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

Against Willing Servitude: Autonomy in the Ethics of Advanced Artificial Intelligence – Adam Bales (Global Priorities Institute, University of Oxford)

Some people believe that advanced artificial intelligence systems (AIs) might, in the future, come to have moral status. Further, humans might be tempted to design such AIs that they serve us, carrying out tasks that make our lives better. This raises the question of whether designing AIs with moral status to be willing servants would problematically violate their autonomy. In this paper, I argue that it would in fact do so.

Philosophical considerations relevant to valuing continued human survival: Conceptual Analysis, Population Axiology, and Decision Theory – Andreas Mogensen (Global Priorities Institute, University of Oxford)

Many think that human extinction would be a catastrophic tragedy, and that we ought to do more to reduce extinction risk. There is less agreement on exactly why. If some catastrophe were to kill everyone, that would obviously be horrific. Still, many think the deaths of billions of people don’t exhaust what would be so terrible about extinction. After all, we can be confident that billions of people are going to die – many horribly and before their time – if humanity does not go extinct. …

On the desire to make a difference – Hilary Greaves, William MacAskill, Andreas Mogensen and Teruji Thomas (Global Priorities Institute, University of Oxford)

True benevolence is, most fundamentally, a desire that the world be better. It is natural and common, however, to frame thinking about benevolence indirectly, in terms of a desire to make a difference to how good the world is. This would be an innocuous shift if desires to make a difference were extensionally equivalent to desires that the world be better. This paper shows that at least on some common ways of making a “desire to make a difference” precise, this extensional equivalence fails.