Pierre Le Morvan

A hitherto unexamined problem for the ‘‘Kantian ideal’’ that one should always treat patients as ends in themselves, and never only as a means to other ends, is explored in this paper. The problem consists of a prima facie conflict between this Kantian ideal and the reality of medical practice. This conflict arises because, at least presently, medical practitioners can only acquire certain skills and abilities by practising on live, human patients, and given the inevitability and ubiquity of learning curves, this learning requires some patients to be treated only as a means to this end. A number of ways of attempting to establish the compatibility of the Kantian Ideal with the reality of medical practice are considered. Each attempt is found to be unsuccessful. Accordingly, until a way is found to reconcile them, we conclude that the Kantian ideal is inconsistent with the reality of medical practice

Deploying distinctions between ignorance of a proposition and ignorance that it is true, and between knowledge of a proposition and knowledge that it is true, I distinguish between propositional privacy and factive privacy. While the latter is limited to personal facts, the former encompasses personal falsehoods as well. I argue that propositional privacy is both broader and deeper than factive privacy, and accordingly that conceiving of the nature of privacy in terms of propositional privacy has important advantages over conceiving of it solely in terms of factive privacy. I draw similar lessons with regard to secrecy.

This paper explores and articulates an alternative to the two main approaches that have come to predominate in contemporary philosophical discussionsof skepticism. These we may call the ‘Foil Approach’ and the ‘Bypass Approach’ respectively. On the Foil Approach, skepticism is treated as a problem to be solved, or challenge to be met, or threat to be parried; skepticism’s value, insofar as it is deemed to have one, accrues from its role as a foil contrastively illuminating what is required for knowledge and justified belief. On the Bypass Approach, skepticism is bypassed as a central concern of epistemology. In this paper, I articulate an alternative to both these approaches, one that explores when skepticism is healthy and when it is not. I call it the ‘Health Approach’ to skepticism.