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
Maximal cluelessness – Andreas Mogensen (Global Priorities Institute, Oxford University)
I argue that many of the priority rankings that have been proposed by effective altruists seem to be in tension with apparently reasonable assumptions about the rational pursuit of our aims in the face of uncertainty. The particular issue on which I focus arises from recognition of the overwhelming importance…
Ethical Consumerism – Philip Trammell (Global Priorities Institute and Department of Economics, University of Oxford)
I study a static production economy in which consumers have not only preferences over their own consumption but also external, or “ethical”, preferences over the supply of each good. Though existing work on the implications of external preferences assumes price-taking, I show that ethical consumers generically prefer not to act even approximately as price-takers. I therefore introduce a near-Nash equilibrium concept that generalizes the near-Nash equilibria found in literature on strategic foundations of general equilibrium…
Desire-Fulfilment and Consciousness – Andreas Mogensen (Global Priorities Institute, University of Oxford)
I show that there are good reasons to think that some individuals without any capacity for consciousness should be counted as welfare subjects, assuming that desire-fulfilment is a welfare good and that any individuals who can accrue welfare goods are welfare subjects. While other philosophers have argued for similar conclusions, I show that they have done so by relying on a simplistic understanding of the desire-fulfilment theory. My argument is intended to be sensitive to the complexities and nuances of contemporary…