Meaning, medicine, and merit

Andreas Mogensen (Global Priorities Institute, Oxford University)

GPI Working Paper No. 3-2019, published in Utilitas

Given the inevitability of scarcity, should public institutions ration healthcare resources so as to prioritize those who contribute more to society? Intuitively, we may feel that this would be somehow inegalitarian. I argue that the egalitarian objection to prioritizing treatment on the basis of patients’ usefulness to others is best thought of as semiotic: i.e. as having to do with what this practice would mean, convey, or express about a person’s standing. I explore the implications of this conclusion when taken in conjunction with the observation that semiotic objections are generally flimsy, failing to identify anything wrong with a practice as such and having limited capacity to generalize beyond particular contexts.

Other working papers

Crying wolf: Warning about societal risks can be reputationally risky – Lucius Caviola (Global Priorities Institute, University of Oxford) et al.

Society relies on expert warnings about large-scale risks like pandemics and natural disasters. Across ten studies (N = 5,342), we demonstrate people’s reluctance to warn about unlikely but large-scale risks because they are concerned about being blamed for being wrong. In particular, warners anticipate that if the risk doesn’t occur, they will be perceived as overly alarmist and responsible for wasting societal resources. This phenomenon appears in the context of natural, technological, and financial risks…

Economic growth under transformative AI – Philip Trammell (Global Priorities Institute, Oxford University) and Anton Korinek (University of Virginia)

Industrialized countries have long seen relatively stable growth in output per capita and a stable labor share. AI may be transformative, in the sense that it may break one or both of these stylized facts. This review outlines the ways this may happen by placing several strands of the literature on AI and growth within a common framework. We first evaluate models in which AI increases output production, for example via increases in capital’s substitutability for labor…

Do not go gentle: why the Asymmetry does not support anti-natalism – Andreas Mogensen (Global Priorities Institute, Oxford University)

According to the Asymmetry, adding lives that are not worth living to the population makes the outcome pro tanto worse, but adding lives that are well worth living to the population does not make the outcome pro tanto better. It has been argued that the Asymmetry entails the desirability of human extinction. However, this argument rests on a misunderstanding of the kind of neutrality attributed to the addition of lives worth living by the Asymmetry. A similar misunderstanding is shown to underlie Benatar’s case for anti-natalism.