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

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. …

Will AI Avoid Exploitation? – Adam Bales (Global Priorities Institute, University of Oxford)

A simple argument suggests that we can fruitfully model advanced AI systems using expected utility theory. According to this argument, an agent will need to act as if maximising expected utility if they’re to avoid exploitation. Insofar as we should expect advanced AI to avoid exploitation, it follows that we should expected advanced AI to act as if maximising expected utility. I spell out this argument more carefully and demonstrate that it fails, but show that the manner of its failure is instructive…

Heuristics for clueless agents: how to get away with ignoring what matters most in ordinary decision-making – David Thorstad and Andreas Mogensen (Global Priorities Institute, Oxford University)

Even our most mundane decisions have the potential to significantly impact the long-term future, but we are often clueless about what this impact may be. In this paper, we aim to characterize and solve two problems raised by recent discussions of cluelessness, which we term the Problems of Decision Paralysis and the Problem of Decision-Making Demandingness. After reviewing and rejecting existing solutions to both problems, we argue that the way forward is to be found in the distinction between procedural and substantive rationality…