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
The case for strong longtermism – Hilary Greaves and William MacAskill (Global Priorities Institute, University of Oxford)
A striking fact about the history of civilisation is just how early we are in it. There are 5000 years of recorded history behind us, but how many years are still to come? If we merely last as long as the typical mammalian species…
On the desire to make a difference – Hilary Greaves, William MacAskill, Andreas Mogensen and Teruji Thomas (Global Priorities Institute, University of Oxford)
True benevolence is, most fundamentally, a desire that the world be better. It is natural and common, however, to frame thinking about benevolence indirectly, in terms of a desire to make a difference to how good the world is. This would be an innocuous shift if desires to make a difference were extensionally equivalent to desires that the world be better. This paper shows that at least on some common ways of making a “desire to make a difference” precise, this extensional equivalence fails.
Longtermism in an Infinite World – Christian J. Tarsney (Population Wellbeing Initiative, University of Texas at Austin) and Hayden Wilkinson (Global Priorities Institute, University of Oxford)
The case for longtermism depends on the vast potential scale of the future. But that same vastness also threatens to undermine the case for longtermism: If the future contains infinite value, then many theories of value that support longtermism (e.g., risk-neutral total utilitarianism) seem to imply that no available action is better than any other. And some strategies for avoiding this conclusion (e.g., exponential time discounting) yield views that…