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

Towards shutdownable agents via stochastic choice – Elliott Thornley (Global Priorities Institute, University of Oxford), Alexander Roman (New College of Florida), Christos Ziakas (Independent), Leyton Ho (Brown University), and Louis Thomson (University of Oxford)

Some worry that advanced artificial agents may resist being shut down. The Incomplete Preferences Proposal (IPP) is an idea for ensuring that does not happen. A key part of the IPP is using a novel ‘Discounted Reward for Same-Length Trajectories (DReST)’ reward function to train agents to (1) pursue goals effectively conditional on each trajectory-length (be ‘USEFUL’), and (2) choose stochastically between different trajectory-lengths (be ‘NEUTRAL’ about trajectory-lengths). In this paper, we propose…

Longtermism, aggregation, and catastrophic risk – Emma J. Curran (University of Cambridge)

Advocates of longtermism point out that interventions which focus on improving the prospects of people in the very far future will, in expectation, bring about a significant amount of good. Indeed, in expectation, such long-term interventions bring about far more good than their short-term counterparts. As such, longtermists claim we have compelling moral reason to prefer long-term interventions. …

Time discounting, consistency and special obligations: a defence of Robust Temporalism – Harry R. Lloyd (Yale University)

This paper defends the claim that mere temporal proximity always and without exception strengthens certain moral duties, including the duty to save – call this view Robust Temporalism. Although almost all other moral philosophers dismiss Robust Temporalism out of hand, I argue that it is prima facie intuitively plausible, and that it is analogous to a view about special obligations that many philosophers already accept…