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
Strong longtermism and the challenge from anti-aggregative moral views – Karri Heikkinen (University College London)
Greaves and MacAskill (2019) argue for strong longtermism, according to which, in a wide class of decision situations, the option that is ex ante best, and the one we ex ante ought to choose, is the option that makes the very long-run future go best. One important aspect of their argument is the claim that strong longtermism is compatible with a wide range of ethical assumptions, including plausible non-consequentialist views. In this essay, I challenge this claim…
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…
Cassandra’s Curse: A second tragedy of the commons – Philippe Colo (ETH Zurich)
This paper studies why scientific forecasts regarding exceptional or rare events generally fail to trigger adequate public response. I consider a game of contribution to a public bad. Prior to the game, I assume contributors receive non-verifiable expert advice regarding uncertain damages. In addition, I assume that the expert cares only about social welfare. Under mild assumptions, I show that no information transmission can happen at equilibrium when the number of contributors…