Tom Sorell

One of the commonest complaints in Britain against the current National Health Service is that business and commercial values are being allowed, and even encouraged, to dominate the more humane values involved in caring for people in their weakness. What is the situation and where are the problems, and what can Britain learn from Germany and Holland? We are grateful to the distinguished author on business ethics and member of our Editorial Board, Professor Tom Sorell, for undertaking the production of this FOCUS section of the October Review on such a sensitive and topical issue

Descartes was disappointed with most of the Objections collected to accompany the Meditations in 1641, but he took a particularly dim view of the Third Set. ‘I am surprised that I have found not one valid argument in these objections,’ he wrote, close to the end of a series of curt and dismissive replies. The author of the objections was Thomas Hobbes. There was one other unfriendly exchange between Descartes and Hobbes in 1641. Descartes received through Mersenne some letters criticizing theses in the Dioptrics, one of the Essays published with the Discourse on Method in 1637. Mersenne did not name Hobbes as the writer of the letters, attributing them to an unspecified Englishman, and it seems that Descartes never connected the critic of his optics with the author of the objections to his metaphysics. Nevertheless, Descartes responded with some hostility to the letters, angrily rebutting some points about refraction and charging that others had been appropriated from his own writings. Insinuating that the English correspondent was dishonest, Descartes decided to have no more to do with him. A meeting between the two men did take place in 1648 at a dinner given by the Marquis of Newcastle, but even on this occasion they did not see eye to eye, getting into an argument about the nature of hardness.

Contemporary experimental philosophers sometimes use versions of an argument from the history of philosophy to defend the claim that what they do is philosophy. Although experimental philosophers conduct surveys and carry out what appear to be experiments in psychology, making them methodologically different from most analytic philosophers working today, techniques like theirs were not out of the ordinary in the philosophy of the past, early modern philosophy in particular. Or so some of them argue. This paper disputes the argument, citing important differences between early modern philosopher-scientists – Descartes, Hobbes and Boyle – and their supposed modern counterparts. Although there is some continuity between early modern philosopher-scientists and the contemporary experimentalists, it is mostly a continuity of interest in empirically informed philosophy, not a distinctively experimental philosophy.

The idea that the ‘I’ of Meditation One stands for a solipsistic self is familiar enough; but is it correct? The reading proposed here does not saddle Descartes with so questionable a doctrine, and yet it does not shield him from Wittgensteinian criticism either. Descartes is still vulnerable, but on a different flank. I first consider critically the claim that Descartes is committed to solipsism. Then I take issue with the attribution to him of the idea that privacy is the mark of the mental. Finally, I consider his tendency to “first‐personalize” knowledge and to trace to “the prejudices of childhood” certain prephilosophical errors. Here is where Wittgensteinian criticism comes genuinely into its own.

Philosophy written in English is overwhelmingly analytic philosophy, and the techniques and predilections of analytic philosophy are not only unhistorical but anti-historical, and hostile to textual commentary. Analytic usually aspires to a very high degree of clarity and precision of formulation and argument, and it often seeks to be informed by, and consistent with, current natural science. In an earlier era, analytic philosophy aimed at agreement with ordinary linguistic intuitions or common sense beliefs, or both. All of these aspects of the subject sit uneasily with the use of historical texts for philosophical illumination. In this book, ten distinguished philosophers explore the tensions between, and the possibilities of reconciling, analytic philosophy and history of philosophy. Contributors: M. R. Ayers, John Cottingham, Daniel Garber, Gary Hatfield, Anthony Kenny, Steven Nadler, G. A. J. Rogers, Tom Sorell, Catherine Wilson, Yves Charles Zarka

One of the commonest complaints in Britain against the current National Health Service is that business and commercial values are being allowed, and even encouraged, to dominate the more humane values involved in caring for people in their weakness. What is the situation and where are the problems, and what can Britain learn from Germany and Holland? We are grateful to the distinguished author on business ethics and member of our Editorial Board, Professor Tom Sorell, for undertaking the production of this FOCUS section of the October Review on such a sensitive and topical issue.

Rene Descartes had a remarkably short working life, yet his contribution to philosophy and physics have endured to this day. He is perhaps best known for his statement, "Cogito, ergo sum," the cornerstone of his metaphysics. Descartes did not intend the metaphysics to stand apart from his scientific work, which included important investigations into physics, mathematics, and optics. In this book, Sorell shows that Descarates was, above all, an advocate and practitioner of the new mathematical approach to physics, and that he developed his philosophies to support his discoveries in the sciences.

This volume is an exploration of the ethical issues raised by health insurance, which is particularly timely in the light of recent advances in medical research and political economy. Focusing on a wide range of areas, such as AIDS, genetic engineering, screening and underwriting, new disability legislation and the ethics of private and public health insurance, this comprehensive and sometimes controversial book provides an essential survey of the key issues in health insurance. Divided into two parts, the first considers the ethics of underwriting, risk assessment and the acceptance and refusal of insurance risk by insurers. Discussing the unjust treatment of high-risk applicants, the authors identify sources of unfairness to both parties of the insurance contract, indicating how reasonable trade-offs can be made. The second part considers the argument for a mix of public and private insurance for acute and long-term care, offering recommendations for changes in the balance of social insurance, and discussing the shift toward long-term contracts in private health care and pension insurance

The aim of this volume is to "serve as a reference work for students and nonspecialists" and to provide "the most convenient, accessible guide to Hobbes available." As with any such anthology, the quality of the individual contributions and the degree to which they contribute to these goals vary somewhat from paper to paper. But on the whole, the work succeeds admirably and constitutes a valuable resource for those interested in learning more about the great English philosopher. Space does not permit even a cursory discussion of all fourteen articles contained in the volume, so I will instead offer a few comments about the work as a whole and a few select comments on some of the particular papers within it.

