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
Concepts of existential catastrophe – Hilary Greaves (University of Oxford)
The notion of existential catastrophe is increasingly appealed to in discussion of risk management around emerging technologies, but it is not completely clear what this notion amounts to. Here, I provide an opinionated survey of the space of plausibly useful definitions of existential catastrophe. Inter alia, I discuss: whether to define existential catastrophe in ex post or ex ante terms, whether an ex ante definition should be in terms of loss of expected value or loss of potential…
Should longtermists recommend hastening extinction rather than delaying it? – Richard Pettigrew (University of Bristol)
Longtermism is the view that the most urgent global priorities, and those to which we should devote the largest portion of our current resources, are those that focus on ensuring a long future for humanity, and perhaps sentient or intelligent life more generally, and improving the quality of those lives in that long future. The central argument for this conclusion is that, given a fixed amount of are source that we are able to devote to global priorities, the longtermist’s favoured interventions have…
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…