Against the standard view, I hold that pessimism is a stance, or compound of attitudes, commitments and intentions. This stance is marked by certain beliefs—first and foremost, that the bad prevails over the good—which are subject to an important qualifying condition: they are always about outcomes and states of affairs in which one is personally invested. This serves to distinguish pessimism from other views with which it is routinely conflated— including (...) skepticism and nihilism—and to allow for the extent to which pessimism necessarily involves more than the intellectual endorsement of a doctrine. (shrink)

Philosophers working on animal ethics have focused, with good reason, on the wrongness of cruelty toward animals and of devaluing their lives. I argue that the theoretical resources of animal ethics are far from exhausted. Moreover, reflection on what makes animals ethically significant is relevant for thinking about the roots of morality and therefore about ethical relationships between human beings. I rely on a normative approach to animal ethics grounded in the importance of meeting needs in general and, in particular, (...) needs for affection and companionship. I draw on testimonies of shared love between people and animals, and on Raimond Gaita's work on the importance of emotional connections between creatures who are similarly needy. The ethics of care, which attaches special importance to meeting needs, provides an integrative theoretical framework. (shrink)

Abstract: Kant declares the judgment of beauty to be neither ‘objective’ nor ‘merely subjective’. This essay takes up the question of what this might mean and whether it can be taken seriously. It is often supposed that Kant's denials of ‘objectivity’ to the judgment of beauty express a rejection of realism about beauty. I suggest that Kant's thought is not to be understood in these terms—that it does not properly belong in the arena of debates about the constituents of ‘reality’—motivating (...) the suggestion by first considering a pair of opposing views on the question of whether Kant can be understood to develop a real alternative to realism about beauty at all. (shrink)

According to Gary Watson (1977), if we choose not to implement a judgment about what it is best to do then we must have changed that judgment. On those grounds he rejects an otherwise plausible account of akrasia, or weakness of will, that explains it in terms of the relative strengths of the agent's desires to act against and in accordance with their evaluative judgment. However, Watson seems to assume what I call a 'principle of closure of evaluation', a principle (...) that I argue can fail. The possibility of such failure of closure of evaluation means that Watson's argument can be resisted, allowing us to maintain this plausible account of akrasia. (shrink)

Furthermore, moral facts do seem to bear an intimate relationship to our moral attitudes and capacities. It is perhaps inconceivable that, at the end of moral deliberation and inquiry, fully rational human beings invested with our moral concepts could be radically incorrect in their moral beliefs. Moral properties seem to be essentially knowable. We hope that the fundamental truths of physics are epistemically available to us, but our conception of the physical world certainly does not guarantee it. However implausible, it (...) is certainly conceivable that the cognitive capacities that are our evolutionary inheritance, adapted for survival in the terrestrial niche in which our ancestors found themselves, are not well suited for doing cosmology. Is a similar pessimism about our ability to know the moral facts even coherent? I don’t think so. No matter how difficult it is to arrive at correct moral judgments, barring ignorance of any relevant non-moral empirical facts, the moral facts are by their very nature within our reach. And it is difficult to see how this could be so unless moral properties are in some way dependent on us. (shrink)

A joke is amusing if and only if it’s fitting to be amused by it; an act is regrettable if and only if it’s fitting to regret it. Many philosophers accept these biconditionals and hold that analogous ones obtain between a wide range of additional evaluative properties and the fittingness of corresponding responses. Call these the _fit–value biconditionals_. The biconditionals give us a systematic way of recognizing the role of fit in our ethical practices; they also serve as the bedrock (...) of various metaethical projects, such as fitting-attitude analysis of value and the ‘fittingness first’ approach. Yet despite the importance of the biconditionals, there is very little discussion of their proper interpretation. This paper argues that any plausible interpretation of the fit_–_value biconditionals must disarm several kinds of apparent counterexample. For instance, that an achievement is pride-worthy doesn’t imply it is fitting for me to take pride in it because the achievement might not be mine or that of anyone close to me; that a joke is amusing doesn’t imply it is fitting for me to be amused by it for six straight months; and that a person is loveable doesn’t imply it is fitting for me to love him romantically because that person might be my sibling. We consider possible responses to such counterexamples and develop what we consider the most promising interpretation of the biconditionals. The upshot is that certain widespread assumptions about fit and its relation to value and reasons should be reconsidered. (shrink)

