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
Existential Risk and Growth – Philip Trammell (Global Priorities Institute and Department of Economics, University of Oxford) and Leopold Aschenbrenner
Technologies may pose existential risks to civilization. Though accelerating technological development may increase the risk of anthropogenic existential catastrophe per period in the short run, two considerations suggest that a sector-neutral acceleration decreases the risk that such a catastrophe ever occurs. First, acceleration decreases the time spent at each technology level. Second, since a richer society is willing to sacrifice more for safety, optimal policy can yield an “existential risk Kuznets curve”; acceleration…
In defence of fanaticism – Hayden Wilkinson (Australian National University)
Consider a decision between: 1) a certainty of a moderately good outcome, such as one additional life saved; 2) a lottery which probably gives a worse outcome, but has a tiny probability of a far better outcome (perhaps trillions of blissful lives created). Which is morally better? Expected value theory (with a plausible axiology) judges (2) as better, no matter how tiny its probability of success. But this seems fanatical. So we may be tempted to abandon expected value theory…
A bargaining-theoretic approach to moral uncertainty – Owen Cotton-Barratt (Future of Humanity Institute, Oxford University), Hilary Greaves (Global Priorities Institute, Oxford University)
This paper explores a new approach to the problem of decision under relevant moral uncertainty. We treat the case of an agent making decisions in the face of moral uncertainty on the model of bargaining theory, as if the decision-making process were one of bargaining among different internal parts of the agent, with different parts committed to different moral theories. The resulting approach contrasts interestingly with the extant “maximise expected choiceworthiness”…