Cheryl Misak

This paper reframes the futility debate, moving away from the question “Who decides when to end what is considered to be a medically inappropriate or futile treatment?” and toward the question “How can society make policy that will best account for the multitude of values and conflicts involved in such decision-making?” It offers a pragmatist moral epistemology that provides us with a clear justification of why it is important to take best standards, norms, and physician judgment seriously and a clear justification of why ample opportunity must be made for patients, families, and society to challenge those standards and norms

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Democratic Hope: Pragmatism and the Politics of TruthCheryl MisakRobert B. Westbrook Democratic Hope: Pragmatism and the Politics of Truth Ithaca and London: Cornell University Press, 2005. xvi + 246 pp.Robert Westbrook, who in my view is our best intellectual historian of pragmatism, has written what is sure to be a major contribution to the study of pragmatist political theory, a branch of political theory which has recently seen a salutary surge of interest. Democratic Hope: Pragmatism and the Politics of Truth is beautifully written, with a steady eye on the non-philosopher, yet it is sophisticated and nuanced so as to engage the most careful philosophers in the field and to genuinely advance current debates.It is interesting to see just what benefits come from having such an excellent intellectual historian take the long and wide view on pragmatism. For instance, Westbrook doesn't merely look at the classical pragmatist he thinks has the most important things to say about politics. Dewey is usually is taken to be the pragmatist of choice in political theory, although I myself have been rather single-minded about Peirce's implied account of politics. Westbrook gives us excellent accounts of Dewey and Peirce, but he also looks at James, at Mead, at how pragmatism and Marxism have had an off-again, on-again relationship, etc. That is, he gives us a panoramic view of how the pragmatists—classical and contemporary—line up in political theory. This is not only extremely useful to any student of pragmatism, but it is fascinating as well.Westbrook's abilities as an intellectual historian also have him making bang-on points about the debate within pragmatism for the heart and soul of pragmatism. Pragmatism, he says, has always been less a coherent philosophical school than a contentious family of thinkers holding distinct but related positions on the "workmanlike" nature of knowledge, meaning, and truth (p.1).The central debate within pragmatism is between those who take pragmatism to be akin to post-modern views, where there is no truth and objectivity to be had anywhere, and those who take pragmatism to promise a less absolutist account of truth—an account of truth on which we can make sense of aiming at the truth. On the one side of the debate we have Rorty and his [End Page 279] predecessors saying that there is no truth at which we might aim—only solidarity or agreement within a community. In some moods he goes as far as claiming that truth and objectivity are nothing more than what our peers will let us get away with saying. On the other side of the divide, we have those who think of pragmatism as rejecting an ahistorical, transcendental, or metaphysical theory of truth, but nonetheless being committed to doing justice to the objective dimension of human inquiry—to the fact that those engaged in deliberation and investigation take themselves to be aiming at getting things right, avoiding mistakes, and improving their beliefs and theories. On this more objective kind of pragmatism, the fact that our inquiries are historically situated does not entail that they lack objectivity. And the fact that standards of objectivity themselves come into being and evolve does not strip them of their worth. In James' well-known words, the trail of the human serpent is over everything, but (as James himself may or may not have seen) this does not toss us into a sea of arbitrariness, where there is no truth or where truth varies from person to person and culture to culture. Westbrook puts the issue nicely: "Post-modernist skeptics and their few neopragmatist admirers turn to the old pragmatists because they (correctly) see them as potential partners in a struggle against 'strong', that is, absolutist and 'totalizing', conceptions of truth. But what they neglect is the old pragmatists' conviction (shared by many neopragmatists) that once they had overcome absolutism, they could then resume traveling down the road of inquiry in a more fuel-efficient vehicle than Reason toward a more modest destination than Truth" (p. 7).Westbrook aligns himself with the kind of pragmatism that aims to take account of our human cognitive aspirations...