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This paper is a contribution to a symposium on Michael Otsuka’s book, How to Pool Risk Across Generations. Following Otsuka, one may distinguish three distinct systems of cooperation within a standard pension arrangement: the retirement system, the longevity risk pool and the investment risk pool. It is important to observe, however, that only the retirement system constitutes a genuine system of intergenerational cooperation, the other two are essentially intragenerational, in that they pool risks among members of a cohort. Otsuka is faulted for being occasionally less than clear on these distinctions.
Libertarian paternalism initially focused on policy domains in which the state was prohibited from interfering coercively in decision making out of respect for individual autonomy. Because adjustment of the s-frame was not an option, achieving better outcomes through manipulation of the i-frame seemed attractive. This original motivation was unfortunately lost in the transition from libertarian paternalism to the nudge framework.
There are three distinct forces that conspire to produce a great deal of economic misery. We can refer to them, for convenience, as misfortune, unfairness, and improvidence. Political philosophers have often shown an interest in one or another of these, but seldom all three. Furthermore, those who do acknowledge all three have often felt driven to collapse them into one root cause of inequality. My goal in this essay will be to argue that the three are independent of one another, but more importantly, that they each require distinct remedies. This is important for egalitarians because it defeats any attempt to develop a “one-size-fits-all” policy aimed at creating a more equal society. This analysis helps us to understand several of the tensions that arise in our attempts to combat inequality that are often obscured by an overemphasis on the power of redistributive taxation as well as generalized inattention to the way that successful welfare states achieve meaningful progress in promoting greater equality.
In the USA, as many as 20 % of recruits sustain stress fractures during basic training. In addition, approximately one-third of female recruits develop Fe deficiency upon completion of training. Fe is a cofactor in bone collagen formation and vitamin D activation, thus we hypothesised Fe deficiency may be contributing to altered bone microarchitecture and mechanics during 12-weeks of increased mechanical loading. Three-week old female Sprague Dawley rats were assigned to one of four groups: Fe-adequate sedentary, Fe-deficient sedentary, Fe-adequate exercise and Fe-deficient exercise. Exercise consisted of high-intensity treadmill running (54 min 3×/week). After 12-weeks, serum bone turnover markers, femoral geometry and microarchitecture, mechanical properties and fracture toughness and tibiae mineral composition and morphometry were measured. Fe deficiency increased the bone resorption markers C-terminal telopeptide type I collagen and tartate-resistant acid phosphatase 5b (TRAcP 5b). In exercised rats, Fe deficiency further increased bone TRAcP 5b, while in Fe-adequate rats, exercise increased the bone formation marker procollagen type I N-terminal propeptide. In the femur, exercise increased cortical thickness and maximum load. In the tibia, Fe deficiency increased the rate of bone formation, mineral apposition and Zn content. These data show that the femur and tibia structure and mechanical properties are not negatively impacted by Fe deficiency despite a decrease in tibiae Fe content and increase in serum bone resorption markers during 12-weeks of high-intensity running in young growing female rats.
To review the ECGs of all patients referred to MAT services over the preceding 5 year period.
Background
Neurodegenerative conditions such as Alzheimer's Disease can be treated with Acetylcholinesterase Inhibitors (AChEI) to slow down cognitive decline. Side effects of AChEIs include bradycardia, syncope and cardiac conduction disorders. An electrocardiograms (ECG) is completed prior to memory assessment team (MAT) medical assessments to screen for those who may be at risk of the cardiac side effects of AChEIs. ECGs may be included in the initial referral to the service or completed by the MAT. Given the predominantly elderly population referred to the MATs service, other incidental abnormalities are to be expected. Not all MAT referrals that are screened by memory nurses reach the threshold to be reviewed by the medical team and therefore not all ECGs are routinely reviewed, potentially missing clinically significant abnormalities.
