Toby Handfield

Mass vaccination has been a successful public health strategy for many contagious diseases. The immunity of the vaccinated also protects others who cannot be safely or effectively vaccinated—including infants and the immunosuppressed. When vaccination rates fall, diseases like measles can rapidly resurge in a population. Those who cannot be vaccinated for medical reasons are at the highest risk of severe disease and death. They thus may bear the burden of others' freedom to opt out of vaccination. It is often asked whether it is legitimate for states to adopt and enforce mandatory universal vaccination. Yet this neglects a related question: are those who opt out, where it is permitted, morally responsible when others are harmed or die as a result of their decision? In this article, we argue that individuals who opt out of vaccination are morally responsible for resultant harms to others. Using measles as our main example, we demonstrate the ways in which opting out of vaccination can result in a significant risk of harm and death to others, especially infants and the immunosuppressed. We argue that imposing these risks without good justification is blameworthy and examine ways of reaching a coherent understanding of individual moral responsibility for harms in the context of the collective action required for disease transmission. Finally, we consider several objections to this view, provide counterarguments and suggest morally permissible alternatives to mandatory universal vaccination including controlled infection, self-imposed social isolation and financial penalties for refusal to vaccinate.

Orthodox decision theory gives no advice to agents who hold two goods to be incommensurate in value because such agents will have incomplete preferences. According to standard treatments, rationality requires complete preferences, so such agents are irrational. Experience shows, however, that incomplete preferences are ubiquitous in ordinary life. In this paper, we aim to do two things: (1) show that there is a good case for revising decision theory so as to allow it to apply non-vacuously to agents with incomplete preferences, and (2) to identify one substantive criterion that any such non-standard decision theory must obey. Our criterion, Competitiveness, is a weaker version of a dominance principle. Despite its modesty, Competitiveness is incompatible with prospectism, a recently developed decision theory for agents with incomplete preferences. We spend the final part of the paper showing why Competitiveness should be retained, and prospectism rejected.

The essentially comparative conception of value entails that the value of a state of affairs does not depend solely upon features intrinsic to the state of affairs, but also upon extrinsic features, such as the set of feasible alternatives. It has been argued that this conception of value gives us reason to abandon the transitivity of the better than relation. This paper shows that the support for intransitivity derived from this conception of value is very limited. On its most plausible interpretations, it merely provides a necessary, but not sufficient, condition for intransitivity. It is further argued that the essentially comparative conception of value appears to support a disjunctive conclusion: there is incommensurability of value or betterness is not transitive. Of these two alternatives, incommensurability is preferable, because it is far less threatening to our other axiological commitments.

It is a commonplace that scientific inquiry makes extensive use of probabilities, many of which seem to be objective chances, describing features of reality that are independent of our minds. Such chances appear to have a number of paradoxical or puzzling features: they appear to be mind-independent facts, but they are intimately connected with rational psychology; they display a temporal asymmetry, but they are supposed to be grounded in physical laws that are time-symmetric; and chances are used to explain and predict frequencies of events, although they cannot be reduced to those frequencies. This book offers an accessible and non-technical introduction to these and other puzzles. Toby Handfield engages with traditional metaphysics and philosophy of science, drawing upon recent work in the foundations of quantum mechanics and thermodynamics to provide a novel account of objective probability that is empirically informed without requiring specialist scientific knowledge.

The most familiar philosophical conception of objective chance renders determinism incompatible with non-trivial chances. This conception – associated in particular with the work of David Lewis – is not a good fit with our use of the word ‘chance’ and its cognates in ordinary discourse. In this paper we show how a generalized framework for chance can reconcile determinism with non-trivial chances, and provide for a more charitable interpretation of ordinary chance-talk. According to our proposal, variation in an admissible ‘evidence base’ generates a spectrum of different chance functions. Successive coarse-grainings of the evidence base generates a partial ordering of chance functions, with finer trumping coarser if known. We suggest that chance-attributions in ordinary discourse express different chance functions in different contexts, and we sketch a potential contextual mechanism for making particular chance functions salient. The mechanism involves the idea that admissible evidence is available evidence: propositions that could be known. A consequence is that attributions of objective chances inherit the relatively familiar context-sensitivity associated with the modal ‘could’. We show how this context-dependency undermines certain arguments for the incompatibility of chance with determinism.

This chapter argues that, because humanitarian intervention typically involves the military of one state attempting to overthrow another state ’s government, it gives rise to different moral questions from simple cases of interpersonal defensive violence. State sovereignty not only protects institutions within a society that contribute to the satisfaction of individuals’ interests and that cannot be easily restored once overthrown; it also plays a role in the constitution of those interests, which cannot be assumed to be invariant across different forms of social life. As a result, humanitarian intervention will frequently give rise to incommensurability between the pre-intervention and post-intervention states of affairs. The reasons against violating sovereignty, together with reasons for conservativism in action that arise in circumstances of incommensurable value, mean that the threshold for the moral permissibility of humanitarian intervention is high. The chapter concludes by outlining how humanitarian intervention might be internationalized, making it easier to justify

This paper develops two ideas with respect to dispositional properties: (1) Adapting a suggestion of Sungho Choi, it appears the conceptual distinction between dispositional and categorical properties can be drawn in terms of susceptibility to finks and antidotes. Dispositional, but not categorical properties, are not susceptible to intrinsic finks, nor are they remediable by intrinsic antidotes. (2) If correct, this suggests the possibility that some dispositions—those which lack any causal basis—may be insusceptible to any fink or antidote. Since finks and antidotes are a major obstacle to a conditional analysis of dispositions, these dispositions that are unfinkable may be successfully analysed by the conditional analysis of dispositions. This result is of importance for those who think that the fundamental properties might be dispositions which lack any distinct causal basis, because it suggests that these properties, if they exist, can be analysed by simple conditionals and that they will not be subject to ceteris paribus laws.

Humean metaphysics is characterized by a rejection of necessary connections between distinct existences. Dispositionalists claim that there are basic causal powers. The existence of such properties is widely held to be incompatible with the Humean rejection of necessary connections. In this paper I present a novel theory of causal powers that vindicates the dispositionalist claim that causal powers are basic, without embracing brute necessary connections. The key assumptions of the theory are that there are natural types of causal processes, and that manifestations of powers are identified with certain kinds of causal processes. From these assumptions, the modal features of powers are explained in terms of internal relations between powers themselves and the process-types in which powers are manifested

Necessitarian accounts of the laws of nature meet an apparent difficulty: for them, counterlegal conditionals, despite appearing to be substantive, seem to come out as vacuous. I argue that the necessitarian may use the presuppositions of counterlegal discourse to explain this. If the typical presupposition that necessitarianism is false is made explicit in counterlegal utterances, we obtain sentences such as 'If it turns out that the laws of nature are contingent, then if the laws had been otherwise, then such and such would have been the case', which are non-vacuous and very often true. This goes a long way towards resolving the difficulty for necessitarianism

The human faculty of moral judgment is not well suited to address problems, like climate change, that are global in scope and remote in time. Advocates of ‘moral bioenhancement’ have proposed that we should investigate the use of medical technologies to make human beings more trusting and altruistic, and hence more willing to cooperate in efforts to mitigate the impacts of climate change. We survey recent accounts of the proximate and ultimate causes of human cooperation in order to assess the prospects for bioenhancement. We identify a number of issues that are likely to be significant obstacles to effective bioenhancement, as well as areas for future research.