Fritz Allhoff, J.D., Ph.D.

This special issue on ethics and error in medicine reinvigorates a conversation that has been substantially dormant for twenty years. The papers in this issue elaborate and update that conversation in significant ways, particularly with regard to vulnerable populations and the epistemology of medical error. But this first paper is largely conceptual, laying out the motivation for caring about medical error in the first place, exploring what medical error is, and proposing a moral framework to help us think about it. This paper therefore sets up those that follow—while, at the same time, remaining largely neutral about the substantive views advanced by those authors. The papers are therefore complementary and form a...

With by far the lowest population density in the United States, myriad challenges attach to healthcare delivery in Alaska. In the “Size, Population, and Accessibility” section, we characterize this geographic context, including how it is exacerbated by lack of infrastructure. In the “Distributing Healthcare” section, we turn to healthcare economics and staffing, showing how these bear on delivery—and are exacerbated by geography. In the “Health Care in Rural Alaska” section, we turn to rural care, exploring in more depth what healthcare delivery looks like outside of Alaska’s major cities. This discussion continues in the “Alaska’s Native Villages” section, which specifically analyzes healthcare in Alaska’s indigenous villages, some of the smallest and most isolated communities in the United States. Though many of the ways we could improve Alaskan health care for Alaskan residents are limited by its unique features, the “Justice and Healthcare Delivery” and “Technology and Telemedicine” sections consider ways in which certain policies and technology—including telemedicine—could mitigate the challenges developed in previous sections.

This book is a collection of original, interdisciplinary essays on the topic of medical error. Given the complexities of understanding, preventing, and responding to medical error in ethically responsible ways, the scope of the book is fairly broad. The contributors include top scholars and practitioners working in bioethics, communication, law, medicine and philosophy. Their contributions examine preventable causes of medical error, disproportionate impacts of errors on vulnerable populations, disclosure and apology after discovering medical errors, and ethical issues arising in specific medical contexts, such as radiation oncology, psychopathy, and palliative care. They also offer practical recommendations for respecting autonomy, distributing burdens and benefits justly, and minimizing injury to patients and other stakeholders. Ethics and Error in Medicine will be of interest to a wide range of researchers, students, and practitioners in bioethics, philosophy, communication studies, law, and medicine who are interested in the ethics of medical error.

The past presidential election reinvigorated interest in the applicability of conflict of interest legislation to the executive branch. In § 2, we survey various approaches to conflicts of interest, paying particular attention to 18 U.S.C. § 208. Under 18 U.S.C. § 202, this conflict of interest statute is straightforwardly inapplicable to the President. We then explore the normative foundations of such an exemption in § 3. While these sections are ultimately lenient, we go on to consider the Emoluments Clause of the United States Constitution in § 4. In §§ 5–6, we apply the Emoluments Clause to the presidency, arguing that it complements conflict-of-interest regimes with regards to foreign affairs, but with more substantial restrictions.

The past presidential election reinvigorated interest in the applicability of conflict of interest legislation to the executive branch. In § 2, we survey various approaches to conflicts of interest, paying particular attention to 18 U.S.C. § 208. Under 18 U.S.C. § 202, this conflict of interest statute is straightforwardly inapplicable to the President. We then explore the normative foundations of such an exemption in § 3. While these sections are ultimately lenient, we go on to consider the Emoluments Clause of the United States Constitution in § 4. In §§ 5–6, we apply the Emoluments Clause to the presidency, arguing that it complements conflict-of-interest regimes with regards to foreign affairs, but with more substantial restrictions.

This paper explores a framework for thinking about risks inherent in emerging technologies; given uncertainty about the magnitude—or even nature—of those risks, deliberation about those technologies is challenged. §1 develops a conceptual framework for risk, and §2 integrates that conception into cost-benefit analysis. Given uncertainty, we are often pushed toward precautionary approaches, and such approaches are explored in §3. These first three sections are largely literature review, and then a positive argument for how to think about the relationship between risk, precaution, and uncertainty is offered in §4.

From the Back Cover "After decades of cut-and-paste offerings on the subject, this book is a must-read for anyone interested in whisky—whether single malt, bourbon, or anything else—and all that makes it truly unique." —Jim McEwan, Production Director, Bruichladdich Distillery "Does being a philosopher require an appreciation of good whiskey or does having an appreciation of good whiskey make one philosophical? Whichever is the case, Whiskey & Philosophy makes for a thought-provoking and thirst-inducing read. Cheers!" —Chris Morris, Master Distiller, Woodford Reserve Distillery "Whiskey & Philosophy contains a panacea of spiritual pleasure waiting to be enjoyed and shared. Many books have been written about whiskey, but few take you as deep into its inner world. It is an enlightening journey, and one that crosses boundaries and opens new doors. This is indeed a book that unlocks a treasure chest of pure liquid gold to the whiskey enthusiast." —Richard Paterson, Master Blender, Whyte and Mackay Ltd. Whiskey & Philosophy explores the heart and soul of this heady potation in a lively collection of essays from philosophers, other academics, and whiskey writers. From the first reference to Scotch in 1494 in the records of King James IV of Scotland to Hillary Clinton tossing back that famous shot of Crown Royal during the 2008 campaign, this spirited book captures the history of whiskey, its various forms, and associated philosophical issues.

