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

Time discounting, consistency and special obligations: a defence of Robust Temporalism – Harry R. Lloyd (Yale University)

This paper defends the claim that mere temporal proximity always and without exception strengthens certain moral duties, including the duty to save – call this view Robust Temporalism. Although almost all other moral philosophers dismiss Robust Temporalism out of hand, I argue that it is prima facie intuitively plausible, and that it is analogous to a view about special obligations that many philosophers already accept…

How to resist the Fading Qualia Argument – Andreas Mogensen (Global Priorities Institute, University of Oxford)

The Fading Qualia Argument is perhaps the strongest argument supporting the view that in order for a system to be conscious, it does not need to be made of anything in particular, so long as its internal parts have the right causal relations to each other and to the system’s inputs and outputs. I show how the argument can be resisted given two key assumptions: that consciousness is associated with vagueness at its boundaries and that conscious neural activity has a particular kind of holistic structure. …

Existential risk and growth – Leopold Aschenbrenner (Columbia University)

Human activity can create or mitigate risks of catastrophes, such as nuclear war, climate change, pandemics, or artificial intelligence run amok. These could even imperil the survival of human civilization. What is the relationship between economic growth and such existential risks? In a model of directed technical change, with moderate parameters, existential risk follows a Kuznets-style inverted U-shape. …