In the medical field, conscientious objection is claimed by providers and pharmacists in an attempt to forgo administering select forms of sexual and reproductive healthcare services because they state it goes against their moral integrity. Such claim of conscientious objection may include refusing to administer emergency contraception to an individual with a medical need that is time-sensitive. Conscientious objection is first defined, and then a historical context is provided on the medical field’s involvement with the issue. An explanation of emergency (...) contraception’s physiological effects is provided along with historical context of the use on emergency contraception in terms of United States Law. A comparison is given between the United States and other developed countries in regard to conscientious objection. Once an understanding of conscientious objection and emergency contraception is presented, arguments supporting and contradicting the claim are described. Opinions supporting conscientious objection include the support of moral integrity, religious diversity, and less regulation on government involvement in state law will be offered. Finally, arguments against the effects of conscientious objection with emergency contraception are explained in terms of financial implications and other repercussions for people in lower socioeconomic status groups, especially people of color. Although every clinician has the right and responsibility to treat according to their sense of responsibility or conscience, the ethical consequences of living by one’s conscience are limiting and negatively impact underprivileged groups of people. It is the aim of this article to advocate against the use of provider’s and pharmacist’s right to claim conscientious objection due to the inequitable impact the practice has on people of color and individuals with lower incomes. (shrink)

This paper describes a class of idealized models that illuminate minimal conditions for inequity. Some such models will track the actual causal factors that generate real world inequity. Others may not. Whether or not these models do track these real-world factors is irrelevant to the epistemic role they play in showing that minimal commonplace factors are enough to generate inequity. In such cases, it is the fact that the model does not fit the world that makes it (...) a particularly powerful argumentative tool. As I will argue, this epistemic role is a particularly important one when it comes to modeling inequity, because such models are often also aimed at interventions to stop it. Given this, it is crucial to know if we intervene on the current causes of inequity, what other, common social factors might continue to contribute to it. (shrink)

In this article, we argue that Allocation Out of Sequence (AOOS) involves an inequitable distribution and that the proposed reform of the procedure put forward by Courtwright (2026) may legitimize...

Card argues that we should not give injustice priority over evil. I agree. But I think Card sets us up for some difficult balancings, for example of small evils against middle sized injustices. I suggest some ways of staying off the tightrope.

This article probes the voucher program from an ethical perspective. It focuses mainly on an issue of inequity. A disparity exists in US kidney transplantation. Although African-Americans suffer far higher rates of ESRD than whites, African-Americans are much less likely than whites to get a transplant. The article explores the voucher program in light of this disparity. It motivates the view that, at least in the short term, more whites than African-Americans are likely to take advantage of the voucher (...) program. The program is, thus, likely to increase the gap in transplantation rates between the two groups. If this is correct, what impact does it have on the moral acceptability of the program? (shrink)

The decision to donate an organ is often the decision to save a loved one’s life. Frequently recognized as an ultimate act of altruism, a person’s choice to donate is embedded in their right to make decisions about their own body and well-being, free of coercion. To ensure donors are truly acting out of altruism, transplant professionals will not allow someone to donate if there are concerns of duress or inability to consent. Although the evaluation of potential donors is well-intentioned (...) and necessary, stigma and assumptions about young adults can sometimes lead to their being denied the opportunity to donate based on age rather than evidence, thus infringing upon their bodily autonomy. This case examines the narrative of a young man trying to save his sister through kidney donation, and the ramifications of denying him the opportunity to do so, and how the transplant community can re-envision their role in protecting young adult donors. (shrink)

Claudia Rankine’s investigative poetry points to the many barriers for achieving both racial and health equity. Rankine confronts the racism inherent in our most powerful institutions, while also making a case against American individualism and exceptionalism. Her fourth collection of poetry, Don’t Let Me Be Lonely: An American Lyric (2004), specifically critiques the role the media plays in bolstering institutional racism, largely through its perpetuation of a white racial frame and simplistic representations that serve to divide humanity rather than unite. (...) Employing investigative techniques, Rankine accomplishes two interrelated tasks: First, Rankine breaks open the mediated frameworks that seek to erase the piercing physiological effects of racism and oppression. Second, Rankine demonstrates that the human is not a bounded individual, disembodied from cultural values and norms, but rather an embodied being immersed in a network of social, economic, material, environmental, biological, and political relationships. (shrink)