Nanotechnology will eventually impact every area of our world. Nanoethics seeks to examine the potential risks and rewards of applications of nanotechnology. This up-to-date anthology gives the reader an introduction to and basic foundation in nanotechnology and nanoethics, and then delves into near-, mid-, and far-term issues. Comprehensive and authoritative, it:Goes beyond the usual environmental, health, and safety (EHS) concerns to explore such topics as privacy, nanomedicine, human enhancement, global regulation, military, humanitarianism, education, artificial intelligence, space exploration, life extension, and moreFeatures contributions from forty preeminent experts from academia and industry worldwide, reflecting diverse perspectives Includes seminal works that influence nanoethics today Encourages an informed, proactive approach to nanoethics and advocates addressing new and emerging controversies before they impede progress or impact our welfare This resource is designed to promote further investigations and a broad and balanced dialogue in nanoethics, dealing with critical issues that will affect the industry as well as society. While this will be a definitive reference for students, scientists in academia and industry, policymakers, and regulators, it's also a valuable resource for anyone who wants to understand the challenges, principles, and potential of nanotechnology.

In "Rethinking Research Ethics," Rosamond Rhodes argues that everyone has a responsibility to participate in research ethics programs (Rhodes 2005). After discussing the moral underpinnings upon which such a claim might rest, this article brings up two concerns in response to Rhodes' claim. The first worry is pragmatic: Rhodes argues that the focus in research ethics should be on the hypothetical consent of idealized moral agents, an approach that is constrained by practical considerations. The second objection is that, in most research studies, participants are paid, which undermines the accusation of free-riding for non-participants.

Ticking time-bomb cases famously—or infamously—invite us to imagine a scenario wherein the torture of one guilty terrorist will lead to the acquisition of information that can be used to save the lives of many innocents. Despite the contemporary focus on such cases, they have a long tradition, dating to the early 1800s. And, throughout their history, they have appeared in various guises, from the literary to the public to the philosophical. The principal moral question suggested by these cases is whether one harm can be effected such that a worse one is not; while there is certainly dissent, most moral philosophers would answer this question in the affirmative. That said, there is substantial doubt as to whether torture would be the lesser harm or, more generally, whether ticking time-bomb cases gain any purchase in the real world or are otherwise relegated to philosophical fiction. But even if they gain such purchase, then what? In other words, even if torture can be morally justified in exceptional cases, should we authorize it? I n the literature—and conceptually—there are three basic approaches to authorizing torture. The first is not to authorize it at all, which is to say that torture—even if justified—requires some sort of punishable civil disobedience . Another approach is to authorize torture ex ante, such as through torture warrants. On this approach, torture remains prohibited except for when a judge grants permission for its application. Torture warrants have been defended by Alan Dershowitz, and we will evaluate that debate . Finally, torture can be legitimized ex post, which is to say that torture remains illegal but can nevertheless be justified or excused; our discussion will focus on the justifications of self-defense and necessity

Covering interesting and varied philosophical terrain, _Cycling - Philosophy for Everyone_ explores in a fun but critical way the rich philosophical, cultural, and existential experiences that arise when two wheels are propelled by human energy. Incorporates or reflects the views of high-profile and notable past-professional cyclists and insiders such as Lennard Zinn, Scott Tinley, and Lance Armstrong Features contributions from the areas of cultural studies, kinesiology, literature, and political science as well as from philosophers Includes enlightening essays on the varieties of the cycling experience, ranging from the ethical issues of success, women and cycling, environmental issues of commuting and the transformative potential of cycling for personal growth Shows how bicycling and philosophy create the perfect tandem Includes a foreword by Lennard Zinn, author and owner of Zinn Cycles Inc

A collection of essays discussing a wide range of sciences and the central philosophical issues associated with them, presenting the sciences collectively to encourage a greater understanding of their associative theoretical foundations, as well as their relationships to each other. Offers a new and unique approach to studying and comparing the philosophies of a variety of scientific disciplines *Explores a wide variety of individual sciences, including mathematics, physics, chemistry, biology, psychology, sociology and economics *The essays are written by leading scholars in a highly accessible style for the student audience *Complements more traditional studies of philosophy of science

The war on terror is commonly characterized as a fundamentally different kind of war from more traditional armed conflict. Furthermore, it has been argued that, in this new kind of war, different rules, both moral and legal, must apply. In the first part of this paper, three practices endemic to the war on terror -- torture, assassination, and enemy combatancy status -- are identified as exceptions to traditional norms. The second part of the paper uses these examples to motivate a generalized account of exceptionalism; a taxonomy of different exceptionalisms is derived, including temporal, spatial, and group-based exceptionalisms. The third part of the paper considers the ethical status of exceptionalism, paying particular attention to the group-based exceptionalisms that are argued to be prevalent in the war on terror. It is concluded that there is nothing inherently wrong with group-based exceptionalism and, furthermore, that the proper locus of ethical evaluation lies not with the norms that are being excepted, but rather with the groups that are being excepted from them.

