This Viewpoint analyzes policies for covering GLP-1 receptor agonist drugs for obesity treatment across 13 high-income countries. It identifies four key lessons for developing coverage policies: 1) using up-to-date cost-effectiveness analyses that incorporate new evidence of benefits, 2) negotiating lower prices while preserving innovation incentives, 3) prioritizing coverage for specific populations rather than issuing blanket denials, and 4) treating obesity medications similarly to high-cost drugs for other conditions. It argues that blanket coverage denials are unethical and that (...) countries should implement targeted coverage policies that maximize benefits while managing costs. (shrink)

Objective: To assess the relation between autocratisation—substantial decreases in democratic traits (free and fair elections, freedom of civil and political association, and freedom of expression)—and countries’ population health outcomes and progress toward universal health coverage (UHC). -/- Design: Synthetic control analysis. -/- Setting and country selection: Global sample of countries for all years from 1989 to 2019, split into two categories: 17 treatment countries that started autocratising during 2000 to 2010, and 119 control countries that never autocratised from 1989 (...) to 2019. The treatment countries comprised low and middle income nations and represent all world regions except North America and western Europe. A weighted combination of control countries was used to construct synthetic controls for each treatment country. This statistical method is especially well suited to population level studies when random assignment is infeasible and sufficiently similar comparators are not available. The method was originally developed in economics and political science to assess the impact of policies and events, and it is now increasingly used in epidemiology. -/- Main outcome measures: HIV-free life expectancy at age 5 years, UHC effective coverage index (0-100 point scale), and out-of-pocket spending on health per capita. All outcome variables are for the period 1989 to 2019. -/- Results: Autocratising countries underperformed for all three outcome variables in the 10 years after the onset of autocratisation, despite some improvements in life expectancy, UHC effective coverage index, and out-of-pocket spending on health. On average, HIV-free life expectancy at age 5 years increased by 2.2% (from 64.7 to 66.1 years) during the 10 years after the onset of autocratisation. This study estimated that it would have increased by 3.5% (95% confidence interval 3.3% to 3.6%, P<0.001) (from 64.7 to 66.9 years) in the absence of autocratisation. On average, the UHC effective coverage index increased by 11.9% (from 42.5 to 47.6 points) during the 10 years after the onset of autocratisation. This study estimated that it would have increased by 20.2% (95% confidence interval 19.6% to 21.2%, P<0.001) (from 42.5 to 51.1 points) in the absence of autocratisation. Finally, on average, out-of-pocket spending on health per capita increased by 10.0% (from $4.00 (£3.1; €3.4) to $4.4, log transformed) during the 10 years after the onset of autocratisation. This study estimated that it would have increased by only 4.4% (95% confidence interval 3.9% to 4.6%, P<0.001) (from $4.0 to $4.2, log transformed) in the absence of autocratisation. -/- Conclusions: Autocratising countries had worse than estimated life expectancy, effective health service coverage, and levels of out-of-pocket spending on health. These results suggest that the noticeable increase in the number of countries that are experiencing democratic erosion in recent years is hindering population health gains and progress toward UHC. Global health institutions will need to adjust their policy recommendations and activities to obtain the best possible results in those countries with a diminishing democratic incentive to provide quality healthcare to populations. (shrink)

This World Bank Report offers a new conception of fair decision processes in health financing. It argues that such procedural fairness can contribute to fairer outcomes, strengthen the legitimacy of decision processes, build trust in authorities, and promote the sustainability of reforms on the path to health coverage for all.

The goal of achieving Universal Health Coverage (UHC) can generally be realized only in stages. Moreover, resource, capacity and political constraints mean governments often face difficult trade-offs on the path to UHC. In a 2014 report, Making fair choices on the path to UHC, the WHO Consultative Group on Equity and Universal Health Coverage articulated principles for making such trade-offs in an equitable manner. We present three case studies which illustrate how these principles can guide practical decision-making. These (...) case studies show how progressive realization of the right to health can be effectively guided by priority-setting principles, including generating the greatest total health gain, priority for the worse off, and financial risk protection. They also demonstrate the value of a fair and accountable process of priority setting. (shrink)

What influences the Northern media’s coverage of events and abuses in explicit human rights terms? Do international NGOs have an impact, and, if so, when are they most effective? This article addresses these questions with a regression analysis of human rights reporting by The Economist and Newsweek from 1986 to 2000, covering 145 countries. First, it finds that these two media sources cover abuses in human rights terms more frequently when they occur in countries with higher levels of state (...) repression, economic development, population, and Amnesty International attention. There is also some evidence that political openness, the number of battle deaths, and civil societies affect coverage, although these effects were not robust. Second, it finds that Amnesty International’s press releases appear to have less impact on media coverage when dis- cussing abuses in countries that are central to the media’s zone of concern. Indeed, Amnesty’s press advocacy may be more effective when addressing violations in lesser-noticed countries. The article attributes this to the saturation of coverage of abuses in highly mediatized countries. Cumulative attention by multiple journalists and others raises a country’s media profile but also makes it more difficult for any one voice to be heard. The authors conclude that Amnesty’s press advocacy may have greater media impact when focused- ing on abuses in countries located away from the media’s core areas of concern. Overall, the authors are encouraged by the Northern media’s sensitivity to actual patterns of repression and Amnesty’s lobbying, since both indicate that the media is potentially a useful ally in efforts to combat abuses worldwide. Yet, the discouraging effects of poverty on the media’s human rights coverage are cause for concern. (shrink)

This report by the WHO Consultative Group on Equity and Universal Health Coverage addresses how countries can make fair progress towards the goal of universal coverage. It explains the relevant tradeoffs between different desirable ends and offers guidance on how to make these tradeoffs.