Result
A total of 1795 patients were identified as being referred to a single mental health unit in the North West on England over a five-year period. 781 (44%) of the patients had an ECG completed by the MAT, of which 452 (58%) showed an abnormality. Significant abnormalities that were previously unknown to the patients’ primary care provider include eight cases of Atrial Fibrillation (AF), four cases of Trifasciular Block, and 19 cases of Left Ventricular Hypertrophy (LVH). 64 (8%) of patients who had an ECG by the MAT had a bradycardia.
Conclusion
In addition to identifying abnormalities that could interfere with memory medication, this audit showed that over half of the ECGs completed by the MAT had an atypical trace. Cardiology was consulted to identify which abnormalities were considered clinically significant and if not already known, the general practitioner (GP) was informed. A change in the local service means that all ECGs completed by the MAT are now screened at point of filling into the notes, so any future abnormalities are identified and followed up immediately.
Anyone who has ever lived with roommates understands the Hobbesian state of nature implicitly. People sharing accommodations quickly discover that buying groceries, doing the dishes, sweeping the floor, and a thousand other household tasks, are all prisoner's dilemmas waiting to happen. For instance, if food is purchased communally, it gives everyone an incentive to overconsume (because the majority of the cost of anything anyone eats is borne by the others). Individuals also have an incentive to buy expensive items that the others are unlikely to want. As a result, everyone's food bill will be higher than it would be if everyone did their own shopping. Things are not much better when it comes to other aspects of household organization. Cleaning is a common sticking point. Once there are a certain number of people living in a house, cleanliness becomes a quasi-public good. If everyone ‘pitched in’ to clean up, then everyone would be happier. But there is a free-rider incentive—before cleaning, it's best to wait around a bit to see if someone else will do it. As a result, the dishes will stack up in the sink, the carpet will get grungy, and so on.
Recent developments in game theory have shown that the mathematical models of action so widely admired in the study of economics are in fact only particular instantiations of a more general theoretical framework. In the same way that Aristotelian logic was ‘translated’ into the more general and expressive language of predicate logic, the basic action theoretic underpinnings of modern economics have now been articulated within the more comprehensive language of game theory. But precisely because of its greater generality and expressive power, game theory has again revived the temptation to apply formal models of action to every domain of social life. This movement has been fuelled by some notable successes. Game theory has provided useful insights into the logic of collective action in the theory of public goods, and strategic models of voting have illustrated important aspects of institutional decision-making. But this extension of formal models into every area of social interaction has also encountered significant difficulties, despite the fact that contemporary decision theory has weakened its basic assumptions to the point where it teeters constantly on the brink of vacuity.
Kevin Sauvé has recently argued in this journal that David Gauthier's conception of ‘morals by agreement’ is inimical to the development of long-term productive investment and sustainable levels of resource exploitation. According to Sauvé, this is because society is confronted with an intergenerational interaction problem whose strategic equilibrium is suboptimal (a ‘Prisoner's Dilemma’). However, unlike the ‘contemporaneous Prisoner's Dilemma’ that Gauthier analyzes, the intergenerational version cannot be solved by an appeal to constrained maximization. As a result, Sauvé claims, Gauthier cannot effectively address the question of intergenerational justice.
The portion of Sauvé's argument that concerns me is the following:
Gauthier solves the contemporaneous Prisoner's Dilemma by ensuring that each person will cooperate only if all others cooperate, and indeed his conception of morality is aimed at ensuring that all individuals incur the costs as well as the benefits of social cooperation. But the contemporaneous solution cannot be applied to the Intergenerational Dilemma: if each generation will save for the next only if the previous generations have also saved, none will ever save. (170)
Since the failure of the Meech Lake constitutional reforms and the crisis of national unity prompted by the most recent Quebec referendum, the Canadian Multiculturalism Act has been subjected to particularly intense and hostile scrutiny. While some of the criticism of this policy reflects merely parochial adherence to particular cultural or religious traditions, some of it has raised more significant doubts about the internal coherence, efficacy, and overall desirability of the policy. Most importantly, the multiculturalism policy is faulted for attempting to pursue two simultaneously unachievable goals, viz., to integrate ethnic minority groups into the dominant institutions of the society, while at the same time to protect them against various pressures to assimilate to the dominant culture. Critics have pointed out that social institutions and cultural values are interdependent. Not only do cultural value systems provide the central legitimations for social institutions, but the internalization of these values through socialization processes provides agents with their primary motivation for conforming to institutional expectations. This means that integrating an agent into a system of institutions can only be achieved by assimilating the agent to its underlying cultural system.
