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
Is In-kind Kinder than Cash? The Impact of Money vs Food Aid on Social Emotions and Aid Take-up – Samantha Kassirer, Ata Jami, & Maryam Kouchaki (Northwestern University)
There has been widespread endorsement from the academic and philanthropic communities on the new model of giving cash to those in need. Yet the recipient’s perspective has mostly been ignored. The present research explores how food-insecure individuals feel and respond when offered either monetary or food aid from a charity. Our results reveal that individuals are less likely to accept money than food aid from charity because receiving money feels relatively more shameful and relatively less socially positive. Since many…
Should longtermists recommend hastening extinction rather than delaying it? – Richard Pettigrew (University of Bristol)
Longtermism is the view that the most urgent global priorities, and those to which we should devote the largest portion of our current resources, are those that focus on ensuring a long future for humanity, and perhaps sentient or intelligent life more generally, and improving the quality of those lives in that long future. The central argument for this conclusion is that, given a fixed amount of are source that we are able to devote to global priorities, the longtermist’s favoured interventions have…
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. …