Universal health coverage (UHC) is at the center of current efforts to strengthen health systems and improve the level and distribution of health and health services. This document is the final report of the WHO Consultative Group on Equity and Universal Health Coverage. The report addresses the key issues of fairness and equity that arise on the path to UHC. As such, the report is relevant for every actor that affects that path and governments in particular, as they (...) are in charge of overseeing and guiding the progress toward UHC. (shrink)

This paper comes out of a panel honoring the work of Anne Donchin (1940-2014), which took place at the 2016 Congress of the International Network on Feminist Approaches to Bioethics (FAB) in Edinburgh. My general aim is to highlight the contributions Anne made to feminist bioethics, and to feminist reproductive ethics in particular. My more specific aim, however, is to have a kind of conversation with Anne, through her work, about whether reproductive justice could demand insurance coverage for in (...) vitro fertilization. I quote liberally from Anne’s work for this purpose, but also to shower the reader with her words, reminding those of us who knew her well what a wonderful colleague she was. (shrink)

This paper investigates whether search engines and other new modes of online communication should be covered by free speech principles. It criticizes the analogical reason-ing that contemporary American courts and scholars have used to liken search engines to newspapers, and to extend free speech coverage to them based on that likeness. There are dissimilarities between search engines and newspapers that undermine the key analogy, and also rival analogies that can be drawn which don’t recommend free speech protection for search (...) engines. Partly on these bases, we argue that an analogical approach to questions of free speech coverage is of limited use in this context. Credible verdicts about how free speech principles should apply to new modes of online com-munication require us to re-excavate the normative foundations of free speech. This method for deciding free speech coverage suggests that only a subset of search engine outputs and similar online communication should receive special protection against government regulation. (shrink)

This paper examines global English language newspaper coverage of the death of David Bowie. Drawing upon the concept of reification, it is argued that the notion of celebrity is discursively (re)produced and configured through a ‘public face’ that is defined, maintained and shaped via media reports and public responses that aim to know and reflect upon celebrity. In this paper, the findings highlight how Bowie’s reification was supported by discourses that represented him as an observable, reified form. Here, Bowie’s (...) ‘reality’, that is, his authentic/veridical self, was obscured behind a façade of mediation, interpretation and representation, that debated and decided his ‘authenticity’ as a cultural icon. Such debates, however, were engagements with a reified image, enveloped in continual (re)interpretation. As a result, Bowie’s reification was grounded in a polysemous process that allowed numerous versions of ‘himself’ to be aesthetically reimagined, reinvented and repeated. (shrink)

This article examines how Žižek’s analysis of “subjective” violence can be used to explore the ways in which media coverage of a terrorist attack is contoured and shaped by less noticeable forms of “objective” (symbolic and systemic) violence. Drawing upon newspaper coverage of the 2017 London Bridge attack, it is noted how examples of “subjective” violence were grounded in the externalization of a clearly identifiable “other”, which symbolically framed the terrorists and the attack as tied to and representative (...) of the UK Muslim community. Examples of “systematic” violence were most notable in the ideological edifice that underpinned this framing but also in the ways in which newspaper reports served to draw upon British values in the aftermath of the attack. This directed attention away from the contradictions within the UK, towards narratives that sought to “fix” these contradictions through eradicating the problem of “the other” and/or by violently protecting the British values “they” seek to undermine. As a consequence, newspaper coverage worked to uphold the illusion that “peace” could be achieved by eradicating terrorism through further forms of objective violence, including, internment without trial; the “ripping up” of human rights; and, closer surveillance of Muslim communities. Indeed, it was this unacknowledged violence that worked to maintain British values in the press’ coverage. (shrink)

We offer a summary of the WHO Report "Making Fair Choices on the Path to Universal Health Coverage".

Most people are completely oblivious to the danger that their medical data undergoes as soon as it goes out into the burgeoning world of big data. Medical data is financially valuable, and your sensitive data may be shared or sold by doctors, hospitals, clinical laboratories, and pharmacies—without your knowledge or consent. Medical data can also be found in your browsing history, the smartphone applications you use, data from wearables, your shopping list, and more. At best, data about your health might (...) end up in the hands of researchers on whose good will we depend to avoid abuses of power.2 Most likely, it will end up with data brokers who might sell it to a future employer, or an insurance company, or the government. At worst, your medical data may end up in the hands of criminals eager to commit extortion or identity theft. In addition to data harms related to exposure and discrimination, the collection of sensitive data by powerful corporations risks the creation of data monopolies that can dominate and condition access to health care. -/- This chapter aims to explore the challenge that big data brings to medical privacy. Section I offers a brief overview of the role of privacy in medical settings. I define privacy as having one’s personal information and one’s personal sensorial space (what I call autotopos) unaccessed. Section II discusses how the challenge of big data differs from other risks to medical privacy. Section III is about what can be done to minimise those risks. I argue that the most effective way of protecting people from suffering unfair medical consequences is by having a public universal healthcare system in which coverage is not influenced by personal data (e.g., genetic predisposition, exercise habits, eating habits, etc.). (shrink)

This chapter explores two questions in detail: How should we determine the threshold for costs that individuals are asked to bear through insurance premiums or care-related out-of-pocket costs, including user fees and copayments? and What is an adequate relationship between costs and benefits? This chapter argues that preventing impoverishment is a morally more urgent priority than protecting households against income fluctuations, and that many health insurance plans may not adequately protect individuals from health care costs that threaten to drop their (...) financial status below a decent minimum. A design that places greater emphasis on preventing impoverishment and finances the achievement of that goal by reducing unnecessary subsidies to better-off households would better accord with a sufficientarian approach to health care. -/- . (shrink)