This paper offers a brief examination of ethical health issues arising from military operations and outlines which, if any, of these ethical health issues apply to current Australian Defence Force (ADF) military operations. The transparency of military operations provided through real time global media reporting and the Internet, has raised public awareness of incidents that can be viewed broadly as ethical issues or dilemmas. While many of these issues are not new, it is the changing context of post cold war military operations and scale and demand of humanitarian operations that places new requirements on how the ADF best addresses these potential issues before they become critical incidents. In identifying potential ethical issues arising from military health operations, it is recognized that military health personnel operate within a command and control organizational structure and associated culture. It is also recognized that the complexity of the issues and the environment within which military health personnel are expected to operate will raise ethical health issues not likely to be encountered to the same degree by those health practitioners operating in the average suburban practice or hospital, except when health personnel are confronted with large scale emergencies, such as those encountered with recent terrorist attacks and massacres.

This paper examines the virtue of modesty and provides an account of what it means to be modest. A good account should not only delimit the proper application of the concept, but should also capture why it is that we think that modesty is a virtue. Recent work has yielded several interesting, but flawed, accounts of modesty. Julia Driver has argued that it consists in underestimating one’s self-worth, while Owen Flanagan has argued that modesty must entail an accurate—as opposed to underestimated or inflated—conception of one’s self worth. Neither of these accounts provides a satisfactory characterization of modesty as a virtue. Driver leaves us wondering why modesty, understood, at least in part, as misunderstanding one’s merits, should earn the status of virtue, whereas Flanagan’s characterization does not adequately and uniquely pick out the concept of modesty. These criticisms have been presented by G. F. Schueler who goes on to defend the doctrine that modesty is, roughly, the lack of one’s desire for other people to be impressed by one’s accomplishments. My goal is to provide an account of modesty that improves upon those currently before us. My own positive account will draw off of Schueler’s account as well as work done by Jean-Paul Sartre and Gabriele Taylor on the moral emotion of shame.

This article responds to David Steinberg's proposal in favor of an organ donation system that gives allocation preference to people who agree to donate after they die. This article challenges the notion that organ taking is morally impermissible and questions Steinberg’s program on the grounds that it would unfairly discriminate against these people by deprioritizing their claims to the kidney supply. Relatedly, the article suggests that Steinberg’s proposal effectively coerces people to opt in, thus calling into question the legitimacy of the consent on which their decisions were predicated.

The general consensus among philosophers is that the use of torture is never justified. In Terrorism, Ticking Time-Bombs, and Torture, Fritz Allhoff demonstrates the weakness of the case against torture; while allowing that torture constitutes a moral wrong, he nevertheless argues that, in exceptional cases, it represents the lesser of two evils. Allhoff does not take this position lightly. He begins by examining the way terrorism challenges traditional norms, discussing the morality of various practices of torture, and critically exploring the infamous ticking time-bomb scenario. After carefully considering these issues from a purely philosophical perspective, he turns to the empirical ramifications of his arguments, addressing criticisms of torture and analyzing the impact its adoption could have on democracy, institutional structures, and foreign policy. The crucial questions of how to justly authorize torture and how to set limits on its use make up the final section of this timely, provocative, and carefully argued book.

Business in Ethical Focus, Second Edition is a comprehensive compilation of classical and contemporary essays on business ethics. Readers will become acquainted with seminal ideas on corporate social responsibility and the place of business in a just society. Other topics include diversity in the workplace, sexual harassment, workplace rights, environmental responsibility and sustainability, global business, intellectual property, bribery, and ethical issues in advertising and marketing. The Second Edition builds on the First Edition’s strengths and adds new articles to reflect developments in the field from the last eight years. New sections include Global Perspectives (with articles on Islamic, Confucian, and Buddhist business ethics) and Entrepreneurship, the Non-Profit Sector. The editors have also commissioned twelve new in-depth case studies with study questions that can be used to generate fruitful class discussion.

This volume seeks to divide challenges to the just war tradition into thematic categories, to better outline the changing landscape of the Just War tradition. The motivating idea and common thread that will carry through the collection is to engage in a process of reflective equilibrium where the various authors will not only present some element in the Just War tradition to see how it applies to modern warfare, but how the facts about modern warfare can and ought to bear upon/change different elements in the philosophy and ethics that underpin Just War theories. We see the book as a link between theoretical discussions of modern warfare and the practical and real-world developments of warfare in the 21st century.