The third issue of the Journal for the Philosophy of Language, Mind and the Arts is centered on a series of questions related to the nature of images. What properties characterize them? Do they exist also in our minds? What relationship do they have with phenomena such as perception, memory, language and interpretation? The authors participating in this issue have been asked to answer these and other questions starting from and in dialogue with the two philosophical perspectives that have most (...) enriched the study of our object of research since the second half of the twentieth century: analytical philosophy and visual culture studies. The first four essays address problems related to ontology (Didi-Huberman, Prinz, Bantinaki, Manzotti). In their pages the question will be asked not only about the nature of images but also about what it means for an image to represent an object or an action realistically. The second part contains discussions related to the topics of perception, appreciation and creation of pictures (Ferretti; Gavaler, Goldberg; Pigoni, Coraci, Carlenzi). The third section goes through the problems related to the very concept of representing by images (Biggs; Weichert; Derby). The last section of the issue is devoted to two cases in which images are used not so much and not only to represent something, but also to convey ethical-political values (Fasnacht; Olesiejuk). (shrink)

I introduce a distinction between health need and medical need, and raise several questions about their interaction. Health needs are needs that relate directly to our health condition. Medical needs are needs which bear some relation to medical institutions or processes. I suggest that the question of whether medical insurance or public care should cover medical needs, health needs, or only needs which fit both categories is a political question that cannot be resolved definitionally. I also argue against an overly (...) strict definition of medical need on the grounds that this presupposes, wrongly, that medical intervention should always be a last resort. (shrink)

The appeal of the moral principle according to which we should treat like cases alike is so great that it verges on the axiomatic, or on the platitudinous. Recently, however, the principle has been challenged in deeply interesting ways. These ways are interesting because they do not invite skepticism about morality at large, but about the specific claim that what is good (or bad) for an agent in a given situation must be good (or bad) for any other similarly situated (...) agent. I here assess the post-challenge viability of the principle. In a sense, the principle survives, but this is neither an unqualified victory nor an inspiring result. The examination of these matters contains an important (and under-investigated) lesson about the nature of moral experience. (shrink)

Contemporary philosophers are attracted by the Indispensability Claim, according to which emotions are indispensable in acquiring knowledge of some important values. The truth of this claim is often thought to depend on that of Emotional Dogmatism, the view that emotions justify evaluative judgements because they (seem to) make us aware of the relevant values. The aim of this paper is to show that the Indispensability Claim does not stand or fall with Emotional Dogmatism and that there is actually an attractive (...) alternative way of developing it. We first argue that the Indispensability Claim requires a deflationary account of the cognitive bases of emotions, which we call the Simple View and defend against a variety of criticisms. Armed with the Simple View, we show that the Indispensability Claim is made true by three roles of the emotions: they help us access the relevant evidence, provide a needed hook-up between evidence and judgement, and contribute to evaluative understanding. (shrink)

Far from being unwelcome or impossible in a mathematical setting, indeterminacy in various forms can be seen as playing an important role in driving mathematical research forward by providing “sources of newness” in the sense of Hutter and Farías :434–449, 2017). I argue here that mathematical coincidences, phenomena recently under discussion in the philosophy of mathematics, are usefully seen as inducers of indeterminacy and as put to work in guiding mathematical research. I suggest that to call a pair of mathematical (...) facts a coincidence is roughly to suggest that the investigation of connections between these facts isn’t worthwhile. To say of this pair, “That’s no coincidence!” is to suggest just the opposite. I further argue that this perspective on mathematical coincidence, which pays special attention to what mathematical coincidences do, may provide us with a better view of what mathematical coincidences are than extant accounts. I close by reflecting on how understanding mathematical coincidences as generating indeterminacy accords with a conception of mathematical research as ultimately aiming to reduce indeterminacy and complexity to triviality as proposed in Rota Indiscrete thoughts, Birkhäuser, 1997). (shrink)

