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
Minimal and Expansive Longtermism – Hilary Greaves (University of Oxford) and Christian Tarsney (Population Wellbeing Initiative, University of Texas at Austin)
The standard case for longtermism focuses on a small set of risks to the far future, and argues that in a small set of choice situations, the present marginal value of mitigating those risks is very great. But many longtermists are attracted to, and many critics of longtermism worried by, a farther-reaching form of longtermism. According to this farther-reaching form, there are many ways of improving the far future, which determine the value of our options in all or nearly all choice situations…
How should risk and ambiguity affect our charitable giving? – Lara Buchak (Princeton University)
Suppose we want to do the most good we can with a particular sum of money, but we cannot be certain of the consequences of different ways of making use of it. This paper explores how our attitudes towards risk and ambiguity bear on what we should do. It shows that risk-avoidance and ambiguity-aversion can each provide good reason to divide our money between various charitable organizations rather than to give it all to the most promising one…
Ethical Consumerism – Philip Trammell (Global Priorities Institute and Department of Economics, University of Oxford)
I study a static production economy in which consumers have not only preferences over their own consumption but also external, or “ethical”, preferences over the supply of each good. Though existing work on the implications of external preferences assumes price-taking, I show that ethical consumers generically prefer not to act even approximately as price-takers. I therefore introduce a near-Nash equilibrium concept that generalizes the near-Nash equilibria found in literature on strategic foundations of general equilibrium…