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
Strong longtermism and the challenge from anti-aggregative moral views – Karri Heikkinen (University College London)
Greaves and MacAskill (2019) argue for strong longtermism, according to which, in a wide class of decision situations, the option that is ex ante best, and the one we ex ante ought to choose, is the option that makes the very long-run future go best. One important aspect of their argument is the claim that strong longtermism is compatible with a wide range of ethical assumptions, including plausible non-consequentialist views. In this essay, I challenge this claim…
Quadratic Funding with Incomplete Information – Luis M. V. Freitas (Global Priorities Institute, University of Oxford) and Wilfredo L. Maldonado (University of Sao Paulo)
Quadratic funding is a public good provision mechanism that satisfies desirable theoretical properties, such as efficiency under complete information, and has been gaining popularity in practical applications. We evaluate this mechanism in a setting of incomplete information regarding individual preferences, and show that this result only holds under knife-edge conditions. We also estimate the inefficiency of the mechanism in a variety of settings and show, in particular, that inefficiency increases…
Non-additive axiologies in large worlds – Christian Tarsney and Teruji Thomas (Global Priorities Institute, Oxford University)
Is the overall value of a world just the sum of values contributed by each value-bearing entity in that world? Additively separable axiologies (like total utilitarianism, prioritarianism, and critical level views) say ‘yes’, but non-additive axiologies (like average utilitarianism, rank-discounted utilitarianism, and variable value views) say ‘no’…