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
Non-additive axiologies in large worlds – Christian Tarsney and Teruji Thomas (Global Priorities Institute, Oxford University)
Is the overall value of a world just the sum of values contributed by each value-bearing entity in that world? Additively separable axiologies (like total utilitarianism, prioritarianism, and critical level views) say ‘yes’, but non-additive axiologies (like average utilitarianism, rank-discounted utilitarianism, and variable value views) say ‘no’…
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…
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…