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Recent Australian public law scholarship has demonstrated an increasing interest in the theme of constitutional values. In the current paper, I seek to clarify the terms of the debate by defending a distinction between (i) constitutional principles, understood as relatively flexible legal norms which rest on text, structure and history and (ii) extra-legal values. My argument is framed initially through a critical discussion of Rosalind Dixon’s proposal for a ‘functionalist’ approach to constitutional interpretation, which ascribes a central place to values in judicial reasoning. The functionalist position, I contend, lacks a sufficiently clear distinction between, on the one hand, constitutional principles as legal norms and, on the other, extra-legal values of political morality. As a consequence, the functionalist appeal to ‘constitutional values’ tends to shift between a relatively modest supplement to purposive approaches to judicial interpretation and a more ambitious proposal for judges to promote ‘normatively attractive’ values. These claims are elaborated and refined through a comparative analysis of German constitutional jurisprudence and a recent example of an appeal to values by the High Court.
The principle that the constitution derives its ultimate authority from the sovereignty of the people and the nationhood power were both developed by the High Court in the context of Australia's emergence as an independent nation. Although this shared provenance suggests the possibility of a more significant connection between the two doctrines, such a connection has not been developed in Australian constitutional jurisprudence. The heavily criticised judgment of French J in the Tampa decision appears to allude to such a connection, but the relevant reasoning is ambiguous and either left undeveloped or implicitly rejected in subsequent High Court cases. This paper critically examines the relationship between popular sovereignty and the nationhood power on two levels. In the first instance, the paper investigates whether it is even coherent to seek to provide a normative ground for the nationhood power in popular sovereignty. The paper then considers whether such a justification is consistent with Australian constitutional doctrine. Unsurprisingly, the weight of constitutional principle and doctrine supports the general subjection of the executive to prior legislative authorisation, rather than a robust non-statutory executive power grounded in popular sovereignty. While this conclusion is predictable in an Australian context, a detailed examination of the relationship between the weaker conception of popular sovereignty operative in the reasoning of High Court and the nationhood power nonetheless reveals some important underlying assumptions of current doctrinal orthodoxy.
This paper aims to clarify the concept of the symbolic constitution and to explain one of its most significant functions: the representation of political unity in complex societies. Section B briefly outlines the concept of the symbolic constitution which informs the arguments of the paper. The next two sections proceed “hermeneutically” through critical engagements with (i) Martin Loughlin’s recent analysis of the symbolic constitution within an ideology-critique of neo-liberal constitutionalism (ii) Niklas Luhmann’s account of the role of symbolic constitutionalism in concealing the function of the modern constitution as a structural coupling between the political and legal sub-systems. Section E then considers the relationship between the symbolic constitution and an alternative “traditional” concept for the representation of political unity: the common good. I argue that the symbolic constitution is both (i) a placeholder which speaks to the abiding relevance of the common good (ii) a symptom of the decline of its preconditions.
Federations present difficulties for prevailing theories of constituent power, which usually attribute ultimate constitution-making authority to a singular people. This article examines how a ‘pluralized’ constituent power functions in federal systems. It argues that the operation of plural constituent power in federations reflects a distinctive model of constitutional formation according to which a ‘polity of polities’ is established and sustained through the maintenance of a tension between plurality and unity.
Racial disparities in colorectal cancer (CRC) can be addressed through increased adherence to screening guidelines. In real-life encounters, patients may be more willing to follow screening recommendations delivered by a race concordant clinician. The growth of telehealth to deliver care provides an opportunity to explore whether these effects translate to a virtual setting. The primary purpose of this pilot study is to explore the relationships between virtual clinician (VC) characteristics and CRC screening intentions after engagement with a telehealth intervention leveraging technology to deliver tailored CRC prevention messaging.
Methods:
Using a posttest-only design with three factors (VC race-matching, VC gender, intervention type), participants (N = 2267) were randomised to one of eight intervention treatments. Participants self-reported perceptions and behavioral intentions.
Results:
The benefits of matching participants with a racially similar VC trended positive but did not reach statistical significance. Specifically, race-matching positively influenced screening intentions for Black participants but not for Whites (b = 0.29, p = 0.10). Importantly, perceptions of credibility, attractiveness, and message relevance significantly influenced screening intentions and the relationship with race-matching.
Conclusions:
To reduce racial CRC screening disparities, investments are needed to identify patient-focused interventions to address structural barriers to screening. This study suggests that telehealth interventions that match Black patients with a Black VC can enhance perceptions of credibility and message relevance, which may then improve screening intentions. Future research is needed to examine how to increase VC credibility and attractiveness, as well as message relevance without race-matching.
