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

The asymmetry, uncertainty, and the long term – Teruji Thomas (Global Priorities Institute, Oxford University)

The Asymmetry is the view in population ethics that, while we ought to avoid creating additional bad lives, there is no requirement to create additional good ones. The question is how to embed this view in a complete normative theory, and in particular one that treats uncertainty in a plausible way. After reviewing…

Against the singularity hypothesis – David Thorstad (Global Priorities Institute, University of Oxford)

The singularity hypothesis is a radical hypothesis about the future of artificial intelligence on which self-improving artificial agents will quickly become orders of magnitude more intelligent than the average human. Despite the ambitiousness of its claims, the singularity hypothesis has been defended at length by leading philosophers and artificial intelligence researchers. In this paper, I argue that the singularity hypothesis rests on scientifically implausible growth assumptions. …

Population ethics with thresholds – Walter Bossert (University of Montreal), Susumu Cato (University of Tokyo) and Kohei Kamaga (Sophia University)

We propose a new class of social quasi-orderings in a variable-population setting. In order to declare one utility distribution at least as good as another, the critical-level utilitarian value of the former must reach or surpass the value of the latter. For each possible absolute value of the difference between the population sizes of two distributions to be compared, we specify a non-negative threshold level and a threshold inequality. This inequality indicates whether the corresponding threshold level must be reached or surpassed in…