In a context of imperfect risk protection, households may protect against the impact of a health shock by employing various financial and non-financial coping mechanisms, such as foregoing or reducing needed medical care, labor substitution, consumption reduction, borrowing money, dissaving, and selling assets. However, leveraging certain coping mechanisms may reduce future productivity, potentially trapping households in chronic or persistent poverty. Resources and risk are not necessarily shared equitably within a household; the ability and willingness of the household to leverage coping (...) mechanisms, or the choice of coping mechanism may depend on the social protection policy context, household socioeconomic status, and type of intrahousehold risk sharing. Vietnam has been making policy changes aimed towards achieving Universal Health Coverage for the past several decades, culminating in a 2015 change mandating universal insurance coverage. This can potentially influence both providers in making decisions around service delivery and households around financing care. This research aims to contribute to the literature exploring the relationships among direct and indirect health care costs, potentially maladaptive coping mechanisms, and household living standards, within the particular health financing and social protection environment in Vietnam. (shrink)

In March 2023, the Alpha Road/Tambaroora bushfire in New South Wales burned for 27 days, scorching over 18,000 hectares and destroying eight homes. Despite its scale—larger than Liechtenstein—this event received limited media attention and, notably, little to no discussion of climate change. A recent study by McManus [2] used Critical Discourse Analysis to examine how this bushfire was reported and what that reveals about the intersection of science, media, and public understanding.

The vertiginous rise of right-wing populism, especially in its “nationalist, xenophobic and conservative form”, and some “racist, anti-Semitic, homophobic and sexist” drifts associated with this phenomenon – whether real or perceived as such – make the mainstream media play a double role. On the one hand, the mainstream media reflect the struggle for political hegemony between different vested interests; on the other hand, they engage in the fight against right-wing populism blasting both right-wing populist candidates and their voters or supporters. (...) Many mainstream journalists ask citizens to realize a “sanitary cordon”, a “wall” or a “republican front” to block far-right populism and preserve liberal democracy. Moreover, they urge people to be wary of all attempts to “dediabolize” or “normalize” some tokens of right-wing populism. The main idea of this article is that right-wing populism is more harmless than is generally believed and, if excessive, negative media coverage doesn’t baffle but feed it. Populism is essentially a latent side effect of liberal democracy. Populism rises and becomes obtrusive only if a significant part of society perceives a regime of illiberal majoritarianism instead of one of liberal democracy. Right-wing populists are chiefly frustrated “ci-devants” who feel dispossessed of their past, identity, properties, qualities, privileges or titles. Inasmuch as the causes of collective frustration are many and varied (e.g. the real or just perceived corruption of the elites, the “system”, the deep state, the relocation of jobs, immigration, national sovereignty, national identity, communitarianism, radical Islamism, the status of some traditional institutions, some chapters of official history, etc.), there will always be right-wing populists, whether they are self-declared or covert. By adopting David G. Hackett’s thesis that the media are “agents of hegemony”, we applied the critical analysis of discourse to a set of 346 media articles in order to reveal the discursive sources of power, domination, inequality and partiality. The articles appeared in The New York Times and Le Monde during the period 2016-2017, at the time when the presidential elections took place in the United States and France. The articles were selected according to the occurrence of the keywords “Donald Trump” – “populism” and “Marine Le Pen” – “populisme” within the titles. The analysis of these articles reveals a divisive discursive structure that correspond to a real political cleavage in society. It is true that populism presents a “Manichean outlook”, in which there are only friends and foes” and no compromise is possible. It is also true that mainstream media reinforce this Manichean perspective on society and make populists feel marginalized and politically disempowered. The mainstream media may appease right-wing populism if they treat its followers as legitimate and equal political actors. For this, they have to give up the narrative structures that underscore insurmountable divergences and irreconcilable interests. In a liberal democracy, mass media should chiefly play the role of mediator. They may not aim to defeat or re-educate certain categories of citizens just because they advocate “wrong” political solutions. (shrink)

T he advent of synthetic data generation is redefining the testing ecosystem in the Life Insurance sector by mitigating key challenges such as data privacy vulnerabilities, suboptimal test coverage, and scalability constraints. This paper provides a granular analysis of synthetic data, positioning it as a next generation solution through a comparative evaluation with conventional data constructs, including production data, anonymized datasets, and process simulated data. An exhaustive comparison matrix underscores the unique value proposition of synthetic data in driving end-to-end (...) test coverage while ensuring alignment with stringent regulatory frameworks and data governance protocols. Furthermore, the paper explores cutting-edge methodologies, toolchains, operational applications, and associated challenges, while charting a forward-looking perspective on its transformative impact on quality engineering and assurance frameworks in Life Insurance. (shrink)

Media attention is unevenly allocated across global human rights problems, prompting anger, frustration, and recrimination in the international system. This article demonstrates that from 1981 to 2000, three leading Anglo-American media sources disproportionately covered Latin American abuses, in human rights terms, as compared to other world regions. This ‘‘Latin Human Rights Bias’’ runs counter to broader trends within the Anglo-American general coverage of foreign news, where Latin America’s share of reporting is far smaller. The Bias is partially explained by (...) the region’s proximity to the United States (US), its relevance to US policy debates, and by path dependency. A significant portion of the Latin Bias remains unexplained, however, despite our best attempts to rigorously model explanations offered by leading Western journalists. These findings suggest that geographic regions are an important factor in the media’s perception of global human rights problems and that both human rights policymakers and scholars may be inappropriately drawing general lessons from regionally specific and biased patterns. We conclude with suggestions for future research. (shrink)

Insufficient vaccination coverage is an important public health problem in many countries, since it leads to the loss of herd protection and the resurgence of previously exterminated diseases. However, policies of mandatory childhood vaccination capable of raising vaccination rates continue to be controversial. In this article I review the arguments for mandatory childhood vaccination, setting out the strongest teleological argument in favour, and then critically examining the two strongest potential objections: paternalism and the parental prerogative. I argue that the (...) challenge of paternalism fails because it confuses the identities of those subject to restricted liberty and those who autonomously dissent, and because non-vaccination imposes risks on others. I argue that the challenge of a parental prerogative fails because it cannot be intuitively or theoretically supported in a form that would make it permissible to impose risks on others. I conclude that in lieu of further and more plausible objections at least some policies of mandatory childhood vaccination are morally permissible. (shrink)

