Meaning, medicine, and merit

Andreas Mogensen (Global Priorities Institute, Oxford University)

GPI Working Paper No. 3-2019, published in Utilitas

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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

Choosing the future: Markets, ethics and rapprochement in social discounting – Antony Millner (University of California, Santa Barbara) and Geoffrey Heal (Columbia University)

This paper provides a critical review of the literature on choosing social discount rates (SDRs) for public cost-benefit analysis. We discuss two dominant approaches, the first based on market prices, and the second based on intertemporal ethics. While both methods have attractive features, neither is immune to criticism. …

Staking our future: deontic long-termism and the non-identity problem – Andreas Mogensen (Global Priorities Institute, Oxford University)

Greaves and MacAskill argue for axiological longtermism, according to which, in a wide class of decision contexts, the option that is ex ante best is the option that corresponds to the best lottery over histories from t onwards, where t is some date far in the future. They suggest that a stakes-sensitivity argument…

In search of a biological crux for AI consciousness – Bradford Saad (Global Priorities Institute, University of Oxford)

Whether AI systems could be conscious is often thought to turn on whether consciousness is closely linked to biology. The rough thought is that if consciousness is closely linked to biology, then AI consciousness is impossible, and if consciousness is not closely linked to biology, then AI consciousness is possible—or, at any rate, it’s more likely to be possible. A clearer specification of the kind of link between consciousness and biology that is crucial for the possibility of AI consciousness would help organize inquiry into…