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
Consequentialism, Cluelessness, Clumsiness, and Counterfactuals – Alan Hájek (Australian National University)
According to a standard statement of objective consequentialism, a morally right action is one that has the best consequences. More generally, given a choice between two actions, one is morally better than the other just in case the consequences of the former action are better than those of the latter. (These are not just the immediate consequences of the actions, but the long-term consequences, perhaps until the end of history.) This account glides easily off the tongue—so easily that…
Existential risks from a Thomist Christian perspective – Stefan Riedener (University of Zurich)
Let’s say with Nick Bostrom that an ‘existential risk’ (or ‘x-risk’) is a risk that ‘threatens the premature extinction of Earth-originating intelligent life or the permanent and drastic destruction of its potential for desirable future development’ (2013, 15). There are a number of such risks: nuclear wars, developments in biotechnology or artificial intelligence, climate change, pandemics, supervolcanos, asteroids, and so on (see e.g. Bostrom and Ćirković 2008). …
A paradox for tiny probabilities and enormous values – Nick Beckstead (Open Philanthropy Project) and Teruji Thomas (Global Priorities Institute, Oxford University)
We show that every theory of the value of uncertain prospects must have one of three unpalatable properties. Reckless theories recommend risking arbitrarily great gains at arbitrarily long odds for the sake of enormous potential; timid theories recommend passing up arbitrarily great gains to prevent a tiny increase in risk; nontransitive theories deny the principle that, if A is better than B and B is better than C, then A must be better than C.