Perceiving Facts and Values

Philosophy ◽  
1998 ◽  
Vol 73 (1) ◽  
pp. 5-19 ◽  
Author(s):  
RUTH ANNA PUTNAM

In a memorable passage near the beginning of ‘The Moral Philosopher and The Moral Life,’ William James asks us to imagine a world in which all our dearest social utopias are realized, and then to imagine that this world is offered to us at the price of one lost soul at the farthest edge of the universe suffering eternal, intense, lonely pain. Then he asks, ‘what except a specifical and independent sort of emotion can it be which would make us immediately feel, even though an impulse arose within us to clutch at the happiness so offered, how hideous a thing would be its enjoyment when deliberately accepted as the fruit of such a bargain.’I find this passage enormously interesting for a variety of reasons. We would have an impulse to grasp the utopian world, and that impulse is not inexplicable: we would be happier in such a world than we are now. The impulse is even morally defensible: James tells us later in the essay that, ‘[t]here is but one unconditional commandment, which is that we should seek incessantly, with fear and trembling, so to vote and to act as to bring about the very largest universe of good that we can see.’ (ibid., p. 158) Moreover, he acknowledges that our best ideals cannot be realized in this poor world without trampling some other ideals under foot. The realization of the values of good and sensitive people entails the frustration of the desires and goals of cruel and brutal people. Worse, institutions that are on the whole beneficial will have innocent victims; James mentions monogamous marriage as an example of such an institution. In a functioning democracy, these are frustrations that everyone must take in stride sometimes. So, should we then not grasp that utopia, that world without unemployment, without homelessness, where everyone has access to medical care, where racism and other forms of prejudice and oppression are known only from the history books, etc., etc.? Those commentators who read James as a kind of Utilitarian, must surely believe that James would advocate our grasping that ideal, that he would speak not merely of an impulse to clutch that happiness but of an obligation. But James is not a Utilitarian, and the passage under discussion occurs when James wants to distance himself from the Utilitarians. We have, he says, a capacity for quite specific emotions, capacities that cannot be explained in any simple way as the result of evolutionary selection for the survival of either the individual or the species. He does not mean the capacity for sympathy, though that too would come into play here. Sympathy enables us to vividly imagine the suffering of the lost tortured soul, to feel for it and, indeed, with it. But James means something else; he means a revulsion, an apprehension that to do a certain thing would be ‘hideous.’ To do what? To opt for the utopia? That is not what he says. To enjoy the utopia? Again, that is not what he says. There is nothing wrong with opting for or enjoying utopia if it can be had at no cost, or at a cost clearly bearable by those who are obliged to bear it, or if one is non-culpably ignorant of the price. What is hideous is ‘enjoyment when deliberately accepted as the fruit of such a bargain.’

2021 ◽  
pp. 18-64
Author(s):  
Amanda Brown

Chapter 1 establishes Thurman’s place within modern American thought, arguing that he is part of the American pragmatist tradition. Thurman inherited pragmatism from William James by way of W. E. B. Du Bois and Rufus Jones. Du Bois applied James’s ideas about people’s “blindness” to the experiences of others and the theory that social norms could evolve over time, through human agency, to better represent the needs of the democratic whole to his ideas about Black agitation and activism—a school of thinking within which Thurman was educated and nurtured. Thurman’s liberal theological component, especially his mysticism, is best understood through the James-Jones lineage. Rufus Jones drew off of James’s secular theories on mystical experience to popularize a culture of religious seeking and the pursuit of spiritual truth. Informed by his Quaker background, Jones theorized that the individual could reach points of heightened consciousness and could achieve a sense of oneness with a divine truth (James did not specify what this universal truth was, but Jones insisted that it was God). Both James and Jones favored affirmation mysticism—the idea that once a person experienced wholeness with the rest of the universe that he would be motivated and even responsible for attempting to create the same synchronicity within the society that he lived. Thurman, who had mystical leanings since childhood but could never fully articulate his insights on spirituality, felt as though he found a kindred spirit after he encountered one of Jones’s books on mysticism in 1929. The discovery led Thurman to study under Jones at Haverford that spring (with special permission from the college since Haverford did not admit Black students at that point). Thurman emerged from Haverford armed with a sophisticated grasp of affirmation mysticism that he connected seamlessly to his activist education. Through close readings of James, Du Bois, Jones, and Thurman, the chapter argues that Thurman’s pragmatist heritage both establishes him as a distinctly modern American thinker and sets the Fellowship Church—the physical expression of his ideas—as a distinctly modern American institution.