The decision to donate an organ is often the decision to save a loved one's life. Frequently recognized as an ultimate act of altruism, a person's choice to donate is embedded in their right to make decisions about their own body and well-being, free of coercion. To ensure donors are truly acting out of altruism, transplant professionals will not allow someone to donate if there are concerns of duress or inability to consent. Although the evaluation of potential donors is well-intentioned (...) and necessary, stigma and assumptions about young adults can sometimes lead to their being denied the opportunity to donate based on age rather than evidence, thus infringing upon their bodily autonomy. This case examines the narrative of a young man trying to save his sister through kidney donation, and the ramifications of denying him the opportunity to do so, and how the transplant community can re-envision their role in protecting young adult donors. (shrink)

Gender inequity is prevalent in the workplace. It violates the principle of equal treatment for all employees, and often leads to problems with retention, morale, and performance. Individuals, however, may have different perceptions of gender inequity. In this study, we examined the relationship between individual and organizational level variables and perceived gender inequity for a sample of church workers. Regression analysis was used to test several hypotheses informed by social psychological theories. The results showed that (1) individuals (...) perceived gender inequity in the workplace; (2) organizational level variables had more effect on perceived gender inequity than individual level variables; and (3) compared to men, women perceived greater gender inequity favoring males. Discussion, limitations, and suggestions for future research are provided. (shrink)

This special issue examines the promises and limitations of Open Science (OS) and the conditions that produce inequity, injustice, and exclusion in research. Going well beyond the free sharing of p...

Which inequalities in longevity and health among individuals, groups, and nations are unfair? And what priority should health policy attach to narrowing them? These essays by philosophers, economists, epidemiologists, and physicians attempt to determine how health inequalities should be conceptualized, measured, ranked, and evaluated.

Clinical ethics services are increasingly receiving case referrals regarding requests for access to experimental therapies. Sometimes, patients or families seek access to an experimental therapy that has not been subsidised by any government scheme, and for which no local clinical trial is underway. All else being equal, a patient may benefit from receiving an experimental therapy without making any other patient worse off. However, within public healthcare systems, treating only one patient with an experimental therapy, when others might also benefit (...) from it, evokes a troubling sense of inequity. In this paper, I examine the relevance of Pareto principles and the ‘levelling down’ objection to ethical deliberation about patient or family-initiated requests for experimental therapies. While facilitating access to an experimental therapy may benefit a patient without making any other patients worse off, this does not dispel ethically relevant considerations concerning equity. When deliberating about cases i... (shrink)

In this book Larry Temkin examines the concepts of equality and inequality, and addresses one particular question in depth: how can we judge between different sorts of inequality? When is one inequality worse than another? Temkin shows that there are many different factors underlying and influencing our egalitarian judgments and that the notion of inequality is surprisingly complex. He looks at inequality as applied to individuals and to groups, and at the standard measures of inequality employed by economists and others, (...) and considers whether inequality matters more in a poor society than a rich one. The arguments of non-egalitarians are also examined. Temkin's book presents a new way of thinking about equality and inequality which challenges the assumptions of philosophers, welfare economists, and others concerned with these notions on a practical as well as a theoretical level. (shrink)

Temkin presents a new way of thinking about equality and inequality that challenges the assumptions of philosophers, welfare economists, and others, and has significant implications on both a practical and theoretical level.

This study examines whether and how board gender diversity can affect corporate wage inequity by drawing on diversity theory and gender socialization and ethicality theories. Building on an exogenous relaxation of China’s one-child policy (OCP) in 2013, which led to a substantial decline in the female labor force participation rate. Our empirical analysis suggests that board gender diversity is negatively associated with corporate wage inequity. This result is robust to various endogeneity and sensitivity analyses. We find that the (...) OCP relaxation only increases average executive pay; it does not affect employee pay. One potential mechanism driving our results is that the decline in board gender diversity caused by the OCP relaxation reduces supervision, restriction, and fairness within the firm, which increases executives’ pursuit of personal interests and ultimately leads to the rise of wage inequity. Our findings are particularly significant for firms in capital-intensive industries, firms with a low level of employee bargaining power, and large firms. (shrink)

Inequality is widely regarded as morally objectionable: T. M. Scanlon investigates why it matters to us. He considers the nature and importance of equality of opportunity, whether the pursuit of greater equality involves objectionable interference with individual liberty, and whether the rich can be said to deserve their greater rewards.

