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

Do not go gentle: why the Asymmetry does not support anti-natalism – Andreas Mogensen (Global Priorities Institute, Oxford University)

According to the Asymmetry, adding lives that are not worth living to the population makes the outcome pro tanto worse, but adding lives that are well worth living to the population does not make the outcome pro tanto better. It has been argued that the Asymmetry entails the desirability of human extinction. However, this argument rests on a misunderstanding of the kind of neutrality attributed to the addition of lives worth living by the Asymmetry. A similar misunderstanding is shown to underlie Benatar’s case for anti-natalism.

Population ethical intuitions – Lucius Caviola (Harvard University) et al.

Is humanity’s existence worthwhile? If so, where should the human species be headed in the future? In part, the answers to these questions require us to morally evaluate the (potential) human population in terms of its size and aggregate welfare. This assessment lies at the heart of population ethics. Our investigation across nine experiments (N = 5776) aimed to answer three questions about how people aggregate welfare across individuals: (1) Do they weigh happiness and suffering symmetrically…

It Only Takes One: The Psychology of Unilateral Decisions – Joshua Lewis (New York University) et al.

Sometimes, one decision can guarantee that a risky event will happen. For instance, it only took one team of researchers to synthesize and publish the horsepox genome, thus imposing its publication even though other researchers might have refrained for biosecurity reasons. We examine cases where everybody who can impose a given event has the same goal but different information about whether the event furthers that goal. …