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

Doomsday and objective chance – Teruji Thomas (Global Priorities Institute, Oxford University)

Lewis’s Principal Principle says that one should usually align one’s credences with the known chances. In this paper I develop a version of the Principal Principle that deals well with some exceptional cases related to the distinction between metaphysical and epistemic modal­ity. I explain how this principle gives a unified account of the Sleeping Beauty problem and chance-­based principles of anthropic reasoning…

Are we living at the hinge of history? – William MacAskill (Global Priorities Institute, Oxford University)

In the final pages of On What Matters, Volume II, Derek Parfit comments: ‘We live during the hinge of history… If we act wisely in the next few centuries, humanity will survive its most dangerous and decisive period… What now matters most is that we avoid ending human history.’ This passage echoes Parfit’s comment, in Reasons and Persons, that ‘the next few centuries will be the most important in human history’. …

The long-run relationship between per capita incomes and population size – Maya Eden (University of Zurich) and Kevin Kuruc (Population Wellbeing Initiative, University of Texas at Austin)

The relationship between the human population size and per capita incomes has long been debated. Two competing forces feature prominently in these discussions. On the one hand, a larger population means that limited natural resources must be shared among more people. On the other hand, more people means more innovation and faster technological progress, other things equal. We study a model that features both of these channels. A calibration suggests that, in the long run, (marginal) increases in population would…