Why, if at all, should we object to economic inequality? Some central arguments – the argument from decreasing marginal utility for example – invoke instrumental reasons and object to inequality because of its effects. Such instrumental arguments, however, often concern only the static effects of inequality and neglect its intertemporal conse- quences. In this article, we address this striking gap and investigate income inequality’s intertemporal consequences, including its potential effects on humanity’s (very) long-term future. Following recent arguments around future generations (...) and so-called longtermism, those effects might arguably matter more than inequality’s short-term con- sequences. We assess whether we have instrumental reason to reduce economic inequality based on its intertemporal effects in the short, medium, and the very long term. We find a good short and medium-term instrumental case for lower economic inequality. We then argue, somewhat speculatively, that we have instrumental reasons for inequality reduction from a longtermist perspective too, primarily because greater inequality could increase existential risk. We thus have instrumental reasons to reduce inequality, regardless of which time-horizon we take. We then argue that from most consequentialist perspectives, this pro tanto reason also gives us all-things-considered reason. And even across most non-consequentialist views in philosophy, this argument gives us either an all-things-considered or at least weighty pro tanto reason against inequality. (shrink)

Contemporary _Homo sapiens_’s ecological and geographic range, population growth, and adaptability in the face of micro- and macroenvironmental challenges are substantial. Humans have such an impact at a global scale that the most recent epoch has been dubbed, by many, “the Anthropocene.” There is no question that under the basic measures of standard evolutionary theory _Homo sapiens_ is among the most successful, if not the most successful, large-bodied mammal. However, standard evolutionary theory might not offer the most comprehensive assessment framework (...) for measuring or conceptualizing evolutionary success in the 21st century. This chapter offers examples and details as to how and why considering evolutionary success via the extended evolutionary synthesis and a dynamic anthropological approach enables a frame of reference that is more in tune with the actual range of evolutionarily relevant processes at play in the contemporary human niche. (shrink)

This paper studies the controversy on Fehr and Schmidt's model of inequity aversion. It borrows insights from disciplines such as philosophy and the sociology of science that have specialized in studying scientific controversies. Our goal is to contribute to the historical and methodological literature on behavioral economics, which happens to have neglected behavioral economists' research on social preferences. Our analysis of the controversy reveals some new insights about the relation of behavioral economics with other sub-fields in economics, as well (...) as with other disciplines. (shrink)

The study of social inequality and stratification has long been at the core of sociology and the social sciences. In this article, I argue that certain tendencies have become entrenched in our dominant paradigm that leave many researchers pursuing coarse-grained analyses of how difference relates to inequality. Centrally, despite the importance of categories and categorization for how researchers study social inequality, contemporary theories of categories are poorly integrated into conventional research. I contend that the widespread and often unquestioned use of (...) state categories as categories of analysis reinforces these tendencies. Using research on colorism as an inspiration, I highlight several components of what I call the infracategorical model of inequality, which urges researchers to disaggregate difference by shifting our focus from membership in categories to the cues of categories, membership in subcategories, and perceived typicality. (shrink)

The equitable distribution of vaccines has emerged as a major issue in pandemic treaty negotiations following the COVID-19 pandemic. Failures in global procurement and distribution have been attributed to ineffective allocation mechanisms and a general lack of cooperation. More than four years after the onset of the pandemic, this article presents a perspective on how to achieve a more equitable global allocation of medical supplies for future pandemics, drawing on the distinction between “ideal” and “non-ideal” schemes of cooperation. We will (...) consider two perspectives: first, improving solutions under current, non-ideal circumstances where non-cooperation dominates in the short and medium term, given the challenges of an uncooperative international landscape; and second, implementing long-term policies that aim at ideal proposals, assuming an increased level of cooperation in the future. This evaluation will address the past successes and shortcomings of the COVAX facility, and also the negotiations on a pandemic treaty led by the World Health Organizations, to better address future pandemics. We will discuss key issues that ought to be of central concern when moving towards more cooperative solutions in the future. (shrink)

Income inequality is emerging as the socioeconomic topic of our era. Yet there is no clear conclusion as to how income inequality affects the most comprehensive human outcome measure, subjective well-being. This study provides an explanation for the relationship between income inequality and SWB, by delving into its mechanisms, including egalitarian preferences, perceived fairness, social comparison concerns, as well as perceived social mobility. In a rigorous analysis using a large cross-country dataset, and accounting for the nested structure of the data, (...) as well as controlling for a variety of individual and country characteristics, we find that SWB is higher where income inequality is higher. Importantly, we also find support for this relationship being moderated by perceptions of poverty being caused by unfairness, an individual’s relative socioeconomic standing, as well as beliefs about hard work leading to success. Our study highlights the dire need for further scholarly attention to income inequality and its complex effects on SWB. (shrink)

