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

The Conservation Multiplier – Bård Harstad (University of Oslo)

Every government that controls an exhaustible resource must decide whether to exploit it or to conserve and thereby let the subsequent government decide whether to exploit or conserve. This paper develops a positive theory of this situation and shows when a small change in parameter values has a multiplier effect on exploitation. The multiplier strengthens the influence of a lobby paying for exploitation, and of a donor compensating for conservation. …

How to resist the Fading Qualia Argument – Andreas Mogensen (Global Priorities Institute, University of Oxford)

The Fading Qualia Argument is perhaps the strongest argument supporting the view that in order for a system to be conscious, it does not need to be made of anything in particular, so long as its internal parts have the right causal relations to each other and to the system’s inputs and outputs. I show how the argument can be resisted given two key assumptions: that consciousness is associated with vagueness at its boundaries and that conscious neural activity has a particular kind of holistic structure. …

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…