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
Moral demands and the far future – Andreas Mogensen (Global Priorities Institute, Oxford University)
I argue that moral philosophers have either misunderstood the problem of moral demandingness or at least failed to recognize important dimensions of the problem that undermine many standard assumptions. It has been assumed that utilitarianism concretely directs us to maximize welfare within a generation by transferring resources to people currently living in extreme poverty. In fact, utilitarianism seems to imply that any obligation to help people who are currently badly off is trumped by obligations to undertake actions targeted at improving the value…
Staking our future: deontic long-termism and the non-identity problem – Andreas Mogensen (Global Priorities Institute, Oxford University)
Greaves and MacAskill argue for axiological longtermism, according to which, in a wide class of decision contexts, the option that is ex ante best is the option that corresponds to the best lottery over histories from t onwards, where t is some date far in the future. They suggest that a stakes-sensitivity argument…
Time Bias and Altruism – Leora Urim Sung (University College London)
We are typically near-future biased, being more concerned with our near future than our distant future. This near-future bias can be directed at others too, being more concerned with their near future than their distant future. In this paper, I argue that, because we discount the future in this way, beyond a certain point in time, we morally ought to be more concerned with the present well- being of others than with the well-being of our distant future selves. It follows that we morally ought to sacrifice…