In this paper we examine the role the Dutch gymnasium continues to play in the institutional maintenance of educational inequality. To that end we examine the relational and spatial features of state-sponsored elite education in the Dutch system: the unique identity the gymnasium seeks to cultivate; its value to its consumers; its geographic significance; and its market position amidst a growing array of other selective forms of schooling. We argue that there is a strong correlation between a higher social class (...) background and the concern to transmit one’s cultural habitus. We further speculate on the moral implications of state-sponsored elite education, both as it concerns the specific role of the gymnasium in the reproduction of social inequality as well as the curious tendency among its supporters to rationalise the necessity of its existence. (shrink)

Infertility affects an estimated 15% of couples worldwide, with male factors contributing to nearly half of the cases. Yet infertility continues to be culturally framed as a woman's problem, positioning women as primary targets of medical investigation and social blame. This study employs a Critical Interpretive Synthesis across sociology, nursing, psychology, anthropology and bioethics to theorise male infertility stigma as a relational inequity rather than an individual burden. To strengthen the empirical grounding of this conceptual analysis, we incorporated a (...) structured secondary analysis of published qualitative quotations from men experiencing infertility. These first‑order accounts illuminate how men narrate stigma, masculinity and relational strain, providing empirical illustrations of four relational mechanisms—concealment, blame transfer, emotional labour and role reconfiguration—through which men's spoiled masculinity invisibly restructures women's roles in reproductive care. By foregrounding women's invisible burdens, the analysis advances a relational sociology of health with direct implications for nursing practice. The findings demonstrate how nurses encounter and mediate stigma spillover in clinical encounters, family systems and community contexts. Applied implications include dyadic, stigma‑sensitive interventions, couple‑centred care pathways and structural reforms that challenge cultural scripts linking masculinity to fertility. Conceptualising infertility stigma as a relational inequity not only extends stigma theory but also strengthens nursing inquiry into gender, caregiving and reproductive justice. (shrink)

Agricultural commercialization as a mechanism to alleviate rural poverty raises concerns about small land-holders, non-adopters, and inequity in the distribution of benefits within transforming economies. Farm gross margins were calculated to assess the economic status and impact of cash cropping on the economic well-being of agrarian households in the Mid-hills of Nepal. On an individual crop basis, tomatoes and potatoes were the most profitable. On a per farm basis, 50 of the households with positive farm gross margins grew at (...) least one vegetable crop, while only 25 of households with negative farm gross margins included vegetable crops in their rotation. Farmers have been hesitant to produce primarily for the market given the rudimentary infrastructure and high variability in prices. Farmers reported selling more crops, but when corrected for inflation, gross revenues declined over time. The costs and benefits of developing markets have been unevenly distributed with small holders unable to capitalize on market opportunities, and wealthier farmers engaging in input intensive cash cropping. Farms growing vegetables had an average gross margin of US$137 per year compared to US$12 per year for farms growing only staple crops. However, the area under production is small, and while vegetable production is likely to continue increasing, sensitivity analysis and scenarios suggest high variability and limited short-term impact on poverty alleviation. (shrink)

This article asks whether discrimination law should be symmetrical: whether it should offer the same level of protection to dominant and dominated groups. It articulates a structural inequality theory of the moral foundations of discrimination law and defends it against prominent alternatives, such as the view that discrimination is wrong because it is irrational or disrespectful. The paper then argues that while direct discrimination is symmetrical, indirect discrimination is asymmetrical. It cannot be claimed by those – men, or white persons (...) – who are not at the sharp end of structural inequality. Furthermore, even dominated groups cannot claim to be indirectly discriminated against by just any law that has a disparate impact on them. If the structural inequality view is correct, the protectorate of discrimination law is not as extensive as is commonly assumed. (shrink)

