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
Staking our future: deontic long-termism and the non-identity problem – Andreas Mogensen (Global Priorities Institute, Oxford University)
Greaves and MacAskill argue for axiological longtermism, according to which, in a wide class of decision contexts, the option that is ex ante best is the option that corresponds to the best lottery over histories from t onwards, where t is some date far in the future. They suggest that a stakes-sensitivity argument…
Tiny probabilities and the value of the far future – Petra Kosonen (Population Wellbeing Initiative, University of Texas at Austin)
Morally speaking, what matters the most is the far future – at least according to Longtermism. The reason why the far future is of utmost importance is that our acts’ expected influence on the value of the world is mainly determined by their consequences in the far future. The case for Longtermism is straightforward: Given the enormous number of people who might exist in the far future, even a tiny probability of affecting how the far future goes outweighs the importance of our acts’ consequences…
Exceeding expectations: stochastic dominance as a general decision theory – Christian Tarsney (Global Priorities Institute, Oxford University)
The principle that rational agents should maximize expected utility or choiceworthiness is intuitively plausible in many ordinary cases of decision-making under uncertainty. But it is less plausible in cases of extreme, low-probability risk (like Pascal’s Mugging), and intolerably paradoxical in cases like the St. Petersburg and Pasadena games. In this paper I show that, under certain conditions, stochastic dominance reasoning can capture most of the plausible implications of expectational reasoning while avoiding most of its pitfalls…