Downward mobility and Rawlsian justice

Technological and societal changes have made downward social and economic mobility a pressing issue in real-world politics. This article argues that a Rawlsian society would not provide any special protection against downward mobility, and would act rightly in declining to provide such protection. Special treatment for the downwardly mobile can be grounded neither in Rawls’s core principles—the basic liberties, fair equality of opportunity, and the difference principle—nor in other aspects of Rawls’s theory (the concept of legitimate expectations, the idea of a life plan, the distinction between allocative and distributive justice, or the distinction between ideal and nonideal theory). Instead, a Rawlsian society is willing to sacrifice particular individuals’ ambitions and plans for the achievement of justice, and offers those who lose out from justified change no special solicitude over and above the general solicitude extended to all. Rather than guaranteeing the maintenance of any particular individual or group’s economic position, it provides all of its members—the upwardly mobile, the downwardly mobile, and the immobile—a form of security that is at once more generous and more limited: that they will receive the liberties, opportunities, and resources promised by the principles of justice.     

Eliminating Categorical Exclusion Criteria in Crisis Standards of Care Frameworks

Abstract

During public health crises including the COVID-19 pandemic, resource scarcity and contagion risks may require health systems to shift—to some degree—from a usual clinical ethic, focused on the well-being of individual patients, to a public health ethic, focused on population health. Many triage policies exist that fall under the legal protections afforded by “crisis standards of care,” but they have key differences. We critically appraise one of the most fundamental differences among policies, namely the use of criteria to categorically exclude certain patients from eligibility for otherwise standard medical services. We examine these categorical exclusion criteria from ethical, legal, disability, and implementation perspectives. Focusing our analysis on the most common type of exclusion criteria, which are disease-specific, we conclude that optimal policies for critical care resource allocation and the use of cardiopulmonary resuscitation (CPR) should not use categorical exclusions. We argue that the avoidance of categorical exclusions is often practically feasible, consistent with public health norms, and mitigates discrimination against persons with disabilities.     

Election Outcome and Tax Compliance: The Role of Political Party Affiliation,Affect Balance,and Trust in Government

The present study examines partisan reactions to presidential election outcomes. Our model investigates the interactive role of political party affiliation on the relationship between identification with the winning party and affect balance. We subsequently examine how tax compliance intentions are influenced by this moderation relationship through affect balance and trust in government. We conducted a quasi-experiment one week prior to the first mass 2016 presidential primary, where 12 of the 50 US states voted to decide which candidates would represent the Republican and Democratic parties in the 2016 US presidential election. Our sample consisted of 205 Republicans and Democrats. We manipulated press releases showing various presidential candidates winning the presidency to examine how matches / mismatches between partisans’ political party affiliation and the party winning the election influence citizens’ overall feelings, beliefs, and intentions. We find election outcomes generate significant overall positive or negative feelings (i.e., affect balance) among partisans, which influences beliefs about trust in government, and subsequently their tax compliance intentions. Political party moderates the relationship between election outcomes and affect balance in such a way that Democrats experience greater overall positive affect balance when their party wins the election compared to Republicans.