The dominant language of politics in the United States has been political individualism, with minimal restrictions on property and personal, voluntary conduct. But there are second languages of community that stress cooperation and group action. These second languages include the constitutional tradition for public health. Public health offers a community justification for paternalistic measures that, for example, discourage smoking or require seatbelts.

With increasing momentum for health care reform, attention is shifting to finance reform that will provide for direct methods for controlling health care spending. This article outlines the two principal paths to direct cost control and outlines a national plan that retains our multiple sources of payment, yet also contains a powerful direct cost control technique: a single fund to finance all health care.

Book reviewed in this article: Seeking Fair Treatment: From the AIDS Epidemic to National Health Care Reform. By Norman Daniels.

Let us recall that Raphael Robinson's Arithmetic Q is an axiom system that differs from Peano Arithmetic essentially by containing no Induction axioms [13], [18]. We will generalize the semantic-tableaux version of the Second Incompleteness Theorem almost to the level of System Q. We will prove that there exists a single rather long Π 1 sentence, valid in the standard model of the Natural Numbers and denoted as V, such that if α is any finite consistent extension of Q + (...) V then α will be unable to prove its Semantic Tableaux consistency. The same result will also apply to axiom systems α with infinite cardinality when these infinite-sized axiom systems satisfy a minor additional constraint, called the Conventional Encoding Property. Our formalism will also imply that the semantic-tableaux version of the Second Incompleteness Theorem generalizes for the axiom system IΣ 0 , as well as for all its natural extensions. (This answers an open question raised twenty years ago by Paris and Wilkie [15].). (shrink)

This paper will introduce the notion of a naming convention and use this paradigm to both develop a new version of the Second Incompleteness Theorem and to describe when an axiom system can partially evade the Second Incompleteness Theorem.

Le présent article expose dans un premier temps deux ouvrages d'exégèse consacrés au thème de la Loi: celui édité par C. Focant, La loi dans l'un et l'autre testament et celui de P. Beauchamp, D'une montagne à l'autre. La loi de Dieu. Sur base de cette présentation, il engage une réflexion sur les relations existantes et celles à établir entre l'Écriture et la morale et se poursuit par la problématique des rapports entre autonomie et théonomie. Il se termine en (...) invitant exégètes et moralistes à un travail en commun plus intense qui permettrait notamment de développer la dimension herméneutique de la théologie morale et de déterminer, en ce sens, en quoi la Bible se présente comme un monde. (shrink)

In 1981, Paris and Wilkie raised the open question about whether and to what extent the axiom system did satisfy the Second Incompleteness Theorem under Semantic Tableaux deduction. Our prior work showed that the semantic tableaux version of the Second Incompleteness Theorem did generalize for the most common definition of appearing in the standard textbooks.However, there was an alternate interesting definition of this axiom system in the Wilkie–Paris article in the Annals of Pure and Applied Logic 35 , pp. 261–302 (...) which we did not examine in our year-2002 article in the Journal of Symbolic Logic. Our first goal is to show that the incompleteness results of our prior paper can generalize in this alternate context. We will also develop a formal analysis, using a new technique called Passive Induction, that is simpler than the formalism we had used before.A further reason our results are of interest is that we have shown in a companion paper published in Electronic Notes in Theoretical Computer Science 165 , pp. 213–226 that some very unorthodox axiomizations for are anti-thresholds for the Herbrandized version of the Second Incompleteness Theorem. Thus, different axiomizations for have nearly fully opposite incompleteness properties.This paper is self-contained. It will not require a knowledge of our earlier results. (shrink)

Perceptual judgments result from a dynamic process, but little is known about the dynamics of number‐line estimation. A recent study proposed a computational model that combined a model of trial‐to‐trial changes with a model for the internal scaling of discrete numbers. Here, we tested a surprising prediction of the model—a situation in which children's estimates of numerosity would be better than those of adults. Consistent with the model simulations, task contexts led to a clear developmental reversal: children made more adult‐like, (...) linear estimates when to‐be‐estimated numbers were descending over trials (i.e., backward condition), whereas adults became more like children with logarithmic estimates when numbers were ascending (i.e., forward condition). In addition, adults’ estimates were subject to inter‐trial differences regardless of stimulus order. In contrast, children were not able to use the trial‐to‐trial dynamics unless stimuli varied systematically, indicating the limited cognitive capacity for dynamic updates. Together, the model adequately predicts both developmental and trial‐to‐trial changes in number‐line tasks. (shrink)

This article will study a class of deduction systems that allow for a limited use of the modus ponens method of deduction. We will show that it is possible to devise axiom systems α that can recognize their consistency under a deduction system D provided that: (1) α treats multiplication as a 3-way relation (rather than as a total function), and that (2) D does not allow for the use of a modus ponens methodology above essentially the levels of Π1 (...) and Σ1 formulae. Part of what will make this boundary-case exception to the Second Incompleteness Theorem interesting is that we will also characterize generalizations of the Second Incompleteness Theorem that take force when we only slightly weaken the assumptions of our boundary-case exceptions in any of several further directions. (shrink)

Gödel’s Second Incompleteness Theorem states axiom systems of sufficient strength are unable to verify their own consistency. We will show that axiomatizations for a computer’s floating point arithmetic can recognize their cut-free consistency in a stronger respect than is feasible under integer arithmetics. This paper will include both new generalizations of the Second Incompleteness Theorem and techniques for evading it.

