Machine learning algorithms may radically improve our ability to diagnose and treat disease. For moral, legal, and scientific reasons, it is essential that doctors and patients be able to understand and explain the predictions of these models. Scalable, customisable, and ethical solutions can be achieved by working together with relevant stakeholders, including patients, data scientists, and policy makers.

MUDANÇAS, REVOLUÇÕES E SUAS IMPLICAÇÕES -/- CHANGES, REVOLUTIONS AND THEIR IMPLICATIONS -/- Emanuel Isaque Cordeiro da Silva – IFPE-BJ, CAP-UFPE e UFRPE - [email protected] / [email protected] e WhatsApp: (82)98143-8399 -/- PREMISSA -/- A mudança social é um tema presente na Sociologia desde o seu início. Seria possível dizer que o surgimento da Sociologia está vinculado à discussão sobre as transformações sociais, ou seja, falar sobre a ciência da sociedade é falar sobre esse tema. Por isso mesmo, abordar o tema da (...) mudança social pressupõe lidar com a questão das resistências às possíveis transformações. Quando uma comunidade ou uma sociedade se depara com mudanças, de origem interna ou externa, há sempre resistência, pois há uma espécie de acomodação ao que já existe. Assim, as relações de poder, por exemplo, podem se modificar, num complexo jogo de resistência contra o poder e desejo de conquistá-lo ou ampliá-lo. Desse modo, confrontos e conflitos compõem o itinerário das mudanças e revoluções sociais. -/- Aqui serão objetos de análise dois grandes tipos de mudanças sociais: aquelas que, por seu caráter universal e multifacetado, afetaram toda a humanidade e aquelas de conotação sociopolítica, que atingiram determinadas sociedades e, depois, tornaram-se referência para outras mudanças. Serão, portanto, abordadas as revoluções agrícola e industrial e as recentes transformações e os episódios mais marcantes das revoluções políticas contemporâneas em todo o mundo. -/- A REVOLUÇÃO AGRÍCOLA -/- Esta revolução transformou radicalmente a forma de produção de alimentos das populações humanas. A expressão “revolução agrícola” foi criada pelo arqueólogo australiano Gordon Childe (1892-1957). Ela também é chamada de “revolução do Neolítico”, pois foi o período em que a humanidade desenvolveu a agricultura e as técnicas de cultivo de alimentos, como também aprendeu a domesticar e criar animais. Isso alterou o processo de obtenção de alimentos, pois as populações deixaram de ser coletoras e caçadoras e passaram, paulatinamente, a ter uma relação diferenciada com animais e plantas. Essas mudanças não ocorreram ao mesmo tempo em todos os lugares. Elas se iniciaram no Oriente Médio (há 9 ou 10 mil anos). Depois, no Egito (9 mil), na Índia (8 mil), na China (7 mil), na Europa (6,5 mil), na África tropical (5 mil) e na América, principalmente no México e no Peru (4,5 mil anos), através do deslocamento de hordas humanas ou movimentos independentes. O processo foi muito longo. Inicialmente, percebeu-se que os grãos que eram coletados para alimentação poderiam ser enterrados, isto é, “semeados”, a fim de produzir novas plantas iguais às que eram coletadas anteriormente. Assim, foi possível produzir trigo, cevada, milho, arroz e tubérculos (vários tipos de batatas); posteriormente, também árvores frutíferas. A partir de então, em consequência da experiência e da observação do que acontecia no meio ambiente, passou-se a selecionar sementes e outras árvores para plantio. Através da experiência prática, desenvolveu-se um conhecimento dos diferentes tipos de solo e de plantas, o que ajudou a aprimorar as técnicas de plantio e colheita, incluindo a observação da melhor época para o desenvolvimento de cada uma das culturas. Determinante para a fixação de grupos humanos (sedentarização) há milhares de anos, a agricultura ainda é a principal atividade de parte expressiva da população mundial. Essa atividade é a eminente na questão de desenvolvimento do Brasil, uma vez que o setor a cada ano emprega mais, a cada ano produz mais e a cada ano supera os índices de lucratividade anteriores, sendo, por fim, o baú do tesouro brasileiro. Voltando para a Revolução, outro elemento essencial desse processo foi a domesticação de animais. Junto com a agricultura, esse foi um passo muito importante para a alteração do modo de vida da humanidade, já que eliminou a necessidade do deslocamento para obtenção da carne e das peles necessárias ao conforto e também do leite dos rebanhos. A domesticação deve ter surgido espontaneamente em vários locais, resultado do processo de aproximação e observação dos animais no decurso das caçadas. O primeiro animal domesticado foi o cão; na sequência, animais para a alimentação e tração, como a cabra, o carneiro, o boi e o cavalo. Paralelamente a essas mudanças, alguns instrumentos foram sendo confeccionados, como a foice, o arado, a roda e outros que eram utilizados para arar a terra e até na colheita: novas tecnologias para um processo revolucionário. Esse processo intenso de subdivisões e deslocamentos provocou uma onda de difusão da agricultura e da atividade pastoril através das migrações. Imagine-se por um momento vivendo em grupos ou fazendo parte de hordas humanas, reproduzindo-se e subdividindo-se, migrando para outros locais, plantando e desenvolvendo a criação de animais em vários lugares, deslocando-se à procura de novos espaços e invadindo territórios de outros grupos, convivendo entre si ou em conflito, aprendendo e ensinando aos grupos com os quais estabeleceram alguma comunicação e submetendo-se ou sendo submetidos pelos habitantes com quem entraram em contato. Esse é apenas um pequeno esboço do que ocorreu nesse processo de transmissão e absorção de novas formas revolucionárias de viver. A grande revolução agrícola (que foi, em essência, a síntese de centenas de revoluções localizadas no tempo e no espaço e marcadas pela diversidade de ações e resultados) foi aquela que alterou de fato e profundamente toda a humanidade. Mas ela continua até hoje, uma vez que as transformações que ocorrem na produção de alimentos não estacionaram e mantêm um processo de mudança contínuo. Entretanto, existem ainda formas de organização social, como a de alguns poucos povos caçadores e coletores, que utilizam a agricultura e a domesticação de animais à moda antiga. -/- A REVOLUÇÃO INDUSTRIAL -/- O que se chama de Revolução Industrial na Europa nos séculos XVIII e XIX não é uma revolução puramente industrial, nem começou repentinamente nesses séculos. Foi um processo lento de transformação que se desenvolveu desde o século XV e atingiu grandes setores da produção, como o mineiro, o metalúrgico e o têxtil. A expansão da produção nesses setores envolveu a invenção de novas técnicas e máquinas, além de uma estrutura (a fábrica) que permitisse a concentração de equipamentos e trabalhadores num só lugar. Situadas quase sempre nas cidades, as fábricas requeriam muita mão de obra. Atraindo as pessoas que deixavam o campo em busca de trabalho, as cidades cresceram vertiginosamente. Transformava-se, assim, a forma de produzir bens e serviços, alterando as formas de viver e revolucionando as relações sociais. Mas isso não aconteceu de maneira uniforme no mundo todo. Para que se tenha ideia da multiplicidade das mudanças trazidas pela urbanização e pela industrialização, a Inglaterra conheceu esses fenômenos típicos da modernidade em torno de 1860; o Brasil, por volta da década de 1930; a China, a partir do final do século XX. A Revolução Industrial começou no setor têxtil, na produção da lã e do algodão, com o uso das máquinas de fiar conhecidas como Spinning Jenny (1764) e Spinning Mule (1789), inventadas, respectivamente, por James Hargreaves e Samuel Crompton. Nessa época, a produção era feita manualmente, com rocas de baixíssimo rendimento. Pode-se dizer que, paralelamente à Revolução Industrial, houve na Europa uma segunda revolução agrícola. Ela teve início com a mudança na estrutura da propriedade rural, quando os proprietários de terras se juntaram a ricos comerciantes das cidades interessados em investir na agricultura e promoveram a introdução de novas técnicas de cultivo, entre as quais a rotação de culturas sem pousio (parcela de terras em repouso), de forma a retirar o máximo proveito das terras; a drenagem de terras pantanosas; o abate de florestas; e a ocupação de terras comunais. No intuito de melhorar a produção, promoveram a seleção das espécies mais produtivas, de sementes e o apuramento dos melhores rebanhos. Além