This article explores the extent to which income inequality and income mobility—both considered indicators of economic inequality and conditions of formal regulatory institutions —facilitate or constrain the emergence of social entrepreneurship. Using 77,983 individual-level responses obtained from the Global Entrepreneurship Monitor survey of 26 countries, and supplementing with country-level data obtained from the Global Competitiveness Report of the World Economic Forum, our results from multilevel analyses demonstrate that country-level income inequality increases the likelihood of individual-level engagement in social entrepreneurship, while (...) income mobility decreases this likelihood. Further, income mobility negatively moderates the influence of income inequality on social entrepreneurship, such that the condition of low income mobility and high income inequality is a stronger predictor of social entrepreneurship. We discuss implications and limitations of our study, and we suggest avenues for future research. (shrink)

Health inequalities are embedded in a complex array of social, political, and economic inequalities. Responding to health inequalities will require systematic action targeting all the underlying (“upstream”) social determinants that powerfully affect health and well‐being. Systemic inequalities are a major reason for the rise of modern populism that has deeply divided polities and infected politics, perhaps nowhere more so than in the United States. Concerted action to mitigate shocking levels of inequality could be a powerful antidote to nationalist populism. A (...) basic yet critical start to addressing health inequalities is to recognize them, which demands improving data collection and analysis. Certainly, global indicators show vast progress in reducing poverty and extending life. Yet aggregate health data mask a deeper reality: health gains have disproportionately benefited the well‐off, leaving the poor and middle‐class behind. (shrink)

Health inequalities are at the forefront of public debate in many countries, including the United States and the European Union. Governments have in recent years set in place programmes to tackle health inequalities. However, the current economic and fiscal crisis is threatening progressive health policies. The aim of this paper is to show how a deeper understanding of the issues of measuring inequality helps us develop policy responses. The paper starts from the parallel with the measurement of income inequality, but (...) argues that the dimension of health needs different treatment. In the same way, we should not treat health and income symmetrically in indicators, such as the Human Development Index, that seek to combine income and health in a single performance measure. The paper then examines the inter-relation between income and health: the issue of health “inequity”. The nature of the health gradient however needs to be carefully established, since different forms have different implications for policy. It goes on to widen the scope of the discussion to consider the role of health-related social transfers and the distribution of the benefits from public health programmes. The final part addresses issues raised for health policy by the economic crisis. (shrink)

I very much enjoyed reading the interesting and original article by Steel and colleagues (2017). But I found myself strongly disagreeing with its conclusion once the real point of the argument became clear to me. At the same time, I believe that the authors are correct to draw attention to the importance of context and inequities in framing discussions of the ethics of voluntary consent in heroin prescription research. I begin with a brief summary of the authors’ conclusion, quoting directly (...) and adding my own emphases, since there are major philosophical points I wish to make that hinge on nuances in wording... (shrink)

This article explores how economic inequality in the United States has led to growing levels of poverty, food insecurity, and obesity for the bottom segments of the economy. It takes the position that access to nutritious food is a requirement for living and for participating fully in the workplace and society. Because of increasing economic inequality in the United States, growing segments of the U.S. economy have become more food insecure and obese, eating unhealthy food for survival and suffering an (...) erosion of “equality of capabilities” that undermines their ability to play a “full and active part in the functioning of community.” Unequal access to nutritious foods in the United States is attributable in part to an industrial food system that is designed to produce short-term profits for industrial food producers, processors, and distributors that extract surplus labor value through market concentration and opportunistic behavior at the expense of the long-term benefits for consumers, food workers, and ecosystems. Economic inequality, food insecurity, and the erosion of equality of capabilities in the United States have given rise to protest movements, social movements, social innovations, and some modest strengthening of regulations to make access to and consumption of healthy food a right for every person. Implications for business and society research are explored. (shrink)

Bioethics is reexamining how to implement diversity, equity, inclusion, and justice concerns into scholarship. However, bioethicists should question the categories used to define diversity. The act of categorization is value laden, and classification systems confer power and benefits and generate harms. For example, what conditions count as disabilities? We should consider the equity implications of offering only “male” and “female” options for self‐identification in health records. However, we should also interrogate all ideas about categorization, including how categories are formed, why (...) they are formed, and who decides. Bioethicists cannot comprehend fully what equity and justice mean for underrepresented, underserved, or marginalized people until there is an understanding of how the boundaries of marginalization are created. (shrink)

