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

Egyptology and Fanaticism – Hayden Wilkinson (Global Priorities Institute, University of Oxford)

Various decision theories share a troubling implication. They imply that, for any finite amount of value, it would be better to wager it all for a vanishingly small probability of some greater value. Counterintuitive as it might be, this fanaticism has seemingly compelling independent arguments in its favour. In this paper, I consider perhaps the most prima facie compelling such argument: an Egyptology argument (an analogue of the Egyptology argument from population ethics). …

Choosing the future: Markets, ethics and rapprochement in social discounting – Antony Millner (University of California, Santa Barbara) and Geoffrey Heal (Columbia University)

This paper provides a critical review of the literature on choosing social discount rates (SDRs) for public cost-benefit analysis. We discuss two dominant approaches, the first based on market prices, and the second based on intertemporal ethics. While both methods have attractive features, neither is immune to criticism. …

Towards shutdownable agents via stochastic choice – Elliott Thornley (Global Priorities Institute, University of Oxford), Alexander Roman (New College of Florida), Christos Ziakas (Independent), Leyton Ho (Brown University), and Louis Thomson (University of Oxford)

Some worry that advanced artificial agents may resist being shut down. The Incomplete Preferences Proposal (IPP) is an idea for ensuring that doesn’t happen. A key part of the IPP is using a novel ‘Discounted REward for Same-Length Trajectories (DREST)’ reward function to train agents to (1) pursue goals effectively conditional on each trajectory-length (be ‘USEFUL’), and (2) choose stochastically between different trajectory-lengths (be ‘NEUTRAL’ about trajectory-lengths). In this paper, we propose evaluation metrics…