disso, foram introduzidas máquinas e houve melhora nos transportes no espaço agrário. Isso permitiu relativa abundância em produtos agrícolas essenciais (carne, leite e derivados, legumes, tubérculos, cereais etc.), que juntamente com a indústria extrativa do sal, indispensável para a conservação dos alimentos, propiciou a melhoria gradual na dieta alimentar. Essas mudanças e a diminuição crescente da mortalidade propiciaram o que se pode chamar de revolução demográfica. Para se ter uma ideia, na Inglaterra, onde a Revolução teve início, a população em 1750 era de 6,5 milhões; em 1801 passou a 16,3 milhões e, em 1851, somava 27,5 milhões. Isso exigiu um aumento da produção e de matérias-primas vegetais e animais (transformadas nas fábricas). No século XIX, outras transformações ocorreram em face da emergência de novas fontes energéticas (eletricidade e petróleo) e de novos ramos industriais, o que resultou em alteração profunda nos processos produtivos, com a introdução de novas máquinas e equipamentos. Todas essas transformações propiciaram mudanças nas comunicações (telégrafo e telefone), nos meios de transporte (navio e trem a vapor, automóvel) e também em todas as esferas da vida (familiar, educacional, jurídica, governamental etc.). Além disso, provocaram o surgimento de inovações na arte, na literatura e nas ciências. -/- AS REVOLUÇÕES CONTEMPORÂNEAS -/- Há uma grande transformação em curso nas sociedades humanas. Os grandes artífices dessas mudanças cada vez mais radicais são as inovações tecnológicas e os resultados alcançados pela evolução dos processos científicos. É difícil demarcar espaços que estejam imunes a essa era de revoluções múltiplas e de largo alcance: de algum modo, todas as culturas estão imersas nessa nova fase da aldeia global, em que tudo e todos parecem estar condenados à interconexão e às novas realidades na microeletrônica, na genética de laboratório e na nanotecnologia, para citar apenas alguns dos “admiráveis mundos novos”. A microeletrônica revolucionou a escala produtiva de bens e serviços mediante o desenvolvimento de sistemas computacionais. Provocou uma mudança significativa também nos meios de comunicação. O uso de celulares, smartphones, computadores pessoais e portáteis, tablets e outros tantos equipamentos está alterando a forma de as pessoas e organizações públicas e privadas se comunicarem e se estruturarem. Novos componentes eletrônicos produzidos com base na nanotecnologia poderão revolucionar o que hoje conhecemos por computação, permitindo a produção de computadores pessoais com muitos processadores, extremamente rápidos e com enorme capacidade de armazenamento. No futuro, os nanoprocessadores provavelmente estarão presentes na maioria dos objetos que utilizaremos. Por meio da microeletrônica e da nanotecnologia, o nível de desenvolvimento da bioengenharia (ou engenharia genética) beirará a ficção científica. A manipulação genética, com o aprofundamento do conhecimento do DNA humano, de plantas e animais, será ampliada. As pesquisas mais divulgadas nessa área se referem às possibilidades de intervenção no campo da Medicina, como as vinculadas à utilização de células-tronco, à produção de vacinas e medicamentos específicos, à produção sintética de elementos essenciais à saúde humana (como a insulina e a albumina), à análise genética das doenças e à consequente terapia gênica, aos transplantes, ao mapeamento genético dos indivíduos, à formação de bancos de genoma de espécies em extinção, à recuperação de DNA de espécies extintas e até à clonagem de animais. Essas transformações podem gerar, entretanto, novos desafios e suscitar questões atreladas, por exemplo, à privacidade dos indivíduos, ao acesso desigual à tecnologia, aos riscos ambientais (aos seres vivos, incluindo os humanos), às relações sociais e de trabalho, às mudanças de valores e normas sociais e, principalmente, às possibilidades de maior liberdade e igualdade ou maior opressão/controle, além de maior ou menor desigualdade social. A Sociologia, que, como vimos, nasceu na Europa no contexto de grandes transformações, propõe debates sobre essas novas tecnologias e as mudanças sociais provocadas pelo uso delas. São necessários novos olhares, novos conceitos e teorias para dar conta desses elementos que estão afetando a vida humana em todos os sentidos. A utilização de novos saberes e tecnologias alterará a pesquisa em todas as ciências, permitindo mais aprofundamento, através de novos equipamentos, com modificações sensíveis nos modos de conhecer o mundo. A aplicação e o desenvolvimento científicos exercerão impacto na maioria das indústrias existentes, em áreas como as de sistemas de construção, transportes, comunicações, maquinário agrícola, e, é claro, na prestação de serviços. Será possível fabricar materiais cem vezes mais resistentes que o aço, carros cuja lataria não estará sujeita a riscos, espelhos antiofuscantes, aviões mais leves, jornais eletrônicos de plástico semelhante ao papel, tintas que mudam de cor etc. No cotidiano, roupas que não amassam ou que não cheiram mesmo depois de absorver muito suor poderão ser compradas em supermercados; do mesmo modo, tecidos que controlam a temperatura do corpo, adaptando-o confortavelmente à temperatura do ar, serão vendidos a preços acessíveis em toda parte, ao lado de vestimentas que auxiliam no emagrecimento e em diversas atividades orientadas por médicos e profissionais de saúde e esporte. O futuro, então, logo trará roupas impermeáveis, inodoras e que não mancham, as chamadas roupas interativas. Esses são exemplos simples do que já existe, mas ainda não em escala industrial para consumo massivo. A presença de robôs no processo produtivo já é uma realidade insofismável e pode-se prever que em pouco tempo eles farão serviços domésticos e outras várias atividades que hoje são desenvolvidas por pessoas de carne, osso e alma. Veículos autônomos, ou os automóveis que andam sozinhos, estão sendo desenvolvidos e alguns já são utilizados para a alegria e o espanto de muita gente. Na área ambiental, a revolução tecnológica poderá ocorrer em muitos campos. Ganharão muita visibilidade o uso de materiais alternativos e a utilização do que hoje chamamos de resíduos industriais ou domésticos na fabricação de mercadorias. Todos esses resíduos, que hoje são descartados, inclusive os chamados não recicláveis, podem passar a ser matérias-primas para diferentes setores da economia. A máxima de Lavoisier (1743-1794) seria então plenamente consagrada: Na natureza nada se cria, nada se perde, tudo se transforma. Nem tudo são flores, entretanto. Acesso desigual aos frutos dessas mudanças; prejuízos ao meio ambiente (riscos aos seres vivos, incluindo os humanos), às relações sociais e de trabalho, aos valores e normas sociais e, principalmente, às possibilidades de maior liberdade e igualdade ou mais opressão e controle, além de maiores ou menores desigualdades sociais. Um conjunto de situações novas para as quais ainda não se tem respostas pode surgir da expansão tecnológica e do desenvolvimento da ciência. Assim como a energia atômica trouxe benefícios extraordinários e malefícios estarrecedores à humanidade, novas tecnologias e inovadores processos científicos poderão trazer grandes soluções e reviravoltas nas formas de ser e de viver, bem como enormes e imprevisíveis prejuízos e destruições. -/- BREVE CONCLUSÃO -/- As revoluções do passado e do presente se estenderão ainda por muito tempo, uma vez que são expressões da atividade humana, a qual transforma o meio e é por ele transformada. Não há transformações que não retenham algo do passado e, ao mesmo tempo, delineiem alguns traços do futuro, pois as mudanças, por mais radicais que sejam, sempre conservam algo. Além disso elas não ocorrem em todos os lugares nem atingem a todos da mesma forma, deixando abertas as portas da história. Essa imprevisibilidade da ação humana, calcada no tempo anterior e orientada para os dias posteriores, dá graça e mistério à existência, tornando a vida em sociedade um desafio de conquistas fabulosas e um palco de derrotas lampejantes. -/- REFERENCIAL TEÓRICO -/- ALMOND, M.; BATISTA, G. O livro de ouro das Revoluções. 2ª ed. São Paulo: Saraiva, 2018. -/- TOMAZI, N. D.; ROSSI, M. A. Sociologia para o ensino médio. Vol. Único. 5ª ed. São Paulo: Saraiva, 2016. -/- Todos os direitos reservados para Emanuel Isaque Cordeiro da Silva © 2019 Estimule a criatividade, respeite o direito autoral. -/- . (shrink)

