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
Aggregating Small Risks of Serious Harms – Tomi Francis (Global Priorities Institute, University of Oxford)
According to Partial Aggregation, a serious harm can be outweighed by a large number of somewhat less serious harms, but can outweigh any number of trivial harms. In this paper, I address the question of how we should extend Partial Aggregation to cases of risk, and especially to cases involving small risks of serious harms. I argue that, contrary to the most popular versions of the ex ante and ex post views, we should sometimes prevent a small risk that a large number of people will suffer serious harms rather than prevent…
Desire-Fulfilment and Consciousness – Andreas Mogensen (Global Priorities Institute, University of Oxford)
I show that there are good reasons to think that some individuals without any capacity for consciousness should be counted as welfare subjects, assuming that desire-fulfilment is a welfare good and that any individuals who can accrue welfare goods are welfare subjects. While other philosophers have argued for similar conclusions, I show that they have done so by relying on a simplistic understanding of the desire-fulfilment theory. My argument is intended to be sensitive to the complexities and nuances of contemporary…
How effective is (more) money? Randomizing unconditional cash transfer amounts in the US – Ania Jaroszewicz (University of California San Diego), Oliver P. Hauser (University of Exeter), Jon M. Jachimowicz (Harvard Business School) and Julian Jamison (University of Oxford and University of Exeter)
We randomized 5,243 Americans in poverty to receive a one-time unconditional cash transfer (UCT) of $2,000 (two months’ worth of total household income for the median participant), $500 (half a month’s income), or nothing. We measured the effects of the UCTs on participants’ financial well-being, psychological well-being, cognitive capacity, and physical health through surveys administered one week, six weeks, and 15 weeks later. While bank data show that both UCTs increased expenditures, we find no evidence that…