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

Simulation expectation – Teruji Thomas (Global Priorities Institute, University of Oxford)

I present a new argument for the claim that I’m much more likely to be a person living in a computer simulation than a person living in the ground-level of reality. I consider whether this argument can be blocked by an externalist view of what my evidence supports, and I urge caution against the easy assumption that actually finding lots of simulations would increase the odds that I myself am in one.

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…

The freedom of future people – Andreas T Schmidt (University of Groningen)

What happens to liberal political philosophy, if we consider not only the freedom of present but also future people? In this article, I explore the case for long-term liberalism: freedom should be a central goal, and we should often be particularly concerned with effects on long-term future distributions of freedom. I provide three arguments. First, liberals should be long-term liberals: liberal arguments to value freedom give us reason to be (particularly) concerned with future freedom…