I develop a theory of counterfactuals about relative computability, i.e. counterfactuals such as 'If the validity problem were algorithmically decidable, then the halting problem would also be algorithmically decidable,' which is true, and 'If the validity problem were algorithmically decidable, then arithmetical truth would also be algorithmically decidable,' which is false. These counterfactuals are counterpossibles, i.e. they have metaphysically impossible antecedents. They thus pose a challenge to the orthodoxy about counterfactuals, which would treat them as uniformly true. What’s more, I (...) argue that these counterpossibles don’t just appear in the periphery of relative computability theory but instead they play an ineliminable role in the development of the theory. Finally, I present and discuss a model theory for these counterfactuals that is a straightforward extension of the familiar comparative similarity models. (shrink)

I defend the following version of the ought-implies-can principle: (OIC) by virtue of conceptual necessity, an agent at a given time has an (objective, pro tanto) obligation to do only what the agent at that time has the ability and opportunity to do. In short, obligations correspond to ability plus opportunity. My argument has three premises: (1) obligations correspond to reasons for action; (2) reasons for action correspond to potential actions; (3) potential actions correspond to ability plus opportunity. In the (...) bulk of the paper I address six objections to OIC: three objections based on putative counterexamples, and three objections based on arguments to the effect that OIC conflicts with the is/ought thesis, the possibility of hard determinism, and the denial of the Principle of Alternate Possibilities. (shrink)