Japanese media coverage since March 11th 2011 suggests that people from Fukushima Prefecture have faced discrimination based on people's fears of radiation, despite the fact that they pose no genuine threat. This discrimination is compared to that faced by survivors of the atomic bombing of Hiroshima during World War II. Survivors from Hiroshima express hopes that people from Tohoku will not face the same fear and discrimination they did. 2011年3月以降に伝達されたメディアでは、福島県の人々が放射能に対する人々の恐怖から、実際にはその恐れが確認されていないにもかかわらず、差別を受けていることが分かる。この差別は、第二次世界大戦中に広 島に落とされた原子爆弾の生存者に対するものと類似する。広島の生存者は、東北の人々が同じような差別を受けてほしくないと希望している。.

In this paper, we aim to provide an in-depth discussion of nickel's crucial position in the manufacturing sector in the context of the United Nations' Sustainable Development Goals (SDGs), which represent growing environmental imperatives. These SDGs have gained unprecedented urgency due to looming concerns of incompletion. It should be emphasized that the information compiled herein is derived from authoritative sources and is limited in its ability to give comprehensive coverage within the scope of this article. The raised issues are (...) of broad interest in terms of environmental dynamics in the global nickel mining, extraction, and refining arenas. As a result, the content given below may not precisely comply with the local situations dictated by geographical, geological, and socio-economic characteristics. The fundamental goal of this discussion is to clarify the economic-environmental interaction and the pragmatic meanings of the term "sustainable" in the context of the nickel industry. (shrink)

This paper discusses the coverage of ordinary language philosophy in Scott Soames' Philosophical Analysis in the Twentieth Century. After praising the book's virtues, I raise three points where I dissent from Soames' take on the history. First, I suggest that there is more to ordinary language philosophy than the rather implausible version of it that Soames sees to have been destroyed by Grice. Second, I argue that confusions between analyticity, necessity and priority are less important to the ordinary language (...) period than Soames takes them to be. Finally, I claim that Soames' criticisms of Ryle turn in part on attributing reductionist positions to Ryle that Ryle did not hold. (shrink)

Providing the most thorough coverage available in one volume, this comprehensive, broadly based collection offers a wide variety of selections in four major genres, and also includes a section on film. Each of the five sections contains a detailed critical introduction to each form, brief biographies of the authors, and a clear, concise editorial apparatus. Updated and revised throughout, the new Fourth Edition adds essays by Margaret Mead, Russell Baker, Joan Didion, Annie Dillard, and Alice Walker; fiction by Nathaniel (...) Hawthorne, Ursula K. LeGuin, Anton Chekov, James Joyce, Katherine Mansfield, F. Scott Fitzgerald, William Faulkner, Alice Walker, Louise Erdrich, Donald Barthelme, and James McPherson; poems by John Donne, Robert Browning, Walt Whitman, Edwin Arlington Robinson, e.e. cummings, Langston Hughes, W.H. Auden, Philip Levine, and Louise Gluck; and plays by August Wilson, Marsha Norman, Wendy Wasserstein, and Vaclav Havel. The chapter devoted to film examines the relation of film to literature and gives the complete screenplay for Citizen Kane plus close analysis of a scene from the film. With its innovative structure, comprehensive coverage, and insightful and stimulating presentation of all kinds of literature, this is an anthology readers will turn to again and again. (shrink)

Throughout Iran and various countries, the recent calls of the “Zan, Zendegi, Azadi” (in Persian), “Jin, Jiyan, Azadi” (in Kurdish), or “Woman, Life, Freedom” (in English) movement call for change to acknowledge the importance of women. While these feminist protests and demonstrations have been met with brutality, systematic oppression, and internet blackouts within Iran, they have captured significant social media attention and coverage outside the country, especially among the Iranian diaspora and various international organizations. This article, grounded in feminist (...) urban theories of the Global South, analyzes the digital feminist placemaking movement in Iran. As the first counter‐revolution led by women, the movement utilizes digital art, graffiti, and protest movements to embody women’s solidarity groups and sympathy rallies. Our analysis employs various digital research methods, including social media scrutiny and the study of protest illustrations. Analyzing the digital feminist placemaking in Iran will enable us to compare the commonalities, differences, challenges, and opportunities between the minorities and majorities in the world’s countries. The outcomes of this research can help international organizations such as Amnesty International and the United Nations Agency for Gender Equality and Women’s Empowerment (UN Women), as well as policymakers, institutions, academics, and NGOs, to highlight the various ways in which broader public participation could be encouraged in the process of digital feminist insurgent placemaking. (shrink)

