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
Calibration dilemmas in the ethics of distribution – Jacob M. Nebel (University of Southern California) and H. Orri Stefánsson (Stockholm University and Swedish Collegium for Advanced Study)
This paper presents a new kind of problem in the ethics of distribution. The problem takes the form of several “calibration dilemmas,” in which intuitively reasonable aversion to small-stakes inequalities requires leading theories of distribution to recommend intuitively unreasonable aversion to large-stakes inequalities—e.g., inequalities in which half the population would gain an arbitrarily large quantity of well-being or resources…
Intergenerational experimentation and catastrophic risk – Fikri Pitsuwan (Center of Economic Research, ETH Zurich)
I study an intergenerational game in which each generation experiments on a risky technology that provides private benefits, but may also cause a temporary catastrophe. I find a folk-theorem-type result on which there is a continuum of equilibria. Compared to the socially optimal level, some equilibria exhibit too much, while others too little, experimentation. The reason is that the payoff externality causes preemptive experimentation, while the informational externality leads to more caution…
How to neglect the long term – Hayden Wilkinson (Global Priorities Institute, University of Oxford)
Consider longtermism: the view that, at least in some of the most important decisions facing agents today, which options are morally best is determined by which are best for the long-term future. Various critics have argued that longtermism is false—indeed, that it is obviously false, and that we can reject it on normative grounds without close consideration of certain descriptive facts. In effect, it is argued, longtermism would be false even if real-world agents had promising means…