The study aimed to identify the role of administrative procedures and systems in enhancing the performance of the educational institutions in the Islamic University in Gaza. To achieve the research objectives, the researchers used the analytical descriptive approach to collect information. The researchers used the questionnaire distributed to three categories of employees at the Islamic University (senior management, faculty members, their assistants and members of the administrative board). A random sample of 314 employees was selected and 276 questionnaires were retrieved (...) with a recovery rate of 88.1%. The Statistical Analysis Program (SPSS) was used to enter process and analyze data. The results of the research showed a positive role for the administrative procedures and systems in enhancing the performance of the Islamic University from the point of view of the members (senior management, teaching staff and their assistants and the administrative body), where the relative weight of all the paragraphs (73.728%). The analysis of the results revealed that the administrative procedures at the Islamic University in Gaza are used to an acceptable degree. The relative weight of all the paragraphs is 70%. This indicates a relationship between administrative procedures and regulations and the performance of the Islamic University in the Gaza Strip. The study found that there was a good degree of approval from the sample regarding the administrative procedures and their relationship to the job performance. There exist a sufficient degree of powers to the deans and department managers to carry out their tasks, with the use of plans as control tools. And that there are rules and procedures provided for decision-making in the University Council. It also has full powers to manage the university to improve the teaching and learning environment. The researchers also recommended a number of recommendations, including the need to follow up on the procedures and systems of management and update them continuously in the light of changes that may occur and to ensure the existence of a strong system of electronic information systems within the university. There is a need to provide mechanisms for obtaining information about the surrounding external environment, and effective mechanisms to provide managers with the necessary information in a timely manner. The importance of providing channels of communication that enables staff to communicate information about any violations and breaches. The study also recommended the follow-up, review, procedures and administrative systems, and work to modify them in line with the mission of the university and the objectives that the university seeks to reach. (shrink)

Background: The castor bean is a large grassy or semi-wooden shrub or small tree. Any part of the castor plant parts can suffering from a disease that weakens the ability to grow and eliminates its production. Therefore, in this paper will identify the pests and diseases present in castor culture and detect the symptoms in each disease. Also images is showing the symptom form in this disease. Objectives: The main objective of this expert system is to obtain appropriate diagnosis of (...) the disease. Methods: In this paper, the expert system is designed for the ability of agricultural engineers to detect and diagnose disease of castor like as: seeding blight, alternaria blight, cercospora leaf spot, powdery mildew and wilt. This system presents the disease symptoms, survival and spread, favorable conditions and image for each disease. Clips and Delphi expert system languages are used for designing and implementing the proposed expert system. Results: The expert system in the diagnosis of castor diseases was assessed by farmers and agricultural engineers and they were satisfied and accepted with its quality of performance. Conclusions: The expert system is easy for farmers and people have experience in the plant of castor to detect and diagnosis the symptoms that may face this plant from several disease. (shrink)

Recently, bioethicists and the UNCRPD have advocated for supported medical decision-making on behalf of patients with intellectual disabilities. But what does supported decision-making really entail? One compelling framework is Anita Silvers and Leslie Francis’ mental prosthesis account, which envisions supported decision-making as a process in which trustees act as mere appendages for the patient’s will; the trustee provides the cognitive tools the patient requires to realize her conception of her own good. We argue that supported decision-making would be better understood (...) as a collaborative process, giving patients with intellectual disabilities the opportunity to make decisions in a respectful relationship with trusted others. We offer an alternative account of supported decision-making where the primary constraint is to protect the patient from domination by the trustee. This is advantageous in its preservation of the prospects for genuine collaboration, for the mental prosthesis approach ultimately reinforces a problematic ideal of isolated patient self-determination. (shrink)

The aim of the research is to identify the relationship between the performance criteria and the achievement of the objectives of supervision which is represented in the performance of the job at the Islamic University in Gaza Strip. To achieve the objectives of the research, the researchers used the descriptive analytical approach to collect information. The questionnaire consisted of (22) paragraphs distributed to three categories of employees of the Islamic University (senior management, faculty members, their assistants and members of the (...) administrative board). A random sample of 314 employees was selected, 276 responses were retrieved with a return rate of 88.1%. The SPSS program was used to enter, process, and analyze the data. The results of the study showed a positive relationship between the performance criteria and the achievement of the control objectives represented by the job performance in the Islamic University from the point of view of the members (senior management, faculty and their assistants and the administrative board). The researchers also recommended a number of recommendations, including the provision of an appropriate level of control system components today through the continuous updating and development of performance standards and the need to provide the necessary physical and financial resources to continue the development and achievement within the university. Expand the development of technology in the various activities of the university through the construction of a complete and integrated system to support the control systems in the university to suit its size. The researchers also recommended the follow-up, review of the performance standards and work to modify them in line with the mission of the university and the goals that the university seeks to reach. (shrink)

Twentieth century philosophers introduced the distinction between “objective rightness” and “subjective rightness” to achieve two primary goals. The first goal is to reduce the paradoxical tension between our judgments of (i) what is best for an agent to do in light of the actual circumstances in which she acts and (ii) what is wisest for her to do in light of her mistaken or uncertain beliefs about her circumstances. The second goal is to provide moral guidance to an agent who (...) may be uncertain about the circumstances in which she acts, and hence is unable to use her standard moral principle directly in deciding what to do. This paper distinguishes two important senses of “moral guidance”; proposes criteria of adequacy for accounts of subjective rightness; canvasses existing definitions for “subjective rightness”; finds them all deficient; and proposes a new and more successful account. It argues that each comprehensive moral theory must include multiple principles of subjective rightness to address the epistemic situations of the full range of moral decision-makers, and shows that accounts of subjective rightness formulated in terms of what it would reasonable for the agent to believe cannot provide that guidance. -/- . (shrink)

The genetic modification of pigs as a source of transplantable organs is one of several possible solutions to the chronic organ shortage. This paper describes existing ethical tensions in xenotransplantation (XTx) that argue against pursuing it. Recommendations for lifelong infectious disease surveillance and notification of close contacts of recipients are in tension with the rights of human research subjects. Parental/guardian consent for pediatric xenograft recipients is in tension with a child’s right to an open future. Individual consent to transplant is (...) in tension with public health threats that include zoonotic diseases. XTx amplifies concerns about justice in organ transplantation and could exacerbate existing inequities. The prevention of infectious disease in source animals is in tension with the best practices of animal care and animal welfare, requiring isolation, ethologically inappropriate housing, and invasive reproductive procedures that would severely impact the well-being of intelligent social creatures like pigs. (shrink)

