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Record W2313864519 · doi:10.4245/sponge.v1i1.2966

On the Ethics of Medical Care under Resource Constraints

2007· article· en· W2313864519 on OpenAlexaffvenue
Joseph Agassi

Bibliographic record

VenueSpontaneous Generations A Journal for the History and Philosophy of Science · 2007
Typearticle
Languageen
FieldHealth Professions
TopicEthics in medical practice
Canadian institutionsYork University
Fundersnot available
KeywordsResource (disambiguation)Medical ethicsEpistemologyFocus (optics)Engineering ethicsMedical careSociologyLawMedicinePhilosophyPolitical scienceComputer scienceNursing

Abstract

fetched live from OpenAlex

The aim of this discussion is practical; otherwise it largely repeats some very general observations, chiefly historical and philosophical.I boast no expertise in anything specifically medical, to do with either medical care or medical administration.My concern is with the system of medicine and with the ethical and social issues that it involves.1 Applied philosophy is a still uncharted territory.Philosophers traditionally focus more on justifying accepted solutions than on seeking new solutions to urgent or interesting problems: their staple problems are those of justification.Thus, they spend less time discussing scientific problems and difficulties, and more time discussing the justification of the claims that we know.They habitually choose the simplest and most unproblematic claims for knowledge, and then try to substantiate them.As the famous writer William Somerset-Maugham has observed, from reading philosophy one might get the impression that there is no pain more important than my toothache.Possibly this makes sense: philosophers discuss the justification of the claims that are most accessible, since if they cannot justify them they cannot justify anything.This is indeed the case: even to justify that I have toothache or that I see a desk before me is impossible.Philosophers often find this tormenting.And perhaps it is.Yet

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.014
metaresearch head score (Gemma)0.022
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.014
Threshold uncertainty score0.076

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0140.022
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.002
Science and technology studies0.0050.044
Scholarly communication0.0090.008
Open science0.0020.006
Research integrity0.0140.009
Insufficient payload (model declined to judge)0.0070.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.168
GPT teacher head0.452
Teacher spread0.284 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2007
Admission routes2
Has abstractyes

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Same venueSpontaneous Generations A Journal for the History and Philosophy of ScienceSame topicEthics in medical practiceFrench-language works237,207