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
Longtermism in an Infinite World – Christian J. Tarsney (Population Wellbeing Initiative, University of Texas at Austin) and Hayden Wilkinson (Global Priorities Institute, University of Oxford)
The case for longtermism depends on the vast potential scale of the future. But that same vastness also threatens to undermine the case for longtermism: If the future contains infinite value, then many theories of value that support longtermism (e.g., risk-neutral total utilitarianism) seem to imply that no available action is better than any other. And some strategies for avoiding this conclusion (e.g., exponential time discounting) yield views that…
Social Beneficence – Jacob Barrett (Global Priorities Institute, University of Oxford)
A background assumption in much contemporary political philosophy is that justice is the first virtue of social institutions, taking priority over other values such as beneficence. This assumption is typically treated as a methodological starting point, rather than as following from any particular moral or political theory. In this paper, I challenge this assumption.
The Hinge of History Hypothesis: Reply to MacAskill – Andreas Mogensen (Global Priorities Institute, University of Oxford)
Some believe that the current era is uniquely important with respect to how well the rest of human history goes. Following Parfit, call this the Hinge of History Hypothesis. Recently, MacAskill has argued that our era is actually very unlikely to be especially influential in the way asserted by the Hinge of History Hypothesis. I respond to MacAskill, pointing to important unresolved ambiguities in his proposed definition of what it means for a time to be influential and criticizing the two arguments…