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
Time Bias and Altruism – Leora Urim Sung (University College London)
We are typically near-future biased, being more concerned with our near future than our distant future. This near-future bias can be directed at others too, being more concerned with their near future than their distant future. In this paper, I argue that, because we discount the future in this way, beyond a certain point in time, we morally ought to be more concerned with the present well- being of others than with the well-being of our distant future selves. It follows that we morally ought to sacrifice…
Intergenerational experimentation and catastrophic risk – Fikri Pitsuwan (Center of Economic Research, ETH Zurich)
I study an intergenerational game in which each generation experiments on a risky technology that provides private benefits, but may also cause a temporary catastrophe. I find a folk-theorem-type result on which there is a continuum of equilibria. Compared to the socially optimal level, some equilibria exhibit too much, while others too little, experimentation. The reason is that the payoff externality causes preemptive experimentation, while the informational externality leads to more caution…
The paralysis argument – William MacAskill, Andreas Mogensen (Global Priorities Institute, Oxford University)
Given plausible assumptions about the long-run impact of our everyday actions, we show that standard non-consequentialist constraints on doing harm entail that we should try to do as little as possible in our lives. We call this the Paralysis Argument. After laying out the argument, we consider and respond to…