Telecare is often regarded as a win/win solution to the growing problem of meeting the care needs of an ageing population. In this paper we call attention to some of the ways in which telecare is not a win/win solution but rather aggravates many of the long-standing ethical tensions that surround the care of the elderly. It may reduce the call on carers' time and energy by automating some aspects of care, particularly daily monitoring. This can release carers for other caring activities. On the other hand, remote and impersonal monitoring seems to fall short of providing care. Monitoring may be used to help elderly users retain independence. But it may also increase the amount of information which flows from users to carers, which can result in a form of function-creep that actually undermines independence

Values such as respect for autonomy, safety, enablement, independence, privacy and social connectedness should be reflected in the design of social robots. The same values should affect the process by which robots are introduced into the homes of older people to support independent living. These values may, however, be in tension. We explored what potential users thought about these values, and how the tensions between them could be resolved. With the help of partners in the ACCOMPANY project, 21 focus groups were convened in France, the Netherlands and the UK. These groups consisted of: older people, informal carers and formal carers of older people. The participants were asked to discuss scenarios in which there is a conflict between older people and others over how a robot should be used, these conflicts reflecting tensions between values. Participants favoured compromise, persuasion and negotiation as a means of reaching agreement. Roles and related role-norms for the robot were thought relevant to resolving tensions, as were hypothetical agreements between users and robot-providers before the robot is introduced into the home. Participants’ understanding of each of the values—autonomy, safety, enablement, independence, privacy and social connectedness—is reported. Participants tended to agree that autonomy often has priority over the other values, with the exception in certain cases of safety. The second part of the paper discusses how the values could be incorporated into the design of social robots and operationalised in line with the views expressed by the participants.

Seventeenth-century philosophy scholars come together in this volume to address the Insiders--Descartes, Spinoza, Leibniz, Locke, and Hobbes--and Outsiders--Pierre Gassendi, Kenelm Digby, Theophilus Gale, Ralph Cudworth and Nicholas Malebranche--of the philosocial canon, and the ways in which reputations are created and confirmed. In their own day, these ten figures were all considered to be thinkers of substantial repute, and it took some time for the Insiders to come to be regarded as major and original philosophers. Today these Insiders all feature in the syllabi of most history of philosophy courses taught in western universities, and the papers in this collection, contrasting the stories of their receptions with those of the Outsiders, give an insight into the history of philosophy which is generally overlooked.

Patients have not been entirely ignored in medical ethics. There has been a shift from the general presumption that ‘doctor knows best’ to a heightened respect for patient autonomy. Medical ethics remains one–sided, however. It tends (incorrectly) to interpret patient autonomy as mere participation in decisions, rather than a willingness to take the consequences. In this respect, medical ethics remains largely paternalistic, requiring doctors to protect patients from the consequences of their decisions. This is reflected in a one–sided account of duties in medical ethics. Duties fall mainly on doctors and only exceptionally on patients. Medical ethics may exempt patients from obligations because they are the weaker or more vulnerable party in the doctor–patient relationship. We argue that vulnerability does not exclude obligation. We also look at others ways in which patient responsibilities flow from general ethics: for instance, from responsibilities to others and to the self, from duties of citizens, and from the responsibilities of those who solicit advice. Finally, we argue that certain duties of patients counterbalance an otherwise unfair captivity of doctors as helpers.

This volume is an exploration of the ethical issues raised by health insurance, which is particularly timely in the light of recent advances in medical research and political economy. Focusing on a wide range of areas, such as AIDS, genetic engineering, screening and underwriting, new disability legislation and the ethics of private and public health insurance, this comprehensive and sometimes controversial book provides an essential survey of the key issues in health insurance. Divided into two parts, the first considers the ethics of underwriting, risk assessment and the acceptance and refusal of insurance risk by insurers. Discussing the unjust treatment of high-risk applicants, the authors identify sources of unfairness to both parties of the insurance contract, indicating how reasonable trade-offs can be made. The second part considers the argument for a mix of public and private insurance for acute and long-term care, offering recommendations for changes in the balance of social insurance, and discussing the shift toward long-term contracts in private health care and pension insurance

No single text could be considered more important in the history of philosophy than Descartes' Meditations. This unique collection of background material to this magisterial philosophical text has been translated from the original French and Latin. The texts gathered here illustrate the kinds of principles, assumptions, and philosophical methods that were commonplace when Descartes was growing up. The selections are from: Francisco Sanches, Christopher Clavius, Pierre de la Ramee, Francisco Suárez, Pierre Charron, Eustachius a Sancto Paulo, Scipion Dupleix, Marin Mersenne, Pierre Gassendi, Jean de Silhon, François de la Mothe le Vayer, Charles Sorel, and Jean-Baptiste Morin.