This book addresses how our revisionary practices account for relations between texts and how they are read. It offers an overarching philosophy of revision concerning works of fiction, fact, and faith, revealing unexpected insights about the philosophy of language, the metaphysics of fact and fiction, and the history and philosophy of science and religion. It will be of interest to a wide range of scholars and advanced students working in philosophy of language, metaphysics, philosophy of literature, literary theory and criticism, (...) and history and philosophy of science and religion. (shrink)

According to the fitting attitude (FA) analysis of value concepts, to conceive of an object as having a given value is to conceive of it as being such that a certain evaluative attitude taken towards it would be fitting. Among the challenges that this analysis has to face, two are especially pressing. The first is a psychological challenge: the FA analysis must call upon attitudes that shed light on our value concepts while not presupposing the mastery of these concepts. The (...) second challenge is normative: the FA analysis must account for the fittingness of the relevant attitudes in terms of a kind of normativity intimately related to these attitudes, but again without presupposing the mastery of the relevant value concepts. In this paper, we show that real progress is possible if we pay close attention to the nature of the attitudes recruited by the analysis. More specifically, we claim that an FA analysis that appeals to emotions conceived as evaluative attitudes — as opposed to, for instance, evaluative judgements or evaluative perceptions — has the best prospects of meeting the two challenges and of putting the FA analysis on a strong footing. (shrink)

With regard to any natural resource, we can ask whether we should obtain (more of) it. For instance, we may ask whether we, as a society, should seek to obtain more minerals, or more oil. Furthermo...

Needs matter; but not all needs do. Needs range from the urgent and dire to the insignificant and even trivial. Given this, a central task for the needs theorist is to give some account of which ne...

In this paper, I sketch out a novel theory of well-being according to which well-being is constituted by harmony between mind and world. The notion of harmony I develop has three aspects. First there is correspondence between mind and world in the sense that events in the world match the content of our mental states. Second there is positive orientation towards the world, meaning that we have pro-attitudes towards the world we find ourselves in. Third there is fitting response to (...) the world. Taken together these three aspects make up an ideal of being attuned to, or at home in, the world. Such harmony between mind and world constitutes well-being. Its opposite – being disoriented, ill-at-ease in, or hostile to the world – makes a life go poorly. And, as we shall see, many of the things that intuitively contribute to well-being are instantiating one or more of the three aspects of harmony. (shrink)

(1) This paper is about how to build an account of the normativity of logic around the claim that logic is constitutive of thinking. I take the claim that logic is constitutive of thinking to mean that representational activity must tend to conform to logic to count as thinking. (2) I develop a natural line of thought about how to develop the constitutive position into an account of logical normativity by drawing on constitutivism in metaethics. (3) I argue that, while (...) this line of thought provides some insights, it is importantly incomplete, as it is unable to explain why we should think. I consider two attempts at rescuing the line of thought. The first, unsuccessful response is that it is self-defeating to ask why we ought to think. The second response is that we need to think. But this response secures normativity only if thinking has some connection to human flourishing. (4) I argue that thinking is necessary for human flourishing. Logic is normative because it is constitutive of this good. (5) I show that the resulting account deals nicely with problems that vex other accounts of logical normativity. (shrink)

The topic of this thesis is axiological uncertainty – the question of how you should evaluate your options if you are uncertain about which axiology is true. As an answer, I defend Expected Value Maximisation (EVM), the view that one option is better than another if and only if it has the greater expected value across axiologies. More precisely, I explore the axiomatic foundations of this view. I employ results from state-dependent utility theory, extend them in various ways and interpret (...) them accordingly, and thus provide axiomatisations of EVM as a theory of axiological uncertainty. (shrink)