Waiting time is widely used in health and social policy to make resource allocation decisions, yet no general account of the moral significance of waiting time exists. We provide such an account. We argue that waiting time is not intrinsically morally significant, and that the first person in a queue for a resource does not ipso facto have a right to receive that resource first. However, waiting time can and sometimes should play a role in justifying allocation decisions. First, there (...) is a duty of fairness prohibiting line-cutting where a sufficiently just queue exists. Second, waiting time has several morally attractive features that can justify its incorporation into allocation schemes. Where candidates are in relevantly similar circumstances, allocating by waiting time is relatively efficient, maximizes distribution equality relative to other Pareto efficient distributions, and treats candidates fairly. The claim that allocation using waiting time is fair is controversial. Some have claimed that formal lotteries are a fairer way to select among equal beneficiaries. We argue that lotteries are no fairer than allocation based on waiting time when it is equiprobable how a prospective queue will be ordered. In practice, lotteries share many of the disadvantages of queues; which is fairer will depend on contingent features of the allocation scenario. The upshot is that first-come, first-served is in fact a just way to allocate resources in many of the cases where it seems pre-theoretically compelling, and waiting time has unique normative properties which frequently justify its incorporation into resource allocation schemes. (shrink)

*As mentioned in Peter Coy's NYT essay "When Being Good Is Just a Matter of Being Lucky" (2023) -/- ----- -/- How is the problem of free will related to the problem of moral luck? In this essay, I answer that question and outline a new solution to the paradox of moral luck, the source-paradox solution. This solution both explains why the paradox arises and why moral luck does not exist. To make my case, I highlight a few key connections (...) between the paradox of moral luck and two related problems, namely the problem of free will and determinism and the paradox of self-creation. Piecing together intuitions, arguments, and insights from recent work on each of these three problems, I argue that the type of control necessary for moral responsibility can only be had by someone who is a genuine source of his own actions, but the relevant notion of sourcehood admits no coherent characterization. If our commonsense view of moral responsibility is incoherent, it is unsurprising that our commitment to the existence of morally responsible agents commits us to some paradoxical things—e.g. to both the existence and impossibility of moral luck. For more information about this article, please write to gmail account: kristin.mickelson.42. (shrink)

One widely used method for allocating health care resources involves the use of cost-effectiveness analysis (CEA) to rank treatments in terms of quality-adjusted life-years (QALYs) gained. CEA has been criticized for discriminating against people with disabilities by valuing their lives less than those of non-disabled people. Avoiding discrimination seems to lead to the ’QALY trap’: we cannot value saving lives equally and still value raising quality of life. This paper reviews existing responses to the QALY trap and argues that all (...) are problematic. Instead, we argue that adopting a moderate form of prioritarianism avoids the QALY trap and disability discrimination. (shrink)

Braun explores the use of digital twin technology in medicine with a particular emphasis on the question of how such simulations can represent a person.1 In defining some first conditions for ethically justifiable forms of representation of digital twins, he argues that digital twins do not threaten an embodied person, as long as that person retains control over their simulated representation via dynamic consent, and ideally with the option to choose both form and usage of the simulation. His thoughtful elaboration (...) provides insight into the challenges inherent in interactions between a person and their digital twin, emphasising the modes of control required to respect personal modes of freedom. This individual-centric approach to the question of representation leaves out the important ethical consideration of ensuring that all, not merely some, can be represented. Braun describes dynamic consent as a necessary mode of control, arguing that where a person is unable to give consent, ‘such simulations threaten to become illegitimate representations. They would then shift the kind of interaction from representation to illegitimate forms of prediction or surveillance and thereby could lead to infringements to individual modes of freedom.’ Consequently, the implementation of digital twin technology in healthcare would seem to exclude the most vulnerable members of society from participation in and benefiting from medical innovation, …. (shrink)

In this paper I defend the traditional interpretations of Kant’s Formula of a Law of Nature from recent attacks leveled by Faviola Rivera-Castro, James Furner, Ido Geiger, Pauline Kleingeld and Sven Nyholm. After a short introduction, the paper is divided into four main sections. In the first, I set out the basics of the three traditional interpretations, the Logical Contradiction Interpretation, the Practical Contradiction Interpretation and the Teleological Contradiction Interpretation. In the second, I examine the work of Geiger, Kleingeld and (...) Nyholm: these three commentators reject the traditional interpretations entirely, but I argue that this rejection is ill-founded. In the third and fourth, I take a detailed look at Furner’s work, work in which he seeks to revise (rather than reject) the traditional interpretations. I argue that, despite his more modest aims, Furner’s revision is also ill-founded. (shrink)

This article argues that personal medical data should be made available for scientific research, by enabling and encouraging individuals to donate their medical records once deceased, similar to the way in which they can already donate organs or bodies. This research is part of a project on posthumous medical data donation developed by the Digital Ethics Lab at the Oxford Internet Institute at the University of Oxford. Ten arguments are provided to support the need to foster posthumous medical data donation. (...) Two major risks are also identified—harm to others, and lack of control over the use of data—which could follow from unregulated donation of medical data. The argument that record-based medical research should proceed without the need to secure informed consent is rejected, and instead a voluntary and participatory approach to using personal medical data should be followed. The analysis concludes by stressing the need to develop an ethical code for data donation to minimise the risks, and offers five foundational principles for ethical medical data donation suggested as a draft code. (shrink)

Upshot: In our target article we claimed that, at least since Weber and Varela, enactivism has incorporated a theoretical commitment to one important aspect of Jonas’s philosophical biology, namely its anthropomorphism, which is at odds with the methodological commitments of modern science. In this general reply we want to clarify what we mean by anthropomorphism, and explain why we think it is incompatible with science. We do this by spelling out what we call the “Jonasian inference,” i.e., the idea that (...) we are entitled, based on our first-person experience of teleology, to take the appearance of teleology in other living beings at face value. (shrink)

Psychiatric patients sometimes ask where to draw the line between who they are – their selves – and their mental illness. This problem is referred to as the self-illness ambiguity in the literature; it has been argued that solving said ambiguity is a crucial part of psychiatric treatment. I distinguish a Realist Solution from a Constructivist one. The former requires finding a supposedly pre-existing border, in the psychiatric patient’s mental life, between that which belongs to the self and that which (...) belongs to the mental illness. I argue that no such border exists, and that attempts to find it might even render the felt ambiguity worse. Instead, any solution must be constructivist; the patient (and others) should deliberate and discuss what to identify with or not. I further argue that psychiatric patients need not see their mental illness as wholly distinct from themselves to avoid ‘identifying with their diagnoses' in a problematic way. Finally, we can excuse problematic behaviour by mentally ill people – in fact, we can do so in a more nuanced and constructive way – while rejecting the view that the mental illness is wholly distinct from the patient’s self. (shrink)