Controlled clinical trials (CCTs) have traditionally been limited to urban academic clinical centers. Implementation of CCTs in rural setting is challenged by lack of resources, the inexperience of patient care team members in CCT conductance and workflow interruption, and global inexperience with remote data monitoring.
Methods:
We report our experience during the coronavirus disease 2019 (COVID-19) pandemic in activating through remote monitoring a multicenter clinical trial (the Study of Efficacy and Safety of Canakinumab Treatment for cytokine release syndrome (CRS) in Participants with COVID-19-induced Pneumonia [CAN-COVID] trial, ClinicalTrials.gov Identifier: NCT04362813) at a rural satellite hospital, the VCU Health Community Memorial Hospital (VCU-CMH) in South Hill, VA, that is part of the larger VCU Health network, with the lead institution being VCU Health Medical College of Virginia Hospital (VCU-MCV), Richmond, VA. We used the local resources at the facility and remote guidance and oversight from the VCU-MCV resources using a closed-loop communication network. Investigational pharmacy, pathology, and nursing were essential to operate the work in coordination with the lead institution.
Results:
Fifty-one patients with COVID-19 were enrolled from May to August 2020, 35 (69%) at VCU-MCV, and 16 (31%) at VCU-CMH. Among the patients enrolled at VCU-CMH, 37.5% were female, 62.5% Black, and had a median age of 60 (interquartile range 56–68) years.
Conclusion:
Local decentralization of this trial in our experience gave rural patients access to a novel treatment and also accelerated enrollment and more diverse participants’ representative of the target population.
Aristotle's assertion in Politics 1.2 that there is a natural impulse to form political communities is immediately contraposed with the claim that the person responsible for their foundation is the cause (αἴτιος) of the greatest of goods (Pol. 1253a33). The attribution of an essential role to the legislator as an efficient cause appears to clash, however, with Aristotle's political naturalism. If the polis exists by nature and humans are by nature political animals (1253a1–2), then the question arises as to why active intervention by the legislator is necessary for a polis. Conversely, if the polis is an artefact of practical reason, then Aristotle's distinction between products of the intellect and natural entities seems to preclude the status of the polis as natural. In light of this apparent tension between different aspects of Aristotle's account of the origins of political communities, the current paper seeks to demonstrate their reconcilability. Section 1 considers the role of the Aristotelian legislator in light of broader Greek assumptions regarding law-making. Section 2 then considers the status of law-making expertise (νομοθετική) as part of political science (πολιτική) and examines the mode of practical reason that is exercised by the legislative founder. Finally, in section 3, and building on recent interpretations which have emphasized that Aristotle operates with an extended teleological conception of nature, I argue that acts of legislative founding and nature can consistently serve as joint causes of the polis, because the ‘products’ of the practical rationality of the architectonic legislator are themselves an expression of distinctly human nature.
The syntactic priority thesis (henceforth SP) asserts that the truth of appropriate sentential contexts containing what are, by syntactic criteria, singular terms, is sufficient to justify the attribution of objectual reference to such terms (Wright, 1983, 24). One consequence that the neo-Fregean draws from SP is that it is through an analysis of the syntactic structure of true statements that ‘ontological questions are to be understood and settled’ (Wright, 1983, 25). Despite the significant literature on SP, little consideration has been given to this bold metaontological claim.1 My concern here is accordingly not with specific applications of SP to debates in the philosophy of mathematics, but rather with the neo-Fregean's claim that SP can constitute a decisionprocedure in relation to substantive ontological disputes. I argue that the explanatory power of SP is limited to an account of what ‘there are’ sentences are true and does not extend as far as substantive ontology.
This paper seeks to clarify the long-standing controversy over Aristotle's relationship to the natural law tradition. The paper argues that a precondition for any adequate assessment of Aristotle's natural law credentials is a close analysis of the Nicomachean Ethics V.7 discussion of the just by nature. Such an investigation, the primary concern of section 1, reveals that Aristotle's characterization of the politically just as partly natural and partly conventional does entail that nature serves as a normative ground for just law. With this conclusion in place, section 2 then turns more directly to Aristotle's relation to the natural law tradition. Despite important differences between Aristotle's account of the normative foundations of law and those found in the paradigmatic natural law teachings of the Stoics and Aquinas, I argue, there are nonetheless features of later natural law thought on the purpose and evaluation of law which are genuinely Aristotelian in orientation.