Normative reasons are of constant importance to us as agents trying to navigate through life. For this reason it is natural and vital to ask philosophical questions about reasons and the normative realm. This thesis explores various issues concerning reasons and normativity. The thesis consists of five free-standingpapers and an extended introduction. The aim of the extended introduction is not merely to situate the papers within a wider philosophical context but also to provide an overview of some of the central (...) research questions concerning reasons and normativity. The introduction is divided into five chapters. Chapter 1 introduces and outlines the dissertation. Chapter 2 concerns the issue of what a reason is and what different types of reasons there are, such as pro tanto reasons and overall reasons. Chapter 3 discusses the frequently employed weighing metaphor, i.e. that reasons have a certain weight and can be weighed against the weight of other reasons. Chapter 4 covers how reasons relate to other normative notions such as ought, value, and obligation. For example, it discusses whether it is the case that for something to be valuable just is for there to be reasons to favor it. Chapter 5 concludes the introduction by briefly exploring how it all relates.The thesis can be said to be embedded in a recent research trend within philosophy of normativity that has a distinguished focus on reasons.The five papers deal with various issues concerning reasons and normativity. Paper I argues for a novel and theoretically parsimonious way to understand background conditions for values and reasons. Paper II explores an interpretation of the distinction between subjectivism and objectivism about reasons and value so as to accommodate that the distinction does not commit either party to certain first order claims about what reasons there are or what makes objects valuable. Paper III discusses the dictum ‘ought implies can’and how to properly interpret the ‘can’. Paper IV defends principles according to which what we ought and have reasons to do transmit from ends to the necessary means of that action. Paper V analyzes how the Fitting Attitudes analysis of value should best understand degrees of value. (shrink)

Those arguing for the existence of non-propositional content appeal to emotions for support, although there has been little engagement in those debates with developments in contemporary theory of emotion, specifically in connection with the kind of mental states that emotional experiences are. Relatedly, within emotion theory, one finds claims that emotional experiences per se have non-propositional content without detailed argument. This paper argues that the content of emotional experience is propositional in a weak sense, associated with aspectual experience and correctness (...) conditions. Furthermore, it provides an interpretation of purely-objectual emotional experiences which satisfies this weak view of propositional content. (shrink)

Much contemporary philosophy of emotion has been in broad agreement about the claim that emotional experiences have evaluative content. This paper assesses a relatively neglected alternative, which I call the content-priority view, according to which emotions are responses to a form of pre-emotional value awareness, as what we are aware of in having certain non-emotional evaluative states which are temporally prior to emotion. I argue that the central motivations of the view require a personal level conscious state of pre-emotional value (...) awareness. However, consideration of extant suggestions for the relevant type of evaluative state shows them all to be problematic. As such, I conclude that at present we do not have a persuasive formulation of the content-priority view, and that to get one defenders of the view need to specify which version they are committed to and defend it against the criticisms raised. (shrink)

The paper connects two central ethical views, both with a rich tradition, sentimentalism and contractualism. From the former, it also borrows the response-dependentist metaphysics. The idea of combining the two has been sketched before, but not systematically and explicitly; for instance, in various comments on classical authors, especially on Kant and elsewhere, most prominently in Habermas. Here is the kernel of the present proposal. Our initial practical intuitions are emotion-based and the values, when detected, are response-dependent. This is the starting (...) point borrowed from sentimentalism. These intuitions get improved by reflection, and by dialogue that crucially involves perspective taking. If all goes well, this results in insights, in particular into principles that all rational parties can agree about in a kind of “contract.” This brings two traditions, the one of David Hume and Adam Smith, and the other of Kant, together. The resulting theory would be a kind of sentimentalist, response-dependentist contractualism. (shrink)

