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
Doomsday and objective chance – Teruji Thomas (Global Priorities Institute, Oxford University)
Lewis’s Principal Principle says that one should usually align one’s credences with the known chances. In this paper I develop a version of the Principal Principle that deals well with some exceptional cases related to the distinction between metaphysical and epistemic modality. I explain how this principle gives a unified account of the Sleeping Beauty problem and chance-based principles of anthropic reasoning…
A bargaining-theoretic approach to moral uncertainty – Owen Cotton-Barratt (Future of Humanity Institute, Oxford University), Hilary Greaves (Global Priorities Institute, Oxford University)
This paper explores a new approach to the problem of decision under relevant moral uncertainty. We treat the case of an agent making decisions in the face of moral uncertainty on the model of bargaining theory, as if the decision-making process were one of bargaining among different internal parts of the agent, with different parts committed to different moral theories. The resulting approach contrasts interestingly with the extant “maximise expected choiceworthiness”…
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.