scholarly journals Transformative Choices and the Specter of Regret

Author(s):  
DANA HOWARD

Abstract When people are making certain medical decisions—especially potentially transformative ones—the specter of regret may color their choices. In this essay, I ask whether predicting that we will regret a decision in the future serve any justificatory role in our present decision making. And if so, what role? While there are many pitfalls to such reasoning, I ultimately conclude that considering future retrospective emotions like regret in our decision making can be both rational and authentic. Rather than indicating that one is about to make a mistake or that there is some underlying value that one already cares about but is overlooking, the prediction that one will regret a decision in the future makes one confront how her present values and priorities may change as a result of her choice in ways she cannot at present anticipate.

2000 ◽  
Vol 19 (2) ◽  
pp. 21-27
Author(s):  
James B. Rieley ◽  
Andrew Crossley
Keyword(s):  

Author(s):  
Isabel Cepeda ◽  
Pedro Fraile Balbín

ABSTRACT This paper explores Alexis de Tocqueville's thought on fiscal political economy as a forerunner of the modern school of preference falsification and rational irrationality in economic decision making. A good part of the literature has misrepresented Tocqueville as an unconditional optimist regarding the future of fiscal moderation under democracy. Yet, although he initially shared the cautious optimism of most classical economists with respect to taxes under extended suffrage, Tocqueville's view turned more pessimistic in the second volume of his Democracy in America. Universal enfranchisement and democratic governments would lead to higher taxes, more intense income redistribution and government control. Under democracy, the continuous search for unconditional equality would eventually jeopardise liberty and economic growth.


2021 ◽  
pp. bmjspcare-2020-002619
Author(s):  
Marcus Sellars ◽  
Julien Tran ◽  
Linda Nolte ◽  
Ben White ◽  
Craig Sinclair ◽  
...  

ObjectiveTo describe the Australian adult public’s knowledge and experiences regarding substitute decision-making for medical decisions and their preferences for obtaining information about the substitute decision-maker (SDM) role.MethodsThis is a national cross-sectional online survey of the Australian adult public. The survey examined participants’ advance care planning (ACP) awareness and experience, SDM experiences and preferences for obtaining more information about SDM, and participant knowledge about SDM.ResultsOf 1586 people who opened the survey, 1120 (70.6%) were included in the final sample. 13% (n=142) of participants indicated they had acted as an SDM. A median score of two correct responses out of five showed low to moderate knowledge about the SDM role among all participants, with only 33% reporting awareness of SDM laws existing in Australia. While most (59%) participants ranked a health professional as their preferred source of obtaining information about supporting SDMs, few participants who had been an SDM (n=64, 45%) reported obtaining any support in making medical decisions. The median SDM knowledge scores for people who had discussed ACP (3.0 vs 2.0, U=1 45 222, z=6.910, p<0.001), documented their ACP preferences (3.0 vs 2.0, U=71 984, z=4.087, p<0.001) or acted in the SDM role (3.0 vs 2.0, U=56 353, z=−3.694, p<0.001) were significantly higher compared with those who had not.ConclusionsThe Australian public may have low to moderate knowledge about the SDM role and access only minimal support when making challenging medical decisions.


1978 ◽  
Vol 22 (1) ◽  
pp. 485-485
Author(s):  
John G. Kreifeldt

The present national Air Traffic Control system is a ground-centralized, man intensive system which through design allows relatively little meaningful pilot participation in decision making. The negative impact of this existing design can be measured in delays, dollars and lives. The FAA's design plans for the future ATC system will result in an even more intensive ground-centralized system with even further reduction of pilot decision making participation. In addition, controllers will also be removed from on-line decision making through anticipated automation of some or all of this critical function. Recent congressional hearings indicate that neither pilots nor controllers are happy or sanguine regarding the FAA's design for the future ATC system.


2021 ◽  
Vol 31 (6) ◽  
pp. R303-R306
Author(s):  
Bharath Chandra Talluri ◽  
Anke Braun ◽  
T.H. Donner

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