According to tradition, aesthetic value is non-contingently connected to a certain feeling of liking or pleasure. Is that true? Two answers are on offer in the field of aesthetics today: 1. The Hedonist answers: Yes, aesthetic value is non-contingently connected to pleasure insofar as this value is constituted and explained by the power of its possessors to please (under standard conditions). 2. The Non-Affectivist answers: No. At best, pleasure is contingently related to aesthetic value. The aim of this paper is (...) to point to a blind spot in the dialectic between these two standard positions by defending a third neglected answer to the question above, the answer of the Value-Meriting-Pleasure [VMP] advocate. According to this answer, a certain kind of (cognitive and responsive) pleasure is connected to aesthetic value non-contingently, but also non-hedonically. VMP is the view that objects of aesthetic value are non-contingently related to pleasure insofar as they merit a certain kind of pleasure. But, pace the hedonist, those objects are valuable (those that are to be engaged with etc.) neither on account of their capacity to give pleasure nor on account of the hedonic value of the attitude they merit. (shrink)

The analytical tension between legal norms, moral values, and national interests seems no uncharted territory in political science, but has found very little interest in legal academia. For lawyers, moral values and national interests are largely “unknowns,” dealt with by other disciplines. Looking a bit deeper, the picture becomes more nuanced, however. As part of a roundtable on “Balancing Legal Norms, Moral Values, and National Interests,” this essay argues that norms, values, and interests are not different universes of legal normativity, (...) morality, and specific interests, but are interrelated concepts. Values clearly influence norms and often underpin them, while seemingly concrete norms (rules) are themselves often fragile constructs trying to balance competing interests. Value systems are quite diverse within societies, and this is even truer for interests; each society is a dynamic system of social interaction where conflicting interests are constantly playing out. In a way, underlying conflicts of values and interests are constantly being renegotiated in the legal system, with the norms enshrined in the text of statutes and treaties serving to constitute transitory reference points. (shrink)

This paper uses the distinction between thick and thin ethical concepts to illuminate the philosophical discourse referred to as “applied ethics.” It explores what thick ethical concepts have to offer in terms of a method for discussing issues in applied ethics. By focusing on thick ethical concepts, applied ethics can avoid the pitfall of creating a conceptual gap between empirical discourse and normative discourse. Applied ethics, the paper argues, is linked to philosophical and anthropological aspirations that have traditionally sought to (...) uncover the thick normative vocabulary relevant to particular practices and cultures. By focusing on thick descriptions, applied ethics discloses the rich normative meaning of our social practices and social relations. The concepts used therein are often unintelligible apart from the particular social practices through which their meaning is manifested. Accordingly, thick ethical concepts are philosophically useful for adopting a nonrepresentational conception of language, which underlies the expression of meaning of particular social practices. (shrink)

In her seminal attack on modern moral philosophy, G. E. M. Anscombe claims that Kant's ‘rule about universalizable maxims is useless without stipulations as to what shall count as a relevant description of an action with a view to constructing a maxim about it’. Although this so-called problem of relevant descriptions has received considerable attention in the literature, there is little agreement on how it should be understood or solved. My aim in this paper is, first, to clarify the problem (...) by clearing up several misunderstandings, and, second, to show that the problem is rooted in a standard assumption about Kant's stance on the scope of moral principles—an assumption that precludes its solution. I argue that the problem consists in the fact that Kant's formula of universal law seems to stand in need of an account of moral sensibility that does not render the formula superfluous. But, as my discussion of existing solutions reveals, there can be no such account. Instead, I propose a dissolution: we should think of the formula of universal law itself as Kant's account of moral sensibility. In order to do so, we must reject the standard assumption that a principle is universal if and only if it holds for all instances of the action type that it specifies. (shrink)

