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
Future Suffering and the Non-Identity Problem – Theron Pummer (University of St Andrews)
I present and explore a new version of the Person-Affecting View, according to which reasons to do an act depend wholly on what would be said for or against this act from the points of view of particular individuals. According to my view, (i) there is a morally requiring reason not to bring about lives insofar as they contain suffering (negative welfare), (ii) there is no morally requiring reason to bring about lives insofar as they contain happiness (positive welfare), but (iii) there is a permitting reason to bring about lives insofar as they…
Intergenerational experimentation and catastrophic risk – Fikri Pitsuwan (Center of Economic Research, ETH Zurich)
I study an intergenerational game in which each generation experiments on a risky technology that provides private benefits, but may also cause a temporary catastrophe. I find a folk-theorem-type result on which there is a continuum of equilibria. Compared to the socially optimal level, some equilibria exhibit too much, while others too little, experimentation. The reason is that the payoff externality causes preemptive experimentation, while the informational externality leads to more caution…
A Fission Problem for Person-Affecting Views – Elliott Thornley (Global Priorities Institute, University of Oxford)
On person-affecting views in population ethics, the moral import of a person’s welfare depends on that person’s temporal or modal status. These views typically imply that – all else equal – we’re never required to create extra people, or to act in ways that increase the probability of extra people coming into existence. In this paper, I use Parfit-style fission cases to construct a dilemma for person-affecting views: either they forfeit their seeming-advantages and face fission analogues…