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 case for strong longtermism – Hilary Greaves and William MacAskill (Global Priorities Institute, University of Oxford)

A striking fact about the history of civilisation is just how early we are in it. There are 5000 years of recorded history behind us, but how many years are still to come? If we merely last as long as the typical mammalian species…

Towards shutdownable agents via stochastic choice – Elliott Thornley (Global Priorities Institute, University of Oxford), Alexander Roman (New College of Florida), Christos Ziakas (Independent), Leyton Ho (Brown University), and Louis Thomson (University of Oxford)

Some worry that advanced artificial agents may resist being shut down. The Incomplete Preferences Proposal (IPP) is an idea for ensuring that does not happen. A key part of the IPP is using a novel ‘Discounted Reward for Same-Length Trajectories (DReST)’ reward function to train agents to (1) pursue goals effectively conditional on each trajectory-length (be ‘USEFUL’), and (2) choose stochastically between different trajectory-lengths (be ‘NEUTRAL’ about trajectory-lengths). In this paper, we propose…

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…