Teleosemantic theories aspire to develop a naturalistic account of intentional agency and thought by appeal to biological teleology. In particular, most versions of teleosemantics study the emergence of intentionality in terms of biological purposes introduced by Darwinian evolution. The aim of this paper is to argue that the sorts of biological purposes identified by these evolutionary approaches do not allow for a satisfactory account of intentionality. More precisely, I claim that such biological purposes should be attributed to reproductive chains or (...) lineages, rather than to individual traits or organisms, whereas the purposes underlying intentional agency and thought are typically attributed to individuals. In the last part of the paper I suggest that related difficulties are also faced, despite appearances, by accounts of intentionality relying on alternative organizational approaches to biological teleology. (shrink)

ABSTRACTViolating a person's rights is disrespectful to that person. This is because it is disrespectful to someone to violate duties owed to that person. I call these ‘directed duties’; they are the flipside of rights. The aim of this paper is to consider why directed duties and respect are linked, and to highlight a puzzle about this linkage, a puzzle arising from the fact that many directed duties are justified independently of whether they do anything for those to whom they (...) are owed. (shrink)

It is part of our notion of moral properties (certain forms of relativism to the contrary) that they are in some sense independent of our moral beliefs. A murderer cannot make his action moral simply by believing that it is so. Slavery was immoral even if a large number of people once believed that it was permissible, and it would remain so in the future even if every person came to believe that it was morally acceptable. But views that take (...) moral properties to be objective and thoroughly mind-independent constituents of reality face familiar metaphysical and epistemological obstacles. (shrink)

The concept of need is promising and alluring because of three factors.

Some argue that the concept of medical need is inadequate to inform the design of a universal health care system—particularly an institutional rather than a residual system. They argue that the concept contradicts the idea of comprehensiveness; leads to unsustainable expenditures; is too indeterminate for policy; and supports only a prioritarian distribution. I argue that ‘comprehensive’ understood as ‘including the full continuum of care’ and ‘medically necessary’ understood as ‘prioritized by medical criteria’ are not contradictory, and that UHC is a (...) solution to the problem of sustainability, not its cause. Those who criticize ‘medical need’ for indeterminacy are not transparent about the source of their commitment to their standards of determinacy: they promote standards that are higher than is necessary for legitimate policy, ignoring opportunity costs. Furthermore, the indeterminacy of concepts affects all risk-sharing systems and all systems that rely on medical standard of care. I then argue that the concept of need in itself does not imply a minimal sufficientist standard or a prioritarian distribution; neither does the idea of legitimate public policy dictate that public services be minimalist. The policy choice for a system of health care that is comprehensive and offers as good care as can be achieved when delivered on equal terms and conditions for all is a coherent option. (shrink)

ABSTRACTOne of the central claims of democratic theory is that the institutional features of democracy systematically cause government to respond to the people's needs. In fact, however, democracy might logically be expected to be especially responsive only to the people's desires, not their needs. Responses to people's objective needs can be substantially different from responses to their subjective desires. Democratic institutions therefore cannot guarantee responsiveness to basic human needs. Democracy, should, at least in principle, thus be confined to the sphere (...) of wants rather than needs. (shrink)

Beliefs can be correct or incorrect, and this standard of correctness is widely thought to be fundamental to epistemic normativity. But how should this standard be understood, and in what way is it so fundamental? I argue that we should resist understanding correctness for belief as either a prescriptive or an evaluative norm. Rather, we should understand it as an instance of the distinct normative category of fittingness for attitudes. This yields an attractive account of epistemic reasons.

