On the idea of a global ethic

Two different kinds of rules are needed in the regulation of human conduct in the sphere of global interaction. There is a need for global ethics and also a need for a global ethic. The first exists but needs reinforcement. The second also exists but not sufficiently widely and therefore needs a fashioning out in some contexts. Because ethics and an ethic are grammatically cognate and are both concerned with behavior, it is easy to conflate the two. Accordingly, clarity will be sought below about the distinction between them. The hope is that such clarity might help in directing efforts in search of harmony and other good things on our planet.     

Accountability from Somewhere and for Someone: Relating with Care

Abstract

In contemporary care institutions, accountability procedures and devices are increasingly pervasive and considered crucial for monitoring quality. Such accountability practices are based on the idea that accountability and care belong in two separate domains. The distinction between accountability ‘from nowhere and for everyone’ and accountability ‘from somewhere and for someone’ problematises this implicit split. Taking seriously the observations of everyday caring and accounting by care professionals, who resist splitting care and accountability from the outset, demands a reconceptualisation of the relation between care and accountability as reciprocal and co-emerging. Both accountability and care are highly circumstantial, emerging, relational notions and it is not clear-cut who or what cares or accounts for what, whom, where and how. Paying due attention to the generative interweaving of accounting and caring, that is, to the narrative work of care professionals, affords the potential to turn universal abstract norms of what good care should be into meaningful care. Creatively reconnecting care experiences, observations, records and relations generates accountability with care. Care professionals do this by daring to prioritise speculatively what matters most in a specific situation without falling back on the reassurance of clear-cut norms of good care and by daring to admit that even while prioritising a certain course of action, they might not know its consequences. Such a speculative commitment and the inclusion of the researcher's experiences in trying to be accountable are crucial for studying accountability as a matter of care and as relatedness in the making.     

Tensions of Accountability: Scientists,Technicians and the Ethical Life of Data Production in Astronomy

ABSTRACT

Laboratory ethnographies have emphasized the importance of trust and accountability among scientists and technicians when working in co-presence. But what happens to their relations when data production is outsourced, widely separating scientists and technicians? In contemporary astronomy, observing has largely become a service that observatory staff members do for researchers. This has increased the efficiency of telescope use while also resulting in arrangements prone to some researchers’ dissatisfaction and a raised visibility of technicians’ work. Attending ethnographically to situated evaluations reveals that some data-using researchers and data-producing technicians typify each other as moral figures: staff observers come to be seen as objects of blame and scientists as excessively demanding users. Wherever data travel, the quality and quantity of data can serve as ethical affordances for assigning blame to staff technicians. By contrast, the moral figure of the excessively demanding data user does not travel beyond the observatory, and the social accountability of interactions that visiting astronomers experience in the observatory’s control room is confined to its situated enactment. As scientist–technician interactions have become discontinuous and fraught, moral figures and ethical accounts thus travel unevenly in the landscape of data production, and the importance of social interactions remains often unrecognized.     

Desert,fairness, and resentment

Responsibility, blameworthiness in particular, has been characterized in a number of ways in a literature in which participants appear to be talking about the same thing much of the time. More specifically, blameworthiness has been characterized in terms of what sorts of responses are fair, appropriate, and deserved in a basic way, where the responses in question range over blame, sanctions, alterations to interpersonal relationships, and the reactive attitudes, such as resentment and indignation. In this paper, I explore the relationships between three particular theses: (i) the claim that one is blameworthy to the extent that it is fair to impose sanctions, (ii) the claim that one is blameworthy to the extent that one deserves sanctions, and (iii) the claim that one is blameworthy to the extent that it is appropriate to respond with reactive attitudes. Appealing to the way in which luck in the outcome of an action can justifiably affect the degree of sanctions received, I argue that (i) is false and that fairness and desert come apart. I then argue that the relationship between the reactive attitudes and sanction is not as straightforward as has sometimes been assumed, but that (ii) and (iii) might both be true and closely linked. I conclude by exploring various claims about desert, including ones that link it to the intrinsic goodness of receiving what is deserved and to the permissibility or rightness of inflicting suffering.     

Comparison of the Effects of Formal and Informal Accountability on the Correct Performance of a Lifeguard Rescue

We compared instructional strategies used to train lifeguards. Fifteen undergraduates participated in the study during their twice weekly 90 minute lifeguard classes. A checklist of 15 steps was used to define correct performance of a lifeguard (water) rescue. The dependent variable was the percentage of steps completed correctly. Data were collected from videotapes of 32 sessions. A multi-treatment reversal design was used to assess the efficacy of typical peer instruction, a triad where students verbally supported one another, a triad where members used a checklist to prompt correct performance, and a instructor-mediated condition where for each 90% or better correct performance the participant received a bonus grade point. The significance of the rescue was not enough to produce competent performance, neither was peer support, nor peer-mediated instruction using a checklist, but all participants achieved 90% correct performance or better during the instructor-mediated condition. Our results suggest that the instructor-mediated condition is considerably more effective than informal accountability.     

RESPONSIBILITY AND DISABILITY

Abstract: This essay explores the boundaries of the moral community—the collection of agents eligible for moral responsibility—by focusing on those just inside it and those just outside it. In particular, it contrasts mild mental retardation with psychopathy, specifically among adults. For those who work with and know them, adults with mild mental retardation are thought to be obvious members of the moral community (albeit not full-fledged members). For those who work with and theorize about adult psychopaths, by contrast, they are not members of the moral community (albeit not in such a full-fledged fashion as the insane). Both psychopaths and adults with MMR have a disability, and the essay is interested in how disability sometimes exempts one from the moral community and sometimes doesn't. It will be through two associated puzzles that we will eventually come to see the complicated tripartite relation between disability, responsibility, and moral community.     

Reason,Representation, and Participation

This paper argues that the contrast between direct and representative democracy is less important than that between simple majoritarianism and deliberative i.e., public reason centred, democracy, as only the latter is sufficiently sensitive to the problem of domination. Having explored a range of arguments in favour of direct democracy it is argued that moves in this direction are only warranted when the practice of public reasoning will be enhanced. Both symbolic representation and delegate democracy are rejected in favour of substantive measures to formalise communication between voters and representatives and permit the formal contestation of political decision on the ground that these will provide stronger defences against domination within the political system.     

Pediatric Health-Related Quality-of-Life Measurement Technology: Intersections between Science, Managed Care, and Clinical Care

The demand for health care outcomes assessment is increasing, driven by the proliferation of managed care as a form of health care financing. Providers, consumers, and payers can use health care outcomes to improve the efficiency and quality of care, spur performance improvement, and demonstrate accountability. This review introduces health outcomes and focuses on one particular outcome—pediatric health-related quality of life (HRQOL), exemplified by the PedsQL, a brief, practical, reliable, valid, and responsive measure of pediatric HRQOL. HRQOL measurement has the potential, in pediatric clinical practice, to improve assessment, clinical management, and treatment evaluation if practical, conceptual, and empirical challenges are addressed. These issues are discussed and directions for future research are described that would demonstrate the value of HRQOL measurement in pediatric clinical settings.