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Extra info for On the Nature of Health: An Action-Theoretic Approach

Sample text

A person can be ill only if he is diseased. This shows that the BST still rests on the analytic platform. Illness (on the level of the whole person) is partially defined in terms of disease, while the concept of disease is not tied to the state of health of the whole person. Rather, as we have seen, it is tied entirely to the subnormal functioning of some bodily part. 4. THE PRIMA-FACIE MERITS OF THE BIOSTATISTICAL THEORY The BST of Christopher Boorse is a well designed theory. It is c1ear on certain crucial points where alternative analytic theories are unc1ear.

Boorse admits that the highest-Ievel goals of organisms are somewhat indeterminate. The behavior of organisms seems to contribute to different and independent goals simultaneously. Among these are individual survival, individual reproductive ability, survival of the species, survival of the genes and ecological equilibrium. But, he continues: It is only the subfield of physiology whose functions seem relevant to health. On the basis of what appears in physiology texts, I suggest that these functions are, specificaily, contributions to individual survival and reproduction.

The adipose tissue of a normal man will release its triglycerides into the metabolism only when there is a significantly low input (or low uptake) of nutrients into the organism. The abstract message he re is the following: Certain bodily goals (or subgoals ) are such that they require for their achievement or maintenance continuous hard work by the bodily parts responsible for these goals. Other goals can be achieved or maintained by occasional measures. Still other goals only very rarely require any work by a particular part of the body.

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