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
How to neglect the long term – Hayden Wilkinson (Global Priorities Institute, University of Oxford)
Consider longtermism: the view that, at least in some of the most important decisions facing agents today, which options are morally best is determined by which are best for the long-term future. Various critics have argued that longtermism is false—indeed, that it is obviously false, and that we can reject it on normative grounds without close consideration of certain descriptive facts. In effect, it is argued, longtermism would be false even if real-world agents had promising means…
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.
Estimating long-term treatment effects without long-term outcome data – David Rhys Bernard (Paris School of Economics)
Estimating long-term impacts of actions is important in many areas but the key difficulty is that long-term outcomes are only observed with a long delay. One alternative approach is to measure the effect on an intermediate outcome or a statistical surrogate and then use this to estimate the long-term effect. …