In this chapter, I survey a variety of grammars that have played a role in psycholinguistics, tracing the coevolution of theories in formal syntax and the computational parsing models that they inspired. In Chomsky’s “Standard Theory” the output of context-free rules is fed into the transformational component of a grammar. Many incorrectly interpreted early psycholinguistic experiments as shedding doubt on the psychological reality of transformational operations. These arguments, based on the Derivational Theory of Complexity, ultimately fail. But transformational parsers were (...) rejected anyway, on computational grounds. Augmented Transition Networks (ATNs) rose to prominence, offering a promising framework for describing the surface syntax of natural language, as well as a natural implementation of the grammar as a parsing model. ATN parsers thus serve as a clear example of how grammatical rules can be viewed as procedural dispositions. A strong criticism of the ATN architecture, due to Lyn Frazier and Janet Fodor, relied heavily on the fact that ATNs do not explicitly represent the rules of a grammar in a separate data structure. Frazier and Fodor’s argument faces difficulties, but it vividly illustrates the kind of explanatory payoff that a model might derive from explicitly representing a grammar. Finally, I turn to principle-based parsers, which implement the principles of the Government and Binding (GB) theory as either generators or filters of syntactic analyses, yielding compact, efficient, wide-coverage systems. More recently, computational linguists have built parsers that use the syntactic principles of the Minimalist program. Indeed, Amy Weinberg has argued that parsing is “the incremental satisfaction of grammatical constraints” imposed by Minimalist grammars. If successful, her proposal would constitute the strongest argument for the psychological reality of Minimalist principles. -/- Keywords Standard theory • Context-free grammar (CFG) • Transformational grammar • Transformational rules • Backwards transformations • S-structure • D-structure • Derivational Theory of Complexity (DTC) • Augmented Transition Network (ATN) • Representation • Computational efficiency • Principles-and- Parameters (P&P) • Government and Binding theory (GB) • Principle-based parsing • Ambiguity resolution • Mental syntactic principles (MSPs) • Minimalism • Minimalist grammar • The Minimalist program • Joan Bresnan • Lexical-functional grammar (LFG) • Precomputed lexical realization • Chronometric data • Incremental parsing • Covering grammar • Strong Competence Hypothesis • Feature unification. (shrink)

The Devil’s Advocate versus God’s Honest Truth: A Dialectical Inquiry into the Rationality of Religion is a scholarly monograph exploring the rationality of religion, particularly the tenability of theism, through a dialectical analysis of reasons for belief versus grounds for suspicion. The positive perspective examines traditional proofs for the existence of God, focusing specifically on the teleological, cosmological, and ontological arguments, while the negative perspective contemplates common grounds for misgivings, concentrating especially on methodological difficulties, syncretic developments, and metaethical challenges. The (...) comprehensive yet balanced coverage of the book is designed to meet the needs of readers for critical reflection without compromising the objectivity required to help them sort out their own intuitions and formulate their own judgments in an area that is otherwise dominated by sectarian scholarship and thereby polarized beyond reconciliation. (shrink)

Under one of the last remaining single-party communist regimes, Vietnam’s in-progress transition is a hybrid between post-Soviet reforms and Chinese authoritarian compromise. This chapter provides a brief account of the historical events and cultural attributes that have shaped the current political and economic configuration of the country, a coverage of globalization and entrepreneurial endeavours in relation to trade liberalization, an analysis of growing consumerist tendencies and the solidification of a circle of economic elites, an overview of Vietnamese foreign trade, (...) with a focus on the Association of Southeast Asian Nations (ASEAN) and China as significant partners, and a macroeconomic assessment of the country. (shrink)

This article evaluates seven strategies for managing the high costs of GLP-1 receptor agonists (GLP-1RAs) like semaglutide and tirzepatide for weight management: complete exclusion of coverage, annual cost increase caps, lifetime cost caps, tiered access, formulary reevaluation, subscription payment models, and patent reform. The authors assess each strategy against three ethical objectives: benefiting people and preventing harm, showing equal moral concern, and mitigating disadvantage. Complete coverage exclusions, arbitrary reimbursement caps, and lifetime limits are deemed unethical as they fail (...) to meet these objectives. Tiering access based on relative benefit is considered justifiable, though current implementation often unfairly favors diabetes over obesity treatment. The authors recommend formulary reevaluation as the most ethical approach for smaller health plans, allowing them to prioritize more cost-effective treatments. For larger payers with market power and for governments, subscription payment models and patent reforms are potentially ethical solutions if implemented sustainably. The authors conclude that health plans should avoid ad hoc restrictions on GLP-1RAs in favor of comprehensive policy reforms that ensure sustainable access to these and future breakthrough treatments. (shrink)

We reply to critics of the World Health Organisation's Report "Making Fair Choices on the Path to Universal Health Coverage". We clarify and defend the report's key moral commitments. We also explain its role in guiding policy in the face of both financial and political constraints on making fair choices.

In Groenendijk & Stokhof [1989] a system of dynamic predicate logic (DPL) was developed, as a compositional alternative for classical discourse representation theory (DRT ). DPL shares with DRT the restriction of being a first-order system. In the present paper, we are mainly concerned with overcoming this limitation. We shall define a dynamic semantics for a typed language with λ-abstraction which is compatible with the semantics DPL specifies for the language of first-order predicate logic. We shall propose to use this (...) new logical system as the semantic component of a Montague-style grammar (referred to as dynamic Montague grammar, DMG), which will enable us to extend the compositionality of DPL to the subsentential level. Furthermore, we shall extend this analysis also in this sense that we shall add new, dynamic interpretations for logical constants which in DPL were treated in a static fashion. This will substantially increase the descriptive coverage of DMG. (shrink)

The cognitive sciences are facing questions of how to select from competing theories or develop those that suit their current needs. However, traditional accounts of theoretical virtues have not yet proven informative to theory development in these fields. We advance a pragmatic account by which theoretical virtues are heuristics we use to estimate a theory’s contribution to a field’s body of knowledge and the degree to which it increases that knowledge’s ability to solve problems in the field’s domain or problem (...) space. From this perspective, properties that are traditionally considered epistemic virtues, such as a theory’s fit to data or internal coherence, can be couched in terms of problem space coverage, and additional virtues come to light that reflect a theory’s alignment with problem-having agents and the context in a societally embedded scientific system. This approach helps us understand why the needs of different fields result in different kinds of theories and allows us to formulate the challenges facing cognitive science in terms that we hope will facilitate their resolution through further theoretical development. (shrink)

