The vitalism/reductionism debate in the life sciences shows that the idea of emergence as something principally unexplainable will often be falsified by the development of science. Nevertheless, the concept of emergence keeps reappearing in various sciences, and cannot easily be dispensed with in an evolutionary world-view. We argue that what is needed is an ontological nonreductionist theory of levels of reality which includes a concept of emergence, and which can support an evolutionary account of the origin of levels. Classical explication (...) of emergence as “the creation of new properties” is discussed critically, and specific distinctions between various kinds of emergence are introduced for the purpose of developing an ontology of levels, framed in a materialistic and evolutionary perspective. A concept of the relation between levels as being inclusive is suggested, permitting the “local” existence of different ontologies. We identify, as a working hypothesis, four primary levels and explicate their nonhomomorphic interlevel relations. Explainability of emergence in relation to determinism and predictability is considered. Recent research in self-organizing non-linear dynamical systems represents a revival of the scientific study of emergence, and we argue that these recent developments can be seen as a step toward a final “devitalisation” of emergence. (shrink)

Discussions of the framework and terminology associated with the right to health tend to treat the indeterminacy of ‘health’ as conceptual noise that the construction of effective policy must not focus on, but find ways of bracketing out. On this basis, the right to health is broadly regarded as a social and economic, rather than a civil and political right. This article draws critically on literature about the implications of developments in medical biotechnologies, to argue that a positive acknowledgement of (...) the indeterminate character of health should transform, rather than simply hinder, the quality of debate over what is to be understood and expected in connection with a right to health. A focus on indeterminacy allows for the perception and the formulation of health-related demands that may not stem from the scarcity of material resources or technical means, but from the misplaced authority of particular voices in defining what possibilities are to be seriously envisaged. This proposition only becomes politically effective, it is argued, when ‘indeterminacy’ (and the capacity for normativity) is referred to life itself and not merely to social and moral judgements about life. Although more immediately pertinent to the concerns of relatively privileged populations, the focus on indeterminacy provides a key to generating a certain symmetry and complementarity of interest, across the privileged/underprivileged divide, in promoting health as a (human) right. (shrink)