This paper is concerned with ordinal comparisons of welfare inequality and its use in social welfare judgements, especially in the context of Rawls' ‘difference principle’. In Section 1 the concept of ordinal inequality comparisons is developed and a theorem on ordinal comparisons of welfare inequality for distributional problems is noted. Section 2 is devoted to Harsanyi's (1955) argument that a concern for reducing welfare inequalities among persons must not enter social welfare judgements. In Section 3 an axiomatic derivation of Rawls' (...) lexicographic maximim rule is presented; this relates closely to results established by Hammond (1975), d'Aspremont and Gevers (1975) and Strasnick (1975). In the last section the axioms used are examined and some alternative axioms are analysed with the aim of a discriminating evaluation of the Rawlsian approach to judgements on social welfare. (shrink)

This study examines whether and how board gender diversity can affect corporate wage inequity by drawing on diversity theory and gender socialization and ethicality theories. Building on an exogenous relaxation of China’s one-child policy (OCP) in 2013, which led to a substantial decline in the female labor force participation rate. Our empirical analysis suggests that board gender diversity is negatively associated with corporate wage inequity. This result is robust to various endogeneity and sensitivity analyses. We find that the (...) OCP relaxation only increases average executive pay; it does not affect employee pay. One potential mechanism driving our results is that the decline in board gender diversity caused by the OCP relaxation reduces supervision, restriction, and fairness within the firm, which increases executives’ pursuit of personal interests and ultimately leads to the rise of wage inequity. Our findings are particularly significant for firms in capital-intensive industries, firms with a low level of employee bargaining power, and large firms. (shrink)

When it comes to improving the health of the general population, mHealth technologies with self-monitoring and intervention components hold a lot of promise. We argue, however, that due to various factors such as access, targeting, personal resources or incentives, self-monitoring applications run the risk of increasing health inequalities, thereby creating a problem of social justice. We review empirical evidence for “intervention-generated” inequalities, present arguments that self-monitoring applications are still morally acceptable, and develop approaches to avoid the promotion of health inequalities (...) through self-monitoring applications. (shrink)

Socioeconomic inequalities are functions not only of intrinsic differences between persons or groups, but also of the dynamics of their interactions. Inequalities can arise and become stabilized if there are advantages (such as generalized wealth including “human capital”) which are self-enhancing, whereas depletion of limiting resources is widely distributed. A recent theory of biological pattern formation has been generalized, adapted and applied to deal with this process. Applications include models for the non-Gaussian distribution of personal income and wealth, for overall (...) economic growth in relation to inequalities and for effects of uncoupling strategies between developing and developed countries. Note added after publication: The equations (14) for the model of the income distribution, with its characteristic non-Gaussian extension towards higher incomes (fig.4), are closely related to the Fokker-Planck equation that is widely applied in many fields of physics. (shrink)

This chapter has three main parts. Part II, distinguishes between various egalitarian positions, and clarifies a particular version of egalitarianism with which I am concerned, a view that I call equality as comparative fairness. In doing this, it suggests that the so-called “luck egalitarian” is not concerned with luck per se, but rather with luck that produces inequalities involving comparative unfairness. Part III, illuminates the complexity and difficulty of measuring inequality, by considering the question: “when is one situation worse than (...) another regarding inequality?” I review some previous arguments of mine that led me to conclude that there were at least twelve significant aspects of inequality that underlie people’s egalitarian judgments. I then note that several philosophers have presented further reasons to believe that the notion of inequality is even more complex than I had previously thought, and perhaps substantially so. Part IV, addresses the importance of health from an egalitarian perspective. Noting that good physical and psychological health constitute a large part of what makes a human life worth living, I suggest that the common tendency for egalitarians to focus on gaps between the rich and the poor may be problematic. Egalitarians often rely heavily on economists to meaningfully measure disparities in income and wealth, and many political programs are developed and advocated with the goal of reducing economic disparities. But I suggest that if the inequalities that matter most are actually inequalities of food, health, safety, and the like, then there may need to be a profound shift in the tools, approach, and policies of egalitarianism. (shrink)

