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
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…
Can an evidentialist be risk-averse? – Hayden Wilkinson (Global Priorities Institute, University of Oxford)
Two key questions of normative decision theory are: 1) whether the probabilities relevant to decision theory are evidential or causal; and 2) whether agents should be risk-neutral, and so maximise the expected value of the outcome, or instead risk-averse (or otherwise sensitive to risk). These questions are typically thought to be independent – that our answer to one bears little on our answer to the other. …
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”…