Despite the end of the Cold War and the ascendancy of liberal democracy celebrated by Francis Fukuyama as “the end of history”, a growing number of scholars and political activists point to its inherent shortcomings. However, they have tended to dismiss it on the basis of one or two of its salient weaknesses. While this is a justifiable way to proceed, it denies the searching reader an opportunity to see the broad basis for the growing rejection of liberal democracy among (...) African political theorists. Consequently, in this article, I argue that from an African perspective, the almost hegemonic status of liberal democracy can be challenged on at least five grounds, namely, logical inconsistency, impracticability due to the largely communalistic outlook of many africans, inconsistency between affirmation and action, violation of the right to ethnic identity, and the moral imperative to assert the right to cultural emancipation. -/- I conclude by calling upon African and Africanist political theorists to utilise indigenous African political thought, coupled with emancipatory aspects of political thought from other parts of the world, to design practicable models of democracy for contemporary African states. I further conclude that in order to promote genuine inter-cultural dialogue on democratisation, people from Western cultures ought to acknowledge the equality of all cultures, and to recognise that systems of governance are part and parcel of those cultures. (shrink)

Philosophy and Phenomenological Research, Volume 104, Issue 3, Page 728-746, May 2022.

Attempts have been made to prove God's non-existence. Often this takes the form of an appeal to the so-called Argument from Evil: if God were to exist, then he would not permit as much suffering in the world as there actually is. Hence the fact that there is so much suffering constitutes evidence for God's non-existence. In this essay I propose a variation which I shall call ‘The Argument from Non-belief’. Its basic idea is that if God were to exist, (...) then he would not permit as much non-belief in the world as there actually is. Hence the fact that there is so much non-belief constitutes evidence for God's non-existence. (shrink)

The introduction to a special issue of Religious Studies on the theme of experimental philosophy of religion.

A pronatalist perspective on maternal bodies renders the adoptive maternal body queer. In this essay, I argue that the queerness of the adoptive maternal body makes it a useful epistemic standpoint from which to critique dominant views of mothering. In particular, exploring motherhood through the lens of adoption reveals the discursive mediation and social regulation of all maternal bodies, as well as the normalizing assumptions of heteronormativity, “reprosexuality,” and family homogeneity that frame a traditional view of the biological family. As (...) participants in motherhood who resist “repro-narrativity,”“reprosexuality,” and essentialism, adoptive maternal bodies have the potential to both queer our notions of normal mothering and normalize our notions of queer mothering. (shrink)

One famous debate in contemporary epistemology considers whether there is always one unique, epistemically rational way to respond to a given body of evidence. Generally speaking, answering “yes” to this question makes one a proponent of the Uniqueness thesis, while those who answer “no” are called “permissivists”. Another influential recent debate concerns whether non-truth-related factors can be the basis of epistemic justification, knowledge, or rational belief. Traditional theories answer “no”, and are therefore considered “purists”. However, more recently many theorists have (...) argued to the contrary, claiming that impurist factors, such as practical stakes, can sometimes encroach or even override truth-related considerations. This paper bridges the two debates by presenting and defending what I call “Impurist Permissivism”. I support Impurist Permissivism by showing how it can resist Roger White’s famous Argument from Arbitrariness (2005). (shrink)

In the correspondence with Arnauld, Leibniz contends that each corporeal substance has a substantial form. In support he argues that to be real a corporeal substance must be one and indivisible, a true unity. I will show how this argument precludes a tempting interpretation of corporeal substances as composite unities. Rather it mandates the interpretation that each corporeal substance is a single monad.

Alix Cohen argues that the function of feeling in Kantian psychology is to appraise and orient activity. Thus she sees feeling and agency as importantly connected by Kant’s lights. I endorse this broader claim, but argue that feeling, on her account, cannot do the work of orientation that she assigns to it.

Whitehead's 1922 theory of gravitation continues to attract the attention of philosophers, despite evidence presented in 1971 that it violates experiment. We demonstrate that the theory strongly fails five quite different experimental tests, and conclude that, notwithstanding its meritorious philosophical underpinnings, Whitehead's theory is truly dead.

Jizang (549–623) is regarded as a prominent figure in Sanlun Buddhism (三論宗) and a revitalizer of Nāgārjuna’s Mādhyamaka tradition in China. In this essay, I argue that Jizang’s concept of non-empty Buddha-nature is compatible with the idea of universal emptiness. My argument unfolds in three steps. First, I argue that, for Jizang, Buddha-nature is the Middle Way (zhongdao 中道), which signifies a spiritual state that avoids the extremes of both emptiness and non-emptiness. Next, I explore how and why Jizang believes (...) that Buddha-nature is eternal. I examine Jizang’s notions of intrinsic eternality (dingxing chang 定性常) and conditional eternality (yinyuan chang 因緣常), aiming to demonstrate that his understanding of Buddha-nature as eternal can be framed within the concept of conditional eternality, where Buddha-nature is seen as the objective manifestation of the dharma body. Since this type of eternality aligns with the principle of universal emptiness, Jizang’s assertion that Buddha-nature is eternal is thus compatible with the notion of universal emptiness. Furthermore, I illustrate that Jizang’s theory of eternal Buddha-nature carries practical implications, suggesting that this assertion serves as encouragement rather than being merely an ontological claim. (shrink)

