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
It Only Takes One: The Psychology of Unilateral Decisions – Joshua Lewis (New York University) et al.
Sometimes, one decision can guarantee that a risky event will happen. For instance, it only took one team of researchers to synthesize and publish the horsepox genome, thus imposing its publication even though other researchers might have refrained for biosecurity reasons. We examine cases where everybody who can impose a given event has the same goal but different information about whether the event furthers that goal. …
Population ethics with thresholds – Walter Bossert (University of Montreal), Susumu Cato (University of Tokyo) and Kohei Kamaga (Sophia University)
We propose a new class of social quasi-orderings in a variable-population setting. In order to declare one utility distribution at least as good as another, the critical-level utilitarian value of the former must reach or surpass the value of the latter. For each possible absolute value of the difference between the population sizes of two distributions to be compared, we specify a non-negative threshold level and a threshold inequality. This inequality indicates whether the corresponding threshold level must be reached or surpassed in…
Tough enough? Robust satisficing as a decision norm for long-term policy analysis – Andreas Mogensen and David Thorstad (Global Priorities Institute, Oxford University)
This paper aims to open a dialogue between philosophers working in decision theory and operations researchers and engineers whose research addresses the topic of decision making under deep uncertainty. Specifically, we assess the recommendation to follow a norm of robust satisficing when making decisions under deep uncertainty in the context of decision analyses that rely on the tools of Robust Decision Making developed by Robert Lempert and colleagues at RAND …