On the unorthodox ways in which people relate to each other.

For forty years, successive editions of Ethical Theory and Business have helped to define the field of business ethics. The 10th edition reflects the current, multidisciplinary nature of the field by explicitly embracing a variety of perspectives on business ethics, including philosophy, management, and legal studies. Chapters integrate theoretical readings, case studies, and summaries of key legal cases to guide students to a rich understanding of business ethics, corporate responsibility, and sustainability. The 10th edition has been entirely updated, ensuring that (...) students are exposed to key ethical questions in the current business environment. New chapters cover the ethics of IT, ethical markets, and ethical management and leadership. Coverage includes climate change, sustainability, international business ethics, sexual harassment, diversity, and LGBTQ discrimination. New case studies draw students directly into recent business ethics controversies, such as sexual harassment at Fox News, consumer fraud at Wells Fargo, and business practices at Uber. (shrink)

Calls are increasing for American health care to be organized as a learning health care system, defined by the Institute of Medicine as a health care system “in which knowledge generation is so embedded into the core of the practice of medicine that it is a natural outgrowth and product of the healthcare delivery process and leads to continual improvement in care.” We applaud this conception, and in this paper, we put forward a new ethics framework for it. No such (...) framework has previously been articulated. The goals of our framework are twofold: to support the transformation to a learning health care system and to help ensure that learning activities carried out within such a system are conducted in an ethically acceptable fashion. (shrink)

Domestic livestock animals and soils must be considered together as part of an agroecosystem which includes plants. Soil sustainability may be simply defined as the maintenance of soil productivity for future generations. There are both positive and negative aspects concerning the role of animals in soil sustainability. In a positive sense, agroecosystems which include ruminant animals often also include hay forage-or pasture-based crops in the humid regions. Such crops stabilize the soil by decreasing erosion, improving soil structure and usually require (...) fewer chemical inputs. Monogastric animal culture is based on an agroecosystem consisting of mainly grain crops. These crops can result in the soil being exposed to water and wind erosion although soil conservation practices that significantly reduce soil losses may be followed. The management of animal manures is not always compatible with soil conservation practices. Careful management of the nutrients in manure is absolutely necessary to avoid nitrate contamination of ground water or phosphorus loading of streams and lakes. In a negative sense, increases in animal livestock populations in association with human population growth are promoting desertification in the arid and semi-arid regions of the world. The key component for a fully compatible and acceptable association between domestic animals and soil productivity is proper management. Careful management of the components of an animal-based agroecosystem is required if soil productivity and environmental quality are to be maintained. Although we have much to learn, technologies are available to move a considerable way towards this ideal state. (shrink)

Domestic livestock animals and soils must be considered together as part of an agroecosystem which includes plants. Soil sustainability may be simply defined as the maintenance of soil productivity for future generations. There are both positive and negative aspects concerning the role of animals in soil sustainability. In a positive sense, agroecosystems which include ruminant animals often also include hay forage-or pasture-based crops in the humid regions. Such crops stabilize the soil by decreasing erosion, improving soil structure and usually require (...) fewer chemical inputs. Monogastric animal culture is based on an agroecosystem consisting of mainly grain crops. These crops can result in the soil being exposed to water and wind erosion although soil conservation practices that significantly reduce soil losses may be followed. The management of animal manures is not always compatible with soil conservation practices. Careful management of the nutrients in manure is absolutely necessary to avoid nitrate contamination of ground water or phosphorus loading of streams and lakes. In a negative sense, increases in animal livestock populations in association with human population growth are promoting desertification in the arid and semi-arid regions of the world. The key component for a fully compatible and acceptable association between domestic animals and soil productivity is proper management. Careful management of the components of an animal-based agroecosystem is required if soil productivity and environmental quality are to be maintained. Although we have much to learn, technologies are available to move a considerable way towards this ideal state. (shrink)

Response to Emily A. Largent, Franklin G. Miller and Steven Joffe, A Prescription for Ethical Learning, Hastings Center Report, 43, s1, (S28-S29), (2013).

