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
Consequentialism, Cluelessness, Clumsiness, and Counterfactuals – Alan Hájek (Australian National University)
According to a standard statement of objective consequentialism, a morally right action is one that has the best consequences. More generally, given a choice between two actions, one is morally better than the other just in case the consequences of the former action are better than those of the latter. (These are not just the immediate consequences of the actions, but the long-term consequences, perhaps until the end of history.) This account glides easily off the tongue—so easily that…
Existential risk and growth – Leopold Aschenbrenner (Columbia University)
Human activity can create or mitigate risks of catastrophes, such as nuclear war, climate change, pandemics, or artificial intelligence run amok. These could even imperil the survival of human civilization. What is the relationship between economic growth and such existential risks? In a model of directed technical change, with moderate parameters, existential risk follows a Kuznets-style inverted U-shape. …
Intergenerational equity under catastrophic climate change – Aurélie Méjean (CNRS, Paris), Antonin Pottier (EHESS, CIRED, Paris), Stéphane Zuber (CNRS, Paris) and Marc Fleurbaey (CNRS, Paris School of Economics)
Climate change raises the issue of intergenerational equity. As climate change threatens irreversible and dangerous impacts, possibly leading to extinction, the most relevant trade-off may not be between present and future consumption, but between present consumption and the mere existence of future generations. To investigate this trade-off, we build an integrated assessment model that explicitly accounts for the risk of extinction of future generations…