This book provides a concise overview, with excellent historical and systematic coverage, of the problems of the philosophy of language in the analytic tradition. Howard Callaway explains and explores the relation of language to the philosophy of mind and culture, to the theory of knowledge, and to ontology. He places the question of linguistic meaning at the center of his investigations. The teachings of authors who have become classics in the field, including Frege, Russell, Carnap, Quine, Davidson, and Putnam (...) are critically analyzed. I share completely his conviction that contemporary Anglo-American philosophy follows the spirit of the enlightenment in insisting on intellectual sincerity, clarity, and the willingness to meet scientific doubts or objections openly. --Professor Henri Lauener, Editor of Dialectica. (shrink)

Introduction: Universal health coverage (UHC) was introduced in Iran in 2014. The aim of this study was to evaluate the usage rate of health services by human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) patients after UHC implementation. Material and methods: In 2018, in a cross-sectional study, we evaluated the outpatients’ needs (within its previous month) and inpatients’ needs (within its previous 6 months) of HIV/AIDS patients in Isfahan province (the center of Iran). Concurrently, we estimated the essential health care (...) services that HIV/AIDS patients have to receive regularly, including vaccination for hepatitis B, measurement of CD4, tuberculosis (TB) assessments and TB treatment, anti-retroviral therapy, examination of viral load, treatment approach, and drug side effects counseling. Two checklists were used for assessing the utilization of health services and essential health cares for HIV/AIDS patients, validated by the Ministry of Health and Medical Education of Iran. Data were analyzed by χ2 test, Pearson’s correlation coefficient, and Spearman’s correlation test. Results: Two hundred and thirteen HIV/AIDS patients completed the questionnaires. The mean age of participants was 41.14 ± 9.23. The outpatient service utilization rate was 31.94% in the previous month and the rate of hospitalization was 126 per 1,000 HIV/AIDS patients in the previous 6 months. The majority of HIV/AIDS patients received essential health services more often than the national standard goals estimation. Conclusions: After UHC implementation, the utilization rate of outpatients and inpatients services in HIV/AIDS patients was more than similar indices in the general population. In addition, HIV/AIDS patients received essential health services adequately. (shrink)

Urban spaces require increasing their attractiveness by exploring the social and spatial implications of new lifestyles. Broad civic knowledge is the basis for placemaking to shape user-centred and inclusive spaces of everyday life. Gathering information on the sense of the place is crucial to finding out and understanding the place-related identity of its users to make the place more appealing and usable. The most popular survey tool is a questionnaire constructed as a series of questions and used for collecting information (...) about a population’s attributes, attitudes or actions. Administered in person or online, questionnaire surveys may provide broad coverage of urban communities – however, they require significantly large human resources to carry out. The survey based on personal contact with the respondent may limit time allocated to its implementation, thus affecting the sample selection. Also, the researcher’s involvement in the questionnaire-filling process can be problematic if he or she reveals the topic of interest and if the sequencing of questionnaire themes influences responses. Similarly, an online questionnaire may not reach some potential respondents due to their reduced access to the internet etc. These limitations may affect the results’ reliability. Taking into account the above-mentioned aspects, the idea of this chapter is to present selected types of questionnaires (textual, visual, in-VR and survey gamification). The main aim is to discuss these questionnaires in the context of their main advantages and disadvantages resulting from the specifics of a type and a form of survey (in-depth and online) to facilitate their use in the process of data collection in placemaking research. The results show that the variety of types of questionnaires, as well as the form of the conducted survey, allow their better selection to the specificity of the community, increasing the place-related identity, thus may provide a more reliable and complete set of information possible to be used in placemaking. (shrink)

We argue that the interaction of biased media coverage and widespread employment of the recognition heuristic can produce epistemic injustices. First, we explain the recognition heuristic as studied by Gerd Gigerenzer and colleagues, highlighting how some of its components are largely external to, and outside the control of, the cognitive agent. We then connect the recognition heuristic with recent work on the hypotheses of embedded, extended, and scaffolded cognition, arguing that the recognition heuristic is best understood as an instance (...) of scaffolded cognition. In section three, we consider the double-edged sword of cognitive scaffolding. On the one hand, scaffolds can reduce the internal processing demands on cognitive agents while increasing their access to information. On the other hand, the use of scaffolding leaves cognitive agents increasingly vulnerable to forming false beliefs or failing to form beliefs at all about particular topics. With respect to the recognition heuristic, agents rely on third parties (such as the media) to report not just what’s true but also what’s important or valuable. This makes cognitive agents relying on these third parties vulnerable to two erroneous influences: 1) because they don’t recognize something, it isn’t important or valuable, and 2) because they do recognize something, it is important or valuable. Call the latter the Kardashian Inference and the former the Darfur Inference. In section four, we use Fricker’s (2007) concept of epistemic injustice to characterize the nature and harm of these false inferences, with special emphasis on the Darfur Inference. In section five, we use data-mining and an empirical study to show how Gigerenzer’s population estimation task is liable to produce Darfur Inferences. We conclude with some speculative remarks on more important Darfur Inferences, and how to avoid them by scaffolding better. One primary way to accomplish this it to shift the burden of embodying the virtue of epistemic justice from the hearer or consumer of media to the media themselves. (shrink)

Why should musical compositions and artistic images be included among the types of expression covered by free speech principles? One way to answer this question is to show how expression in nonverbal media can be functionally similar to other types of verbal expression. But this leaves us with an intuitively unsatisfying explanation of why free speech principles cover nonverbal creative expression that does not functionally emulate literal speech. In this article, as an alternative justification, we develop and defend the idea (...) that musical and pictorial expression‚ much like literal speech, can be media through which people think aloud, as opposed to mere tools for the transmission of thought. We use this proposal to provide a more robust justification for including nonverbal creative expression in the scope of free speech coverage, and we outline some of the practical policy implications that come with adopting this justificatory strategy. (shrink)