In a range of contexts, individuals arrive at collective decisions by sharing confidence in their judgements. This tendency to evaluate the reliability of information by the confidence with which it is expressed has been termed the ‘confidence heuristic’. We tested two ways of implementing the confidence heuristic in the context of a collective perceptual decision-making task: either directly, by opting for the judgement made with higher confidence, or indirectly, by opting for the faster judgement, exploiting an inverse correlation between confidence (...) and reaction time. We found that the success of these heuristics depends on how similar individuals are in terms of the reliability of their judgements and, more importantly, that for dissimilar individuals such heuristics are dramatically inferior to interaction. Interaction allows individuals to alleviate, but not fully resolve, differences in the reliability of their judgements. We discuss the implications of these findings for models of confidence and collective decision-making. (shrink)

This book is the most comprehensive treatment available of one of the most urgent - and yet in some respects most neglected - problems in bioethics: decision-making for incompetents. Part I develops a general theory for making treatment and care decisions for patients who are not competent to decide for themselves. It provides an in-depth analysis of competence, articulates and defends a coherent set of principles to specify suitable surrogate decisionmakers and to guide their choices, examines the value of advance (...) directives, and investigates the role that considerations of cost ought to play in decisions concerning incompetents. Part II applies this theoretical framework to the distinctive problems of three important classes of individuals, many of whom are incompetent: minors, the elderly and psychiatric patients. The authors' approach combines a probing analysis of fundamental issues in ethical theory with a sensitive awareness of the concrete realities of health care institutions and the highly personal and individual character of difficult practical problems. Its broad scope will appeal to health professionals, moral philosophers and lawyers alike. (shrink)

Belongingness is a central biopsychosocial system. Challenges to belongingness (i.e. exclusion/ostracism) engender robust negative effects on affect and cognitions. Whether overinclusion – getting more than one’s fair share of social attention – favourably impacts affect and cognitions remains an open question. This pre-registered meta-analysis includes twenty-two studies (N = 2757) examining overinclusion in the context of the Cyberball task. We found that the estimated overall effect size of overinclusion on positive affect was small but robust, and the effect on fundamental (...) needs cognitions (belongingness, self-esteem, meaningful existence and control) was moderate in size and positive in direction. Notably, the effect sizes of overinclusion were smaller than the corresponding effects of exclusion. Finally, the effects of overinclusion on positive affect were greater for high, as compared to low, socially anxious individuals. Exploring the sequelae of the full range of inclusion experiences – from exclusion to overinclusion – may enrich our understanding of the functioning of the belongingness system as well as its interaction with another central biosocial system – the social status system. (shrink)

Calls are increasing for American health care to be organized as a learning health care system, defined by the Institute of Medicine as a health care system “in which knowledge generation is so embedded into the core of the practice of medicine that it is a natural outgrowth and product of the healthcare delivery process and leads to continual improvement in care.” We applaud this conception, and in this paper, we put forward a new ethics framework for it. No such (...) framework has previously been articulated. The goals of our framework are twofold: to support the transformation to a learning health care system and to help ensure that learning activities carried out within such a system are conducted in an ethically acceptable fashion. (shrink)

What kind of futures does agro-food imaginaries enable and who can get involved in the making of agro-food futures? In this respect, what can the increasingly influential idea of circular economy potentially offer in terms of enabling more sustainable agrofood futures? We approach this task by first outlining the interconnected challenges that the agro-food system is facing related to environmental degradation, economic crises and social problems. Then we consider the way these challenges are being addressed in agro-food studies. We argue (...) that agro-food research in recent years has seen important contributions in relation to studies of alternative food networks and the “quality” turn. These research agendas have challenged the current logic of the food system in terms of offering alternative visions of future development. We highlight two examples from the literature—the eco-economy and the integrated territorial agri-food paradigm—that develop broader frameworks for rethinking the future of the agro-food system and which have distinguished themselves in contrast to the industrialized and globalized conventional food system. We find that with respect to reorienting and reconfiguring economic structures and relations all three approaches share a common goal, but circular economy stands out in relation to the actors that are included by, for example, emphasizing collaborations and partnerships with extant agro-food businesses. Also with regards to scalar politics, it would be prudent to consider the potentials offered by the increasingly influential ideas around circular economy. (shrink)

Overestimation of one’s ability to argue their position on socio-political issues may partially underlie the current climate of political extremism in the U.S. Yet very little is known about what factors influence overestimation in argumentation of socio-political issues. Across three experiments, emotional investment substantially increased participants’ overestimation. Potential confounding factors like topic complexity and familiarity were ruled out as alternative explanations. Belief-based cues were established as a mechanism underlying the relationship between emotional investment and overestimation in a measurement-of-mediation and manipulation-of-mediator (...) design. Representing a new bias blind spot, participants believed emotional investment helps them argue better than it helps others ; where in reality emotional investment harmed or had no effect on argument quality. These studies highlight misguided beliefs about emotional investment as a factor underlying metacognitive miscalibration in the context of socio-political issues. (shrink)

The cost of health care in the United States has important generational considerations whether analyzed at a point in time, or over many years. The budgets of governments contain important information about the funding of public services, including health care, and the intra- and inter-generational implications of both the inherent tradeoffs, and the particular means of funding the services. End-of-life expenditures, while a significant component of the cost of health care, are not the primary consideration in the ethical or moral (...) questions raised. (shrink)