The research aims to identify the impact of the strategic orientations (Vision, Mission, goals) on crisis management agency, international relief in Gaza, the researchers used the descriptive and analytical approach and a survey for collection data, amounted to community size (881), and the study sample (268), and the sample was a stratified random. SPSS program used for entry, processing and analysis of data. The most important findings of the study: The results showed that the organization develop a clearly written vision, (...) mission and strategic goals and the organization's strategic objectives are consistent with the vision and mission of the organization. The results also showed that the organization develop a clear stage objectives framed with time bass which can be achieved on the ground. The employees in the organization's behavior comes within a disciplined set of principles and values that underpin the organization. Also the concept of the organization vision and mission are familiar for the employees. In general the views of the research sample agreed that there is a presence of strategic orientations (vision, message, goals). A direct positive correlation between the presence of strategic orientations (vision, mission and goals) and crisis management (before, during and after the crisis) in the international relief agency in Gaza. The research also concluded a series of recommendations, Researchers consistently recommend the continuous existence of strategic orientation and continue to develop the vision, mission and objectives in a clearly written method. In addition to that, the organization must develop in advance plans to deal with crises, taking into account past experience in this field through a specialized team, hold continuous meetings and discussions and workshops with the emergency team who has previous experience in dealing with crises. (shrink)

In this article I offer an interpretation of the fundamental problem of phenomenology in terms of a philosophy of revelation proposing in this way the renewal of the last important development of Western philosophy both in terms of its metaphysical aspiration and scientific relevance. After the general introduction, I outline the philosophical problem of revelation. I show how this philosophy influenced early phenomenology. I explain the underlying subject matter in the history of phenomenology, i.e. the notion of disclosure. I also (...) outline what I term “apocalyptic phenomenology” in order to focus on the understanding of revelation. In this part I offer details of the notion of newness and the appropriate method applied here. Finally, I summarize the scientific relevance of my approach in the context of logic, methodology, disciplinarity with a special emphasis on the study of religion. (shrink)

There has been a growing concern over establishing norms that ensure the ethically acceptable and scientifically sound conduct of clinical trials. Among the leading norms internationally are the World Medical Association's Declaration of Helsinki, guidelines by the Council for International Organizations of Medical Sciences, the International Conference on Harmonization's standards for industry, and the CONSORT group's reporting norms, in addition to the influential U.S. Federal Common Rule, Food and Drug Administration's body of regulations, and information sheets by the Department of (...) Health and Human Services. There are also many norms published at more local levels by official agencies and professional groups.Any account of international standards should cover both scientific and ethical norms at once – the two are conceptually intertwined. Recent sources recognize that “[s]cientifically unsound research on human subjects is unethical in that it exposes research subjects to risks without possible benefit.”. (shrink)

A moral code consists of principles that assign moral status to individual actions – principles that evaluate acts as right or wrong, prohibited or obligatory, permissible or supererogatory. Many theorists have held that such principles must serve two distinct functions. On the one hand, they serve a theoretical function, insofar as they specify the characteristics in virtue of which acts possess their moral status. On the other hand, they serve a practical function, insofar as they provide an action-guide: a standard (...) by reference to which a person can choose which acts to perform and which not. Although the theoretical and practical functions of moral principles are closely linked, it is not at all obvious that what enables a principle to fill one of these roles automatically equips it to fill the other. In this paper I shall briefly examine some of the reasons why a moral principle might fail to fill its practical role, i.e., be incapable of guiding decisions. I shall then sketch three common responses to this kind of failure, and examine in some detail the adequacy of one of the most popular of these responses. (shrink)

It has been argued that supervenience generates unavoidable confounding problems for interventionist accounts of causation, to the point that we must choose between interventionism and supervenience. According to one solution, the dilemma can be defused by excluding non-causal determinants of an outcome as potential confounders. I argue that this solution undermines the methodological validity of causal tests. Moreover, we don’t have to choose between interventionism and supervenience in the first place. Some confounding problems are effectively circumvented by experimental designs routinely (...) employed in science. The remaining confounding issues concern the physical interpretation of variables and cannot be solved by choosing between interventionism and supervenience. (shrink)

Poverty has traditionally been conceived of as a state of deprivation. To be poor is to lack something essential to human flourishing. How that something is understood—in terms of welfare, resources, or capabilities—and how it is measured—in absolute terms or relative to a social standard—has been the subject of much debate within the development literature. In this paper, I put forward an account of poverty rooted in the philosophy of action. I argue that poverty essentially involves being in a context (...) in which a reasonable agent’s future-directed agency is systemically undermined. Centering this dimension of poverty allows us to attend to aspects of poverty that are easily overlooked on existing accounts. (shrink)

The paper explores the methodology and goals of H. Odera Oruka’s sage philosophy project. Oruka interviewed wise persons who were mostly illiterate and from the rural areas of Kenya to show that a long tradition of critical thinking and philosophizing exists in Africa, even if there is no written record. His descriptions of the role of the academic philosopher turned interviewer varied, emphasizing their refraining from imposition of their own views (the social science model), their adding their own ideas (like (...) Plato), or their midwifery in helping others give birth to their own ideas (like Socrates). The accuracy and consistency of the various metaphors used by Oruka is the main focus of the article’s analysis. The article sums up the shortcomings of Oruka’s method as well as its strengths and concludes with Oruka’s challenge to academic philosophers to rethink their own roles in society. (shrink)

I show that conceptual philosophical anarchism, the claim that law cannot give reasons for action, is entailed by several popular theories about law. Reductionists about practical authority believe that all supposedly legitimate practical authority reduces to forms of theoretical authority. They tend to embrace anarchism, but some readers might not be clear why. Trigger theorists about reason-giving believe that all reason-giving merely activates pre-existing conditional reasons. Natural lawyers hold that all legal reasons are sourced in the natural law, which entails (...) that positive law cannot provide reasons for action. If you are attracted to any of these theories and still think that positive law creates new practical reasons, you might have to give up one or the other position. If anarchism is entailed by believing the normativity in law’s directives pre-dates the directive, only a few may be able to avoid it, Hans Kelsen, Mark Greenberg, and Joseph Raz being the most likely. (shrink)

There are two aims of this paper: (1) to explore the affective dimensions of moral shock and how it relates to normative marginalization of those furthest from dominant society, but also, more specifically; (2) to articulate the trans experience of constantly being under moral attack because the dominant “world” normatively defines you out of existence. Toward these ends, I build on Katie Stockdale’s recent work on moral shock, arguing that moral shock needs to be contextualized to “worlds” of sense to (...) understand how marginalized people affectively experience shocking events. My focus is the trans experience of moral shock due to the way trans people are positioned outside of dominant society, creating the conditions to experience cyclical, chronic shock. These affective conditions point to a collective responsibility to ease the affective stress that the most marginalized experience. (shrink)

