Yujin Nagasawa

The performance records of cardiac surgeons have been disclosed publicly in several states in the USA, for example New York and Pennsylvania, since the early 1990s. In response to the growing interest in the quality of healthcare, such records have also begun to be disclosed in the UK, starting in 2004. Various studies seem to show that disclosure has, indeed, contributed to the improvement of the quality of healthcare.1 However, at the same time, disclosure does have its critics.2 In this paper, I discuss what I call the ‘defensive medicine objection’ to the disclosure of performance data; that disclosure is not justified because it could cause surgeons to experience high levels of anxiety3, which might eventually lead to the practice of defensive medicine. Although this objection is often mentioned by ethicists and medical professionals4 it has never been carefully analysed or evaluated. The aim of this paper is to consider it in detail. I argue in favour of the objection; disclosure could, indeed, lead to the practice of defensive medicine if it is not conducted properly.5 This paper has the following structure. In Section 2 I discuss the anxiety that surgeons may experience regarding the disclosure of performance data. In Section 3 I introduce a traditional definition of defensive medicine. In Section 4 I argue that disclosure could encourage surgeons to perform a new form of defensive medicine, one that is not captured by the traditional definition. In Section 5 I undermine the claim that surgeons have no good reason to be anxious about disclosure. In Section 6 I consider a possible way of avoiding..

John Hick is a mind-body dualist. He claims that reality consists of two ontologically distinct types of entities, the mental and the physical, which causally interact with each other. Yet he subscribes to monism in response to the diversity of religion. He maintains that every world religion provides a unique response to the same single transcategorial ultimate reality. He also contends that he has realised through his religious experience that, as monism says, everything is part of a single indivisible whole. In this paper I propose and analyse three possible ways of solving this apparent tension between the dualistic and monistic elements in Hick’s metaphysical system. I argue that the first two solutions fail but their failures lead us to the third, successful solution, which entails a unique form of pantheistic or panentheistic monism.

Frank Jackson endorses epiphenomenalism because he thinks that his knowledge argument undermines physicalism. One of the most interesting criticisms of Jackson's position is what I call the 'inconsistency objection'. The inconsistency objection says that Jackson's position is untenable because epiphenomenalism undermines the knowledge argument. The inconsistency objection has been defended by various philosophers independently, including Michael Watkins, Fredrik Stjernberg, and Neil Campbell. Surprisingly enough, while Jackson himself admits explicitly that the inconsistency objection is 'the most powerful reply to the knowledge argument' he knows of, it has never been discussed critically. The aim of this paper is to evaluate the objection and to identify and consider its implications. The objection is alleged to be based on a causal theory of knowledte. I argue that the objection fails by showing that any causal theory of knowledge is such that it is either false or does not support the inconsistency objection. In order to defend my argument, I offer a hypothesis concerning phenomenal knowledge

Anselmian theists, for whom God is the being than which no greater can be thought, usually infer that he is an omniscient, omnipotent and omnibenevolent being. Critics have attacked these claims by numerous distinct arguments, such as the paradox of the stone, the argument from God's inability to sin, and the argument from evil. Anselmian theists have responded to these arguments by constructing an independent response to each. This way of defending Anselmian theism is uneconomical. I seek to establish a new defence which undercuts almost all the existing arguments against Anselmian theism at once. In developing this defence, I consider the possibility that the Anselmian God is not an omniscient, omnipotent and omnibenevolent being.

Peter Millican (2004) provides a novel and elaborate objection to Anselm's ontological argument. Millican thinks that his objection is more powerful than any other because it does not dispute contentious 'deep philosophical theories' that underlie the argument. Instead, it tries to reveal the 'fatal flaw' of the argument by considering its 'shallow logical details'. Millican's objection is based on his interpretation of the argument, according to which Anselm relies on what I call the 'principle of the superiority of existence' (PSE). I argue that (i) the textual evidence Millican cites does not provide a convincing case that Anselm relies on PSE and that, moreover, (ii) Anselm does not even need PSE for the ontological argument. I introduce a plausible interpretation of the ontological argument that is not vulnerable to Millican's objection and conclude that even if the ontological argument fails, it does not fail in the way Millican thinks it does