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

Economic growth under transformative AI – Philip Trammell (Global Priorities Institute, Oxford University) and Anton Korinek (University of Virginia)

Industrialized countries have long seen relatively stable growth in output per capita and a stable labor share. AI may be transformative, in the sense that it may break one or both of these stylized facts. This review outlines the ways this may happen by placing several strands of the literature on AI and growth within a common framework. We first evaluate models in which AI increases output production, for example via increases in capital’s substitutability for labor…

How important is the end of humanity? Lay people prioritize extinction prevention but not above all other societal issues. – Matthew Coleman (Northeastern University), Lucius Caviola (Global Priorities Institute, University of Oxford) et al.

Human extinction would mean the deaths of eight billion people and the end of humanity’s achievements, culture, and future potential. On several ethical views, extinction would be a terrible outcome. How do people think about human extinction? And how much do they prioritize preventing extinction over other societal issues? Across six empirical studies (N = 2,541; U.S. and China) we find that people consider extinction prevention a global priority and deserving of greatly increased societal resources. …

Minimal and Expansive Longtermism – Hilary Greaves (University of Oxford) and Christian Tarsney (Population Wellbeing Initiative, University of Texas at Austin)

The standard case for longtermism focuses on a small set of risks to the far future, and argues that in a small set of choice situations, the present marginal value of mitigating those risks is very great. But many longtermists are attracted to, and many critics of longtermism worried by, a farther-reaching form of longtermism. According to this farther-reaching form, there are many ways of improving the far future, which determine the value of our options in all or nearly all choice situations…