Objective: There are benefits and risks of giving patients more granular control of their personal health information in electronic health record (EHR) systems. When designing EHR systems and policies, informaticists and system developers must balance these benefits and risks. Ethical considerations should be an explicit part of this balancing. Our objective was to develop a structured ethics framework to accomplish this. -/- Methods: We reviewed existing literature on the ethical and policy issues, developed an ethics framework called a “Points to (...) Consider” (P2C) document, and convened a national expert panel to review and critique the P2C. -/- Results: We developed the P2C to aid informaticists designing an advanced query tool for an electronic health record (EHR) system in Indianapolis. The P2C consists of six questions (“Points”) that frame important ethical issues, apply accepted principles of bioethics and Fair Information Practices, comment on how questions might be answered, and address implications for patient care. -/- Discussion: The P2C is intended to clarify whatis at stake when designers try to accommodate potentially competing ethical commitments and logistical realities. The P2C was developed to guide informaticists who were designing a query tool in an existing EHR that would permit patient granular control. While consideration of ethical issues is coming to the forefront of medical informatics design and development practices, more reflection is needed to facilitate optimal collaboration between designers and ethicists. This report contributes to that discussion. (shrink)

This article argues that understanding any space or site relies on a knowledge of its fourth dimension - the timescape. It will explore this by situating the investigation in the museum - a place of heightened contrivance which could easily be shallowly interpreted as "mere style". It will defend a new method of investigating museum temporality which combines both phenomenology and literary theory, and will replace the idea of geo-epistemology with geochronic epistemology: an understanding of context and situation which takes (...) on time as well as spatial location. In so doing, it moves on from notions of the museum as a place out of time, situating it in the networks of meaning, power and politics in which we have lived and are living. Thus, "the whole space of the exhibition" as Lyotard said, "becomes the remains of all time": the Museum on the Edge of Forever. (shrink)

Introduction and translation of “The Four Phases of Philosophy” by Franz Brentano.

Plato’s view on pleasure in the Republic emerges in the course of developing the third proof of his central thesis that the just man is happier than the unjust. Plato presents it as the “greatest and most decisive” proof of his central thesis, so one might expect to find an abundance of scholarly work on it. Paradoxically, however, this argument has received little attention from scholars, and what has been written on it has generally been harshly critical. I believe that (...) this treatment of the argument has been unfair and that the relevant passages deserve a more careful and charitable interpretation. In this paper, I take up two serious charges that scholars have leveled against this proof, that it is inconsistent and that it involves a “fatal ambiguity”. I show that these charges result from misinterpreting Plato’s text, and I offer an alternative interpretation of the relevant passages. In doing so, I hope to shed some light on the complexities involved in Plato’s unappreciated third proof. (shrink)

Ethics should guide the design of electronic health records (EHR), and recognized principles of bioethics can play an important role. This approach was adopted recently by a team of informaticists designing and testing a system where patients exert granular control over who views their personal health information. While this method of building ethics in from the start of the design process has significant benefits, questions remain about how useful the application of bioethics principles can be in this process, especially when (...) principles conflict. For instance, while the ethical principle of respect for autonomy supports a robust system of granular control, the principles of beneficence and non-maleficence counsel restraint due to the danger of patients being harmed by restrictions on provider access to data. Conflict between principles has long been recognized by ethicists and has even motivated attacks on approaches that state and apply principles. In this paper we show how using ethical principles can help in the design of EHRs by first, explaining how ethical principles can and should be used generally, and then by, discuss how attention to details in specific cases can show that the tension between principles is not as bad as it initially appeared. We conclude by suggesting further ways in which the application of these (and other) principles can add value to the ongoing discussion of patient involvement in their health care. This is a new approach to linking principles to informatics design that we expect will stimulate further interest. (shrink)

Plato argues, at Theaetetus 170e-171c, that Protagoras’ relativism is self-refuting. This argument, known as the ‘exquisite argument’, and its merits have been the subject of much controversy over the past few decades. Burnyeat (1976b) has argued in defense of Plato’s argument, but his reconstruction of the argument has been criticized as question-begging. After offering an interpretation of Protagoras’ relativism, I argue that the exquisite argument is successful, for reasons that Burnyeat hints at but fails to develop sufficiently. I consider Protagorean (...) relativism under both of the two possible readings with respect to its scope: global relativism, according to which all truths are only relatively true, and qualified relativism, according to which the relativistic thesis itself is excepted. Taking into consideration some contemporary work on relativism and self-refutation, I show that Plato’s argument succeeds on both of these readings. Given that Protagoras could avoid self-contradiction simply by denying that an enduring subject exists, I argue that the exquisite argument is best understood as confronting Protagoras with a dilemma between self-contradiction and self-defeat of various sorts, all of which lead to the same result, that Protagoras violates the requirements of rational discourse in such a way that he becomes an absurd figure who has nothing to say to us. (shrink)

Peter van Inwagen's Direct Argument (DA) for incompatibilism purports to establish incompatibilism with respect to moral responsibility and determinism without appealing to assumptions that compatibilists usually consider controversial. Recently, Michael McKenna has presented a novel critique of DA. McKenna's critique raises important issues about philosophical dialectics. In this article, we address those issues and contend that his argument does not succeed.

This article investigates reasons to participate in non-deterministic elections, where the outcomes incorporate elements of chance beyond mere tie-breaking. The background context situates this inquiry within democratic theory, specifically non-deterministic voting systems, which promise to re-evaluate fairness and power distribution among voting blocs. This study aims to explore the normative implications of such electoral systems and their impact on our moral duty to vote. We analyze instrumental reasons for voting, including prudential and act-consequentialist arguments, alongside non-instrumental reasons, assessing their validity (...) in the context of non-deterministic systems. The results indicate that non-deterministic elections could strengthen the case for voting based on prudential and act-consequentialist grounds due to their proportional nature and the increased influence of each vote. We conclude that, while non-deterministic elections strengthen our duty to vote overall, they do not strengthen it for all the arguments in the literature. This paper contributes to the discourse on electoral systems by critically evaluating the moral obligation to vote in non-deterministic elections. (shrink)