The question of Aristotle’s natural law credentials has often divided interpreters. In the current chapter, I argue that much of this disagreement stems from insufficient attentiveness to both the details of Aristotle’s account of the just by nature in Nicomachean Ethics V.7 and the ambiguity of the term ‘natural law.’ The chapter thus proceeds from the assumption that a precondition for any adequate assessment of Aristotle’s status as a natural law theorist is a close analysis of the V.7 discussion of natural justice. Such an investigation, the main concern of section 1, reveals that Aristotle’s characterization of the politically just as partly natural and partly conventional does indeed entail that nature serves as a normative ground for law. With this conclusion in place, section 2 then turns more directly to Aristotle’s relation to the natural law tradition. Despite important differences between Aristotle’s account of the normative foundations of law and those found in the paradigmatic natural law teachings of the Stoics and Aquinas, I argue, there are nonetheless features of later natural law thought on the purpose and evaluation of law which are genuinely Aristotelian in orientation.
In this opening chapter I closely examine Aristotle’s discussions of the topic of nomos in Nicomachean Ethics X.9 and Politics III.15-16. These passages contain famous statements which associate law with rationality, the promotion of virtue, universality and impartiality. A selective reading of these statements can suggest that law is strictly identifiable with reason. As a corrective to such a one-sided intellectualist reading, I seek to place the rationalism of Aristotelian nomos in its broader political context. This requires engagement with Aristotle’s acknowledgment of the law’s necessary use of constraint over resistant passions in its attempt to guide citizens towards virtue. While Aristotle undoubtedly regards good law as both an achievement of the architectonic legislator’s practical reason and as rational in its content, its effective political application does not presuppose that the majority of citizens grasp the reasons for its directives. Aristotle’s conception of nomos thus resists easy assimilation to the intellectualist view that a political community’s laws are a set of reasons for action directed to autonomous rational agents. Section 1 sets the scene by considering the major passages which have led many interpreters to propose readings of Aristotelian nomos with an intellectualist slant. In section 2, I examine the terms of Aristotle’s informal definition of law in X.9 of the Nicomachean Ethics. Section 3 then situates this definition in the broader frame of X.9 in order to demonstrate the role of nomos as a constraint on desire and the implications of this for the ideal of the rule of law. Finally, section 4 discusses educational laws as a privileged example of the interplay of reason and compulsion in the political applications of nomos.
The ultimate telos for an architectonic legislator intending to establish a good constitution and laws, the previous chapters have argued, is eudaimonia. As an activity of the soul in accord with the best virtue (NE I.7, 1098a17), eudaimonia nonetheless presupposes a political community with just laws that are directed to the common advantage. Aristotle accordingly characterises the common advantage (to koine[i] sumpheron) as the aim of law and associates it with the promotion of eudaimonia in the polis (NE V.1, 1129b15-19). The common advantage may thus be regarded as the proximate final cause of legislative activity. Aristotle’s account of the common advantage nonetheless seems to equivocate between its status as an instrumental good serving the ends of individuals and as an intrinsically desirable state of affairs. In the current chapter, I seek to resolve this tension by conceptualising the common advantage as both a motivational reason leading individuals to enter the polis and a normative reason – identifiable with the political good of justice – which should guide the enactment of law. Section 1 considers some interpretative preliminaries to a correct understanding of the common advantage. Section 2 then examines the motivational role of the common advantage as a reason for political participation and its relation to instrumental and aggregative accounts of the common good. In section 3, I turn to the common advantage’s status as a normative reason identifiable with political justice. Section 4 then argues for the reconcilability of motivational and normative aspects of the common advantage by reference to the medieval interpretation of the polis as a unity of order.
If humans are political animals by nature, then the ordering of their communal life requires the guidance of a prudent law-giver and practically reasonable laws. The purpose of the political community is both to allow individuals to satisfy basic wants and to realise the potentiality of human flourishing. Neither the political community in its fully developed sense nor its laws, are, however, at least without further assistance, naturally arising. They rather emerge through the direction of a law-maker who employs insight and practical rationality to legislate for the community’s good. This ordering of a political community, on the basis of a legislator’s practical wisdom, and prevailing authoritative opinions about justice, is nothing other than its law.
Aristotle does not propound a systematic legal theory in the modern sense. While the Nicomachean Ethics and the Politics contain several memorable statements on nomos, at no point in the practical works does Aristotle purport to provide a scientific account of law as an autonomous system or an analysis of the necessary truths about law that explain it.1 The absence of a systematic legal theory in Aristotle cannot, moreover, simply be attributed to the dictum that an educated person should only seek as much precision as a subject matter allows (NE I.3, 1094b24–5). That such a conclusion would be facile may be seen by a comparison with Aristotle’s treatments of justice and the constitution. These two concepts frame Book V of the Nicomachean Ethics and Book III of the Politics (if not the Politics as a whole) respectively and their explanatory value is confirmed when they are deployed to elucidate other important political phenomena such as stability and change. By contrast, Aristotle’s tendency is to deal with nomos in the context of an examination of more fundamental political concepts. Law accordingly seems to have a derivative explanatory status.