The grounds for global solidarity have been theorized and conceptualized in recent years, and many have argued that we need a global concept of solidarity. But the question remains: what can motivate efforts of the international community and nation-states? Our focus is the grounding of solidarity with respect to global inequities in health. We explore what considerations could motivate acts of global solidarity in the specific context of health migration, and sketch briefly what form this kind of solidarity could take. (...) First, we argue that the only plausible conceptualization of persons highlights their interdependence. We draw upon a conception of persons as ‘ecological subjects’ and from there illustrate what such a conception implies with the example of nurses migrating from low and middle-income countries to more affluent ones. Next, we address potential critics who might counter any such understanding of current international politics with a reference to real-politik and the insights of realist international political theory. We argue that national governments – while not always or even often motivated by moral reasons alone – may nevertheless be motivated to acts of global solidarity by prudential arguments. Solidarity then need not be, as many argue, a function of charitable inclination, or emergent from an acknowledgment of injustice suffered, but may in fact serve national and transnational interests. We conclude on a positive note: global solidarity may be conceptualized to helpfully address global health inequity, to the extent that personal and transnational interdependence are enough to motivate national governments into action. (shrink)

Although inequality in survival is highly correlated with life expectancy, the authors believe that this form of health inequality should be better understood and that inequality in survival could be another useful summary measure of population health. It is also a motivation for assigning priority to the worse-off in priority-setting. Inequality in survival has previously been assessed by standard economic measures of income inequality, such as the Gini coefficient and Atkinson’s index. This chapter characterizes a new measure of inequality that (...) is motivated by the geometry of survival curves rather than the distribution of income. The rectangularity index _(r-index_) is the fraction of total life expectancy contributed by individuals with above- average life expectancy, where 0 represents perfect equality (i.e., a rectangular survival curve where everyone dies at the same age). Analogously to questions asked in the income literature, the authors sought to determine whether global inequality in survival was increasing or decreasing. Using life tables from the United Nations Population Division, the authors found that inequality in life expectancy between countries and interindividual inequality in survival within most countries were decreasing. However, some countries still experienced high inequality and others even had periods with rising inequality. Overall, substantial reduction in inequality in survival was found within and between countries. The relevance for priority-setting is that while policies to reduce premature mortality will both improve life expectancy and reduce inequality in survival, there remains potential for additional inequality reduction. (shrink)

The concept of equity is clearly important in Thomas Hobbes's philosophy. In his writings he repeatedly employs it in significant load bearing ways, particularly in the areas of civil law and governance. Equity is, however, not directly addressed in a sustained way in his core works and—perhaps even more frustratingly—it is often applied in ways which ask more questions about the concept than they answer. This presents an impediment to accurately understanding what equity really means to Hobbes. His late Dialogue (...) Between a Philosopher and a Student of the Common Laws of England (1681) seems to offer a solution to this challenge. This work contains extensive discussion on equity, including on the application of equity in relationship to absolute rule. However, equity in the Dialogue is not always the same as what we see in Hobbes's core works. The question is, did Hobbes change his mind on equity? This article argues no. Hobbes did not change his mind on equity; rather, within the Dialogue he is engaging with a common understanding of the term as it existed in English law. Consequently, Hobbes's discussions here should not inform us about how equity fits into his philosophy. (shrink)

While entrepreneurial ecosystems research has increasingly discussed inclusivity and systemic barriers facing women or racial minorities, it has largely overlooked how invisible inequalities restrict marginalized entrepreneurs. In this study, we focus on Dalits, a historically marginalized community in India facing invisible inequality (on caste lines), to examine how such inequalities manifest in the entrepreneurial ecosystem, turning the ecosystem into a non-cooperative space, and how marginalized entrepreneurs navigate such non-cooperative spaces. Drawing on qualitative interviews with entrepreneurs and other ecosystem actors within (...) the Dalit community, we identify three ways in which invisible inequalities manifest in the entrepreneurial ecosystem: moral disqualification in economic opportunities, relational gatekeeping in entrepreneurial networks, and undermining social credibility. Furthermore, we find that marginalized entrepreneurs navigate this non-cooperative space by implementing three micro-practices: advocacy for targeted efforts, creation of alternate spaces, and clientelism. We contribute to research on the entrepreneurial ecosystem, entrepreneurship by marginalized groups, and caste in management. (shrink)

Given the substantial contribution of livestock agriculture to global greenhouse gas (GHG) emissions, significant changes in that sector will likely occur as part of a comprehensive climate mitigation and adaptation plan. One option for reducing the sector’s climate footprint is the development and introduction of new forms of plant-based and lab-grown meat alternatives that accurately replicate the sensory and nutritional qualities of meat. Since the current global trend is toward increased meat consumption, these products are designed to appeal primarily to (...) meat-eaters (not vegetarians or vegans) with the intention of enticing them to reduce or eliminate their consumption of animal meat. While this technology promises the undeniable benefits of reducing GHG and animal suffering, I argue that its widespread adoption could exacerbate global inequity, particularly between affluent and poor individuals and nations. To make my case, I identify four potential sources of inequity: the creation of luxury foods, an expansion of food deserts, increased economic disparity between the Global North and South, and the awarding of patents on the technology to multinational corporations. In light of economic pressures and dietary trends, it is likely these new meat alternatives will be introduced into the global market. As such, I do not argue against their development, but conclude by outlining some policies aimed at mitigating their negative social impacts and promoting food equity. (shrink)

