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

A non-identity dilemma for person-affecting views – Elliott Thornley (Global Priorities Institute, University of Oxford)

Person-affecting views in population ethics state that (in cases where all else is equal) we’re permitted but not required to create people who would enjoy good lives. In this paper, I present an argument against every possible variety of person- affecting view. The argument takes the form of a dilemma. Narrow person-affecting views must embrace at least one of three implausible verdicts in a case that I call ‘Expanded Non- Identity.’ Wide person-affecting views run into trouble in a case that I call ‘Two-Shot Non-Identity.’ …

Time discounting, consistency and special obligations: a defence of Robust Temporalism – Harry R. Lloyd (Yale University)

This paper defends the claim that mere temporal proximity always and without exception strengthens certain moral duties, including the duty to save – call this view Robust Temporalism. Although almost all other moral philosophers dismiss Robust Temporalism out of hand, I argue that it is prima facie intuitively plausible, and that it is analogous to a view about special obligations that many philosophers already accept…

Simulation expectation – Teruji Thomas (Global Priorities Institute, University of Oxford)

I present a new argument for the claim that I’m much more likely to be a person living in a computer simulation than a person living in the ground-level of reality. I consider whether this argument can be blocked by an externalist view of what my evidence supports, and I urge caution against the easy assumption that actually finding lots of simulations would increase the odds that I myself am in one.