Danny Krämer

Many high-risk medical devices earn US marketing approval based on limited premarket clinical evaluation that leaves important questions unanswered. Rigorous postmarket surveillance includes registries that actively collect and maintain information defined by individual patient exposures to particular devices. Several prominent registries for cardiovascular devices require enrolment as a condition of reimbursement for the implant procedure, without informed consent. In this article, we focus on whether these registries, separate from their legal requirements, have an ethical obligation to obtain informed consent from enrolees, what is lost in not doing so, and the ways in which seeking and obtaining consent might strengthen postmarket surveillance in the USA.

California has focused on health equity in the state’s COVID-19 reopening plan. The Blueprint for a Safer Economy assigns each of California’s 58 counties into 1 of 4 tiers based on 2 metrics: test positivity rate and adjusted case rate. To advance to the next less-restrictive tier, counties must meet that tier’s test positivity and adjusted case rate thresholds. In addition, counties must have a plan for targeted investments within disadvantaged communities, and counties with more than 106 000 residents must meet an equity metric. California's explicit incorporation of health equity into its reopening plan underscores the interrelated fate of its residents during the COVID-19 pandemic and creates incentives for action. This article evaluates the benefits and challenges of this novel health equity focus, and outlines recommendations for other US states to address disparities in their reopening plans.

Die analytische Philosophie ist nicht dafür bekannt, dass ihre Vertreter*innen sich in ihrer Rolle als Philosoph*innen an radikaler Politik beteiligen . Progressive Politik links des Liberalismus bezieht ihr philosophisches Verständnis hauptsächlich aus der marxistischen und post-strukturalistischen Tradition. Nach einem kurzen Überblick über die Geschichte der analytischen Philosophie, zeige ich, warum sie bisher keine Grundlage für radikale Politik liefern konnte. Alternativ schlage ich eine Form des liberalen Naturalismus als Basis für einen kritischen, interdisziplinären Materialismus vor. Analytic philosophers are not known for taking part in radical politics. Radical left-wing politics takes its philosophical inspiration mainly from Marxist and post-structuralist traditions. After giving a short overview of Analytic philosophy’s history, I will show why this approach could not deliver a foundation for radical politics. Alternatively, I outline a form of liberal naturalism, which could serve as a basis for a critical, interdisciplinary materialism.