“Critical theory” refers to a tradition of philosophical reflection that is characterized by close engagement with the social sciences, combined with a rejection of methodological value-neutrality in favour of a style of enquiry governed by what Jürgen Habermas once referred to as the “emancipatory interest” of human reason. In Habermas's early work on historical materialism and Marxian crisis theory this emancipatory interest was not difficult to discern. However, as his work in social and legal theory became more technical, and the systematic ambitions of his project more extensive, many of his readers began to wonder what had become of these critical impulses. Particularly with the publication of The Theory of Communicative Action, where Habermas shifts to a set of theoretical commitments that are more Weberian than Marxist, the question began to seem increasingly pressing.
The answer, however, is not that difficult to find. While Habermas abandons his earlier claim that the class structure of capitalist societies gives rise directly to crisis tendencies, which may or may not be successfully diffused, he replaces this with the view that the pathologies of late capitalism are caused by the “colonization of the lifeworld” by “the system”. Thus the distinction between system and lifeworld, which is drawn somewhat casually in earlier work such as Legitimation Crisis, acquires increased prominence in The Theory of Communicative Action. Indeed, the final three chapters of the latter work are essentially an extended reflection on the dynamics of system and lifeworld, along with the role that this distinction can play in reconceptualizing the basic terms of the Marxian and first-generation Frankfurt School critique of capitalism.
There is considerable overlap between the interests of business ethicists and those of political philosophers. Questions about the moral justifiability of the capitalist system, the basis of property rights, and the problem of inequality in the distribution of income have been of central importance in both fields. However, political philosophers have developed, especially over the past four decades, a set of tools and concepts for addressing these questions that are in many ways quite distinctive. Most business ethicists, on the other hand, consider their field to be primarily a domain of applied ethics, and so adopt methods and conceptual frameworks developed by moral philosophers. In this paper, we discuss some of the salient differences between these two approaches, and suggest some ways in which business ethicists could benefit from taking a more “political philosophy” approach to these questions. Throughout, we underline the importance of seeking greater compatibility among the principles used in normative theorizing about markets, regulations, corporate governance, and business practices.
If there is one aspect of David Gauthier's program for a contractualist morality that has been most sceptically received, it is his view that instrumentally rational agents would choose to adopt a disposition that would in turn constrain their future choices. Instead of remaining “straightforward maximizers” caught in a suboptimal state of nature, they would become “constrained maximizers” who could avoid prisoner's dilemmas (PDs) by engaging in conditional co-operation. Apart from the fact that Gauthier's entirely prescriptive orientation leads him to omit any specification of the mechanism through which this might be accomplished, serious doubts have been raised about the adequacy of the argument that he offers in support of adopting constrained maximization.
Like most books in philosophy, Communicative Action and Rational Choice contains a large number of arguments (six big ones, by my count, plus dozens of smaller ones). Each of these arguments I adhere to with a greater or lesser degree of conviction. Some of them I think are pretty decisive. In other cases, I was doing the philosophical equivalent of throwing things against the wall just to see what sticks. Of course, I did not present things that way in the book, choosing instead to dress up my scruffier arguments in the hope that they might appear to share the same pedigree as my more refined ones. It is thus a testament to the astuteness of my critics here that they have focused their criticism almost entirely on my more tentative arguments—especially my so-called “pragmatic theory of convergence,” which is less a theory than a set of suggestions about how a theory might be constructed. Thus my desire to defend these arguments against criticism, which predominates in what follows, should be understood also as tempered by the recognition that much of what I say may ultimately prove to be unsustainable.