This paper comments on the strategies and goals of a politics of recognition as celebrated by Nancy Nicol’s important documentary coverage of the gay and lesbian movement for family rights in Quebec. While agreeing that ending legal discrimination against lgbt families is important, I suggest that political recognition of same-sex families and their children is a too limited goal for queer families and their allies. Moreover, it is a goal, I argue, that often trades on trades on troublesome assumptions (...) about gender, class, race, age and normative commitments to monogamy as these relate to distinctions between, for example, “fit” and “unfit” parents. (shrink)

I present a novel, collaborative, methodology for linguistics: what I call the ‘explanatory economy’. According to this picture, multiple models/theories are evaluated based on the extent to which they complement one another with respect to data coverage. I show how this model can resolve a long-standing worry about the methodology of generative linguistics: that by creating too much distance between data and theory, the empirical credentials of this research program are tarnished. I provide justifications of such methodologically central distinctions (...) as the competence/performance and core/periphery distinction, and then show how we can understand the push for simplicity in the history of generative grammar in this light. (shrink)

This article is a critical evaluation of Holger Thesleff’s thinking on Plato’s Forms. The emphasis is, more specifically, on his “rethinking” of the matter, as he puts it in the title of his most recent contribution (Alican and Thesleff 2013: “Rethinking Plato’s Forms”). The general aim is to launch the academic reception of that bold intervention in Plato scholarship, which Thesleff cautiously positions a modest proposal — his trademark teaser to elicit a reaction, positive or negative. Representing a sympathetic perspective, (...) coverage here proceeds in the manner of dialectical engagement with the main lines of his interpretation and reconstruction of Plato’s world. The exegetical focus is on tracing the inspiration and reasoning behind his “two-level” model of Plato’s metaphysics, which, in turn, supports his tripartite classification of Forms. The critical focus is on identifying potential areas of misunderstanding and supplying any explanations, analyses, and arguments that may enhance the clarity of the respective positions. (shrink)

There is fast-growing awareness of the role atmospheres play in architecture. Of equal interest to contemporary architectural practice as it is to aesthetic theory, this 'atmospheric turn' owes much to the work of the German philosopher Gernot Böhme. Atmospheric Architectures: The Aesthetics of Felt Spaces brings together Böhme's most seminal writings on the subject, through chapters selected from his classic books and articles, many of which have hitherto only been available in German. This is the only translated version authorised by (...) Böhme himself, and is the first coherent collection deploying a consistent terminology. It is a work which will provide rich references and a theoretical framework for ongoing discussions about atmospheres and their relations to architectural and urban spaces. Combining philosophy with architecture, design, landscape design, scenography, music, art criticism, and visual arts, the essays together provide a key to the concepts that motivate the work of some of the best contemporary architects, artists, and theorists: from Peter Zumthor, Herzog & de Meuron and Juhani Pallasmaa to Olafur Eliasson and James Turrell. With a foreword by Professor Mark Dorrian and an afterword by Professor David Leatherbarrow,, the volume also includes a general introduction to the topic, including coverage of it history, development, areas of application and conceptual apparatus. (shrink)

In this paper we propose a formal theory of partitions (ways of dividing up or sorting or mapping reality) and we show how the theory can be applied in the geospatial domain. We characterize partitions at two levels: as systems of cells (theory A), and in terms of their projective relation to reality (theory B). We lay down conditions of well-formedness for partitions and we define what it means for partitions to project truly onto reality. We continue by classifying well-formed (...) partitions along three axes: (a) degree of correspondence between partition cells and objects in reality; (b) degree to which a partition represents the mereological structure of the domain it is projected onto; and (c) degree of completeness and exhaustiveness with which a partition represents reality. This classification is used to characterize three types of partitions that play an important role in spatial information science: cadastral partitions, categorical coverages, and the partitions involved in folk categorizations of the geospatial domain. (shrink)

The Infectious Disease Ontology (IDO) is a suite of interoperable ontology modules that aims to provide coverage of all aspects of the infectious disease domain, including biomedical research, clinical care, and public health. IDO Core is designed to be a disease and pathogen neutral ontology, covering just those types of entities and relations that are relevant to infectious diseases generally. IDO Core is then extended by a collection of ontology modules focusing on specific diseases and pathogens. In this paper (...) we present applications of IDO Core within various areas of infectious disease research, together with an overview of all IDO extension ontologies and the methodology on the basis of which they are built. We also survey recent developments involving IDO, including the creation of IDO Virus; the Coronaviruses Infectious Disease Ontology (CIDO); and an extension of CIDO focused on COVID-19 (IDO-CovID-19).We also discuss how these ontologies might assist in information-driven efforts to deal with the ongoing COVID-19 pandemic, to accelerate data discovery in the early stages of future pandemics, and to promote reproducibility of infectious disease research. (shrink)

This paper presents a novel account of focal stress and pitch contour in English dialogue. We argue that one should analyse and treat focus and pitch contour jointly, since (i) some pragmatic interpretations vary with contour (e.g., whether an utterance accepts or rejects; or whether it implicates a positive or negative answer); and (ii) there are utterances with identical prosodic focus that in the same context are infelicitous with one contour, but felicitous with another. We offer an account of two (...) distinct pitch contours that predicts the correct felicity judgements and implicatures, outclassing other models in empirical coverage or formality. Prosodic focus triggers a presupposition, where what is presupposed and how the presupposition is resolved depends on prosodic contour. If resolving the presupposition entails the proffered content, then the proffered content is uninteresting and hence the utterance is in-felicitous. Otherwise, resolving the presupposition may lead to an implicature. We regiment this account in SDRT. (shrink)

