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
Economic inequality and the long-term future – Andreas T. Schmidt (University of Groningen) and Daan Juijn (CE Delft)
Why, if at all, should we object to economic inequality? Some central arguments – the argument from decreasing marginal utility for example – invoke instrumental reasons and object to inequality because of its effects…
The end of economic growth? Unintended consequences of a declining population – Charles I. Jones (Stanford University)
In many models, economic growth is driven by people discovering new ideas. These models typically assume either a constant or growing population. However, in high income countries today, fertility is already below its replacement rate: women are having fewer than two children on average. It is a distinct possibility — highlighted in the recent book, Empty Planet — that global population will decline rather than stabilize in the long run. …
In Defence of Moderation – Jacob Barrett (Vanderbilt University)
A decision theory is fanatical if it says that, for any sure thing of getting some finite amount of value, it would always be better to almost certainly get nothing while having some tiny probability (no matter how small) of getting sufficiently more finite value. Fanaticism is extremely counterintuitive; common sense requires a more moderate view. However, a recent slew of arguments purport to vindicate it, claiming that moderate alternatives to fanaticism are sometimes similarly counterintuitive, face a powerful continuum argument…