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
Intergenerational equity under catastrophic climate change – Aurélie Méjean (CNRS, Paris), Antonin Pottier (EHESS, CIRED, Paris), Stéphane Zuber (CNRS, Paris) and Marc Fleurbaey (CNRS, Paris School of Economics)
Climate change raises the issue of intergenerational equity. As climate change threatens irreversible and dangerous impacts, possibly leading to extinction, the most relevant trade-off may not be between present and future consumption, but between present consumption and the mere existence of future generations. To investigate this trade-off, we build an integrated assessment model that explicitly accounts for the risk of extinction of future generations…
Three mistakes in the moral mathematics of existential risk – David Thorstad (Global Priorities Institute, University of Oxford)
Longtermists have recently argued that it is overwhelmingly important to do what we can to mitigate existential risks to humanity. I consider three mistakes that are often made in calculating the value of existential risk mitigation: focusing on cumulative risk rather than period risk; ignoring background risk; and neglecting population dynamics. I show how correcting these mistakes pushes the value of existential risk mitigation substantially below leading estimates, potentially low enough to…
Heuristics for clueless agents: how to get away with ignoring what matters most in ordinary decision-making – David Thorstad and Andreas Mogensen (Global Priorities Institute, Oxford University)
Even our most mundane decisions have the potential to significantly impact the long-term future, but we are often clueless about what this impact may be. In this paper, we aim to characterize and solve two problems raised by recent discussions of cluelessness, which we term the Problems of Decision Paralysis and the Problem of Decision-Making Demandingness. After reviewing and rejecting existing solutions to both problems, we argue that the way forward is to be found in the distinction between procedural and substantive rationality…