This up-to-date resource on restorative justice theory and practice is the literature’s most comprehensive and authoritative review of original research in new and contested areas. -/- Bringing together contributors from across a range of jurisdictions, disciplines and legal traditions, this edited collection provides a concise, but critical review of existing theory and practice in restorative justice. Authors identify key developments, theoretical arguments and new empirical evidence, evaluating their merits and demerits, before turning the reader’s attention to further concerns informing and (...) improving the future of restorative justice. Divided into four parts, the Handbook includes papers written by leading scholars on new theory, empirical evidence of implementation, critiques and the future of restorative justice. -/- This companion is essential reading for scholars of restorative justice, criminology, social theory, psychology, law, human rights and criminal justice, as well as researchers, policymakers, practitioners and campaigners from around the world. -/- Now, in its second generation, restorative justice is not a wild dream: it is a reality, and I for one am energized by the new and younger voices that are emerging. -/- -/- It is important to open space for these new voices and emerging themes. As a first-generation developer and practitioner, now at the end of my career, it seems appropriate that this may be the last book forward I write for the field. It is time to make room for others of this new generation. Much appreciation to Theo Gavrielides, himself a representative of this new generation, for leading the way through this Handbook" -/- Professor Howard Zehr (Distinguished Professor of Restorative Justice, Co-Director, Zehr Institute for Restorative Justice, Center for Justice & Peacebuilding, Eastern Mennonite University, USA). -/- -/- ​ -/- -/- "This book is perhaps the most comprehensive and certainly the most up-to-date collection on restorative justice. It goes to some topics rarely addressed in earlier volumes … and embraces a wider range of critiques of restorative justice than most volumes on the subject … Furthermore, in its geographical coverage, this international Handbook is much broader than older collections … We are grateful to Theo Gavrielides for bringing so many voices into the conversation. Many inspiring restorative justice leaders in the past have mobilized convening power toward projects of listening, but none more widely nor in more diverse ways than Theo Gavrielides in recent years." -/- Professor John Braithwaite (Distinguished Professor and Founder of RegNet (the Regulatory Institutions Network) at the Australian National University, Australia). (shrink)

Type 1 diabetes (T1D) is a chronic illness that requires intensive lifelong management of blood glucose concentrations by means of external insulin administration. There have been substantial developments in the ways of measuring glucose levels, which is crucial to T1D self-management. Recently, continuous glucose monitoring (CGM) has allowed people with T1D to keep track of their blood glucose levels in near real-time. These devices have alarms that warn users about potentially dangerous blood glucose trends, which can often be shared with (...) ther people. CGM is consistently associated with improved glycemic control and reduced hypoglycemia and is currently recommended by doctors. However, due to the costs of CGM, only those who qualify for hospital provision or those who can personally afford it are able to use it, which excludes many people. In this paper, I argue that unequal access to CGM results in: (1) unjust health inequalities, (2) relational injustice, (3) injustice with regard to agency and autonomy, and (4) epistemic injustice. These considerations provide prima facie moral reasons why all people with T1D should have access to CGM technology. I discuss the specific case of CGM policy in the Netherlands, which currently only provides coverage for a small group of people with T1D, and argue that, especially with additional considerations of cost-effectiveness, the Dutch government ought to include CGM in basic health care insurance for all people with T1D. (shrink)

Predicting university student graduation is a beneficial tool for both students and institutions. With the help of this predictive capacity, students may make well-informed decisions about their academic and career paths, and institutions can proactively identify students who may not graduate and offer tailored support to ensure their success. The use of machine learning for predicting university student graduation has drawn more attention in recent years. Large datasets of student academic performance data can be used to train machine learning algorithms (...) to identify patterns that are applicable in predicting future outcomes. In accordance with some studies, this approach predicts student graduation with an accuracy rate as high as 90%. Many systematic literature reviews (SLRs) have been conducted in this field, but there are still limitations, including not discussing the predictive models and algorithms used, a lack of coverage of the machine learning algorithms applied, small database coverage, keyword selection that does not cover all synonyms relevant to the investigation, and less specific data collection transparency. (shrink)

Thomas Sankara was 33 years old when he seized power in a bloodless coup. During the four years of his governance, he organized adult literacy campaigns and mass vaccination of children, promoted women's rights and fought corruption as well as desertification caused by inappropriate agricultural practices introduced during the colonial period. Within two years, child mortality and illiteracy dropped significantly and vaccination coverage increased. Beyond these quantitative results, Sankara firmly believed that the decolonization of his country started from the (...) formation of the conscience of citizens, from learning to “rely on themselves” – materially and psychologically – and from the abandonment of a logic of technological and financial dependence that generated hunger and debt. To achieve his goals, he launched campaigns to “consume Burkinabè,” to plant trees and preserve rainwater in areas affected by desertification. (shrink)

An unparalleled collection of original essays on Benedict de Spinoza's contributions to philosophy and his enduring legacy A Companion to Spinoza presents a panoramic view of contemporary Spinoza studies in Europe and across the Anglo-American world. Designed to stimulate fresh dialogue between the analytic and continental traditions in philosophy, this extraordinary volume brings together 53 original essays that explore Spinoza's contributions to Western philosophy and intellectual history. A diverse team of established and emerging international scholars discuss new themes and classic (...) topics to provide a uniquely comprehensive picture of one of the most influential metaphysicians of all time. Rather than simply summarizing the body of existing scholarship, the Companion develops new ideas, examines cutting-edge scholarship, and suggests directions for future research. The text is structured around six thematically-organized sections, exploring Spinoza's life and background, his contributions to metaphysics and natural philosophy, his epistemology, politics, ethics, and aesthetics, the reception of Spinoza in the work of philosophers such as Kant, Schelling, Schopenhauer, and Hegel, and more. This unparalleled research collection combines a timely overview of the current state of research with deep coverage of Spinoza's philosophy, legacy, and influence. Part of the celebrated Blackwell Companions to Philosophy series, A Companion to Spinoza is an ideal text for advanced courses in modern philosophy, intellectual history, and the history of metaphysics, and an indispensable reference for researchers and scholars in Spinoza studies. (shrink)