The conscientious are morally conflicted when their moral dilemmas or incommensurabilities, real or apparent, have not been resolved. But such doublemindedness need not lead to ethical disintegration or moral insensitivity. For one may develop the moral virtue of doublemindedness, the settled power to deliberate and act well while morally conflicted. Such action will be accompanied by both moral loss (perhaps ‘dirty hands’) and ethical gain (salubrious agental stability). In explaining the virtue's moral psychology I show, among other things, its consistency (...) with wholeheartedness and the unity of the virtues. To broaden its claim to recognition, I show the virtue's consistency with diverse models of practical reason. In conclusion, Michael Walzer's interpretation of Hamlet's attitude toward Gertrude exemplifies this virtue in a fragmentary but nonetheless praiseworthy form. (shrink)

The purpose of this paper is to provide a normative model for the assessment of the exercise of power by Big Pharma. By drawing on the work of Steven Lukes, it will be argued that while Big Pharma is overtly highly regulated, so that its power is indeed restricted in the interests of patients and the general public, the industry is still able to exercise what Lukes describes as a third dimension of power. This entails concealing the conflicts of interest (...) and grievances that Big Pharma may have with the health care system, physicians and patients, crucially through rhetorical engagements with Patient Advocacy Groups that seek to shape public opinion, and also by marginalising certain groups, excluding them from debates over health care resource allocation. Three issues will be examined: the construction of a conception of the patient as expert patient or consumer; the phenomenon of disease mongering; the suppression or distortion of debates over resource allocation. (shrink)

Abstract Thomas Kuhn is the most famous historian and philosopher of science of the last century. He is also among the most controversial. Since Kuhn's death, his corpus has been interpreted, systematized, and defended. Here I add to this endeavor in a novel way by arguing that Kuhn can be interpreted as a global response-dependence theorist. He can be understood as connecting all concepts and terms in an a priori manner to responses of suitably situated subjects to objects in the (...) world. Further, I claim, this interpretation is useful for three reasons. First, it allows us to systematize and defend Kuhn's views. We can therefore better appreciate him as a thinker in his own right. Second, it deepens our understanding of both the uniqueness of Kuhn's views and the continuity of those views with those of others. We can therefore better appreciate his place in history. And third, as I explain in the paper, my interpretation affords us the only example of an ethnocentric global response-dependence theory. We can therefore better appreciate the versatility of response-dependence itself. (shrink)

By making use of Aurel Kolnai's ethical writings I want to offer a more adequate understanding of moral conflicts and moral dilemmas. Insisting on Kolnai's phenomenological method, in particular, focussing on the agent's moral awareness (or conscience) and his deliberation, results in an understanding of moral conflicts as moments of moral choice rather than anomalies of moral theory. In this way, I argue that one can account for Bernard Williams's phenomenological description of moral conflicts without having to accept his anti-realist (...) conclusions. Moreover, this approach indicates the adequacy of ordinary moral reasoning for decisionmaking and action guidance. Lastly and importantly, the essay illustrates the relevance of Kolnai's writings to contemporary moral philosophy. (shrink)

Abstract: The concept of a situation underlying the debate between moral situationists and dispositionists conceals various underexplored complexities. Some of those issues have been engaged recently in the so-called psychology of situations, but they have been slow to receive attention in mainstream philosophy. I invoke various distinctions among situations, and show how situationists have selectively chosen certain types of situations that, for conceptual reasons, skew the argument in their favour. I introduce the concept of a ‘virtue-calibrated situation’, and argue that (...) if the person–situation debate is to move forward in philosophy as it has in psychology, it must focus on such situations. I bring to bear evidence from analytic and continental philosophy, as well as from social and personality psychology. (shrink)

We have two aims in this paper. The first is negative: to demonstrate the problems in Bernard Gert’s account of common morality, in particular as it applies to professional morality. The second is positive: to suggest a more satisfactory explanation of the moral basis of professional role morality, albeit one that is broadly consistent with Gert’s notion of common morality, but corrects and supplements Gert’s theory. The paper is in three sections. In the first, we sketch the main features of (...) Gert’s account of common morality in general. In the second, we outline Gert’s explanation of the source of professional moral rules and demonstrate its inadequacy. In the third section, we provide an account of our own collectivist needs-based view of the source of the role-moral obligations of many professional roles, including those of health care professionals. (shrink)