With their prospect for causing both novel and known forms of damage, harm and injury, the issue of responsibility has been a recurring theme in the debate concerning autonomous vehicles. Yet, the discussion of responsibility has obscured the finer details both between the underlying concepts of responsibility, and their application to the interaction between human beings and artificial decision-making entities. By developing meaningful distinctions and examining their ramifications, this article contributes to this debate by refining the underlying concepts that together (...) inform the idea of responsibility. Two different approaches are offered to the question of responsibility and autonomous vehicles: targeting and risk distribution. The article then introduces a thought experiment which situates autonomous vehicles within the context of crash optimisation impulses and coordinated or networked decision-making. It argues that guiding ethical frameworks overlook compound or aggregated effects which may arise, and which can lead to subtle forms of structural discrimination. Insofar as such effects remain unrecognised by the legal systems relied upon to remedy them, the potential for societal inequalities is increased and entrenched, situations of injustice and impunity may be unwittingly maintained. This second set of concerns may represent a hitherto overlooked type of responsibility gap arising from inadequate accountability processes capable of challenging systemic risk displacement. (shrink)

In this paper we give additional arguments in favor of the point of view that the violation of Bell, CHSH and CH inequalities is not due to a mysterious non locality of nature. We concentrate on an intimate relation between a protocol of a random experiment and a probabilistic model which is used to describe it. We discuss in a simple way differences between attributive joint probability distributions and generalized joint probability distributions of outcomes from distant experiments which depend on (...) how the pairing of these outcomes is defined. We analyze in detail experimental protocols implied by local realistic and stochastic hidden variable models and show that they are incompatible with the protocols used in spin polarization correlation experiments. We discuss also the meaning of “free will”, differences between quantum and classical filters, contextuality of Kolmogorov models, contextuality of quantum theory and show how this contextuality has to be taken into account in probabilistic models trying to explain in an intuitive way the predictions of QT. The long range imperfect correlations between the clicks of distant detectors can be explained by partially preserved correlations between the signals created by a source. These correlations can only be preserved if the clicks are produced in a local and deterministic way depending on intrinsic parameters describing signals and measuring devices in the moment of the measurement. If an act of a measurement was irreducibly random they would be destroyed. It seems to indicate that QT may be in fact emerging from some underlying more detailed theory of physical phenomena. If this was a case then there is a chance to find in time series of experimental data some fine structures not predicted by QT. This would be a major discovery because it would not only prove that QT does not provide a complete description of individual physical systems but it would prove that it is not predictably complete. (shrink)

Many accept some inequality as a price for efficiency—by paying some more than others, we incentivize socially productive behavior. G. A. Cohen famously criticized this argument for being overly uncritical of the motives of those who receive such incentives. Cohen’s argument and the debate it has generated implicitly rely on a class-based analysis of how inequality-creating incentives arise: there are the “least advantaged” and the “more advantaged,” and inequality is the result of the more advantaged holding out for more. In (...) contrast, this chapter argues that inequality can be a solution to a problem of cooperation that faces equal sharing schemes: shirking. The temptation to shirk does not just plague the more advantaged, but everyone in an equal sharing scheme. If this is true, inequality is not some tribute we pay to the more advantaged. Instead, it is a solution to a problem of cooperation generated by all of us. (shrink)

Integrated assessment models of climate and the economy provide estimates of the social cost of carbon and inform climate policy. We create a variant of the Regional Integrated model of Climate and the Economy (RICE)—a regionally disaggregated version of the Dynamic Integrated model of Climate and the Economy (DICE)—in which we introduce a more fine-grained representation of economic inequalities within the model’s regions. This allows us to model the common observation that climate change impacts are not evenly distributed within regions (...) and that poorer people are more vulnerable than the rest of the population. Our results suggest that this is important to the social cost of carbon—as significant, potentially, for the optimal carbon price as the debate between Stern and Nordhaus on discounting. (shrink)