1977 ◽  
Vol 16 (02) ◽  
pp. 112-115 ◽  
Author(s):  
C. O. Köhler ◽  
G. Wagner ◽  
U. Wolber

The entire field of information processing in medicine is today already spread out and branched to such an extent that it is no longer possible to set up a survey on relevant literature as a whole. But even in narrow parts of medical informatics it is hardly possible for the individual scientist to keep up to date with new literature. Strictly defined special bibliographies on certain topics are most helpful.In our days, problems of optimal patient scheduling and exploitation of resources are gaining more and more importance. Scientists are working on the solution of these problems in many places.The bibliography on »Patient Scheduling« presented here contains but a few basic theoretical papers on the problem of waiting queues which are of importance in the area of medical care. Most of the papers cited are concerned with practical approaches to a solution and describe current systems in medicine.In listing the literature, we were assisted by Mrs. Wieland, Mr. Dusberger and Mr. Henn, in data acquisition and computer handling by Mrs. Gieß and Mr. Schlaefer. We wish to thank all those mentioned for their assistance.


2020 ◽  
Vol 32 (5) ◽  
pp. 276-284
Author(s):  
William J. Jefferson

The United States Supreme Court declared in 1976 that deliberate indifference to the serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain…proscribed by the Eighth Amendment. It matters not whether the indifference is manifested by prison doctors in their response to the prisoner’s needs or by prison guards intentionally denying or delaying access to medical care or intentionally interfering with treatment once prescribed—adequate prisoner medical care is required by the United States Constitution. My incarceration for four years at the Oakdale Satellite Prison Camp, a chronic health care level camp, gives me the perspective to challenge the generally promoted claim of the Bureau of Federal Prisons that it provides decent medical care by competent and caring medical practitioners to chronically unhealthy elderly prisoners. The same observation, to a slightly lesser extent, could be made with respect to deficiencies in the delivery of health care to prisoners of all ages, as it is all significantly deficient in access, competencies, courtesies and treatments extended by prison health care providers at every level of care, without regard to age. However, the frailer the prisoner, the more dangerous these health care deficiencies are to his health and, therefore, I believe, warrant separate attention. This paper uses first-hand experiences of elderly prisoners to dismantle the tale that prisoner healthcare meets constitutional standards.


1993 ◽  
Vol 16 (3) ◽  
pp. 251-277 ◽  
Author(s):  
David G. Gil

Medical Care ◽  
1981 ◽  
Vol 19 (Supplement) ◽  
pp. 4-27 ◽  
Author(s):  
Lu Ann Aday ◽  
Ronald M. Andersen

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 12042-12042
Author(s):  
Sofia Sánchez-Román ◽  
Yanin Chavarri Guerra ◽  
Andrea Morales Morales Alfaro ◽  
Daniela Ramirez Maza ◽  
Andrea de la O Murillo ◽  
...  

