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

Against Willing Servitude: Autonomy in the Ethics of Advanced Artificial Intelligence – Adam Bales (Global Priorities Institute, University of Oxford)

Some people believe that advanced artificial intelligence systems (AIs) might, in the future, come to have moral status. Further, humans might be tempted to design such AIs that they serve us, carrying out tasks that make our lives better. This raises the question of whether designing AIs with moral status to be willing servants would problematically violate their autonomy. In this paper, I argue that it would in fact do so.

Aggregating Small Risks of Serious Harms – Tomi Francis (Global Priorities Institute, University of Oxford)

According to Partial Aggregation, a serious harm can be outweighed by a large number of somewhat less serious harms, but can outweigh any number of trivial harms. In this paper, I address the question of how we should extend Partial Aggregation to cases of risk, and especially to cases involving small risks of serious harms. I argue that, contrary to the most popular versions of the ex ante and ex post views, we should sometimes prevent a small risk that a large number of people will suffer serious harms rather than prevent…

The unexpected value of the future – Hayden Wilkinson (Global Priorities Institute, University of Oxford)

Various philosophers accept moral views that are impartial, additive, and risk-neutral with respect to betterness. But, if that risk neutrality is spelt out according to expected value theory alone, such views face a dire reductio ad absurdum. If the expected sum of value in humanity’s future is undefined—if, e.g., the probability distribution over possible values of the future resembles the Pasadena game, or a Cauchy distribution—then those views say that no real-world option is ever better than any other. And, as I argue…