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
Consciousness makes things matter – Andrew Y. Lee (University of Toronto)
This paper argues that phenomenal consciousness is what makes an entity a welfare subject, or the kind of thing that can be better or worse off. I develop and motivate this view, and then defend it from objections concerning death, non-conscious entities that have interests (such as plants), and conscious subjects that necessarily have welfare level zero. I also explain how my theory of welfare subjects relates to experientialist and anti-experientialist theories of welfare goods.
The structure of critical sets – Walter Bossert (University of Montreal), Susumu Cato (University of Tokyo) and Kohei Kamaga (Sophia University)
The purpose of this paper is to address some ambiguities and misunderstandings that appear in previous studies of population ethics. In particular, we examine the structure of intervals that are employed in assessing the value of adding people to an existing population. Our focus is on critical-band utilitarianism and critical-range utilitarianism, which are commonly-used population theories that employ intervals, and we show that some previously assumed equivalences are not true in general. The possible discrepancies can be…
The paralysis argument – William MacAskill, Andreas Mogensen (Global Priorities Institute, Oxford University)
Given plausible assumptions about the long-run impact of our everyday actions, we show that standard non-consequentialist constraints on doing harm entail that we should try to do as little as possible in our lives. We call this the Paralysis Argument. After laying out the argument, we consider and respond to…