12042 Background: The COVID-19 pandemic has impacted the well-being of people not only due to the disease but also because of stay-at-home orders, social distancing, unemployment, and different kinds of loses. Older adults have particularly suffered during the pandemic, with increased health-related concerns and anxiety leading to increased vulnerability. However, little is known about the effects of the pandemic on older adults with cancer living in developing countries. They are facing issues related to their diagnosis and treatment, as well as the effects of the pandemic on their care and on the well-being of their families. To improve care for this vulnerable population, we studied the concerns and difficulties associated with COVID-19 among older Mexican adults with cancer. Methods: We included patients age ≥65 with the 10 most common tumors in Mexico according to GLOBOCAN and within 3-24 months of cancer diagnosis at two public hospitals in Mexico City. Patients were contacted telephonically and asked to complete a survey reporting the difficulties encountered during the COVID-19 pandemic and to rate their concerns associated with cancer care management using a 0-10 Likert-type scale, with higher ratings meaning increased concerns. Focused interviews were used to describe the individual experience of selected patients and their relatives related to COVID-19 and cancer care. Results: Between April 20, 2020 and December 1, 2021, 67 patients (mean age 71.9, min 65, max 90; 35.8% female; 62.7% living with a partner) were included. The most common tumors were prostate (43%), colon (16%), and lung (12%). 46% had Stage IV disease, and 61% had a life expectancy of more than a year. Twenty-five percent of patients reported encountering at least one difficulty in obtaining cancer care due to the COVID-19 pandemic. 43% of the patients reported difficulties with accessing follow-up cancer care; 39% reported issues with obtaining medications, including chemotherapy; and 34% reported problems obtaining medical care in general, including oncology visits. Regarding concerns, 33% of the patients reported being “very worried” or “extremely worried” about the COVID-19 pandemic. The most relevant concerns were related to getting infected with COVID-19 (or having a family member who became infected) (mean rating 7.9, SD 2.9); not being able to pay for cancer treatments or medical care (mean rating 6.9, SD 3.5); and worsening of cancer due to delayed care during the pandemic (mean rating 6.6, SD 3.7). Conclusions: A significant proportion of older adults with cancer in Mexico faced difficulties obtaining cancer treatment and follow-up care during the COVID-19 pandemic. Their most relevant concerns included getting infected, financial losses, and progression of disease. Creating systems to provide continued cancer care for vulnerable populations in developing countries is essential to face the COVID-19 pandemic.


Author(s):  
Kolyagina N.M. ◽  
Berezhnova T.A. ◽  
Kulintsova Ya.V. ◽  
Elistratova O.S. ◽  
Drapalyuk M.A.

Relevance. Exacerbation of the disease, as a rule, leads to the patient seeking medical help. In this regard, data on the population's access to medical care can serve as an indicator of the exacerbation of the disease. Aim: to analyze meteorological risk factors that contribute to the development of cardiovascular diseases. Material and methods. The ratio of the average number of cases of requests for medical care on unfavorable days for meteorological factors to the average number of cases of requests per day for medical care during the year was calculated. Using software tools (STATISTICA Base V6. 1), the type of data distribution was estimated, and a correlation analysis of the likely relationship between the number of medical care requests and the indicators of meteorological factors was carried out. Results. As a result of the study, it was found that the average number of cases of medical care requests on hot days (air temperature over + 300C) is 1.1-1.4 times higher than the average number of cases of requests per day for the same reasons (diagnoses) during the year and is abnormal for the territory of the city of Voronezh, due to such diagnoses as hypertension without heart failure, brain vascular lesions (specified), cerebrovascular disease, hypertension with heart failure. Conclusions. Thus, it was found that one of the meteorological risk factors for the formation of cardiovascular pathology is high air temperature (above + 300C), which is the goal for the implementation of the main directions of prevention of increased weather sensitivity and treatment of weather-dependent patients.


Theology ◽  
2018 ◽  
Vol 121 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Therese Feiler

The responsibilization of patients for their disease and care may imply reduced access to medical care or overly moralize the doctor–patient relationship. This article first examines Luther’s early readings of the penitential Psalms, in which he transposes the nexus between sin and disease into the sphere of faith. His subsequent emphasis on the imputation of salvation further diminishes responsibilization: medical and pastoral care become distinct. This will be contrasted with Calvin’s cathartic, forward-looking understanding of disease and with Melanchthon’s moralist merging of humanism and theology into dietetics. These theological tendencies all represent present-day options.


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