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

‘The only ethical argument for positive 𝛿’? – Andreas Mogensen (Global Priorities Institute, Oxford University)

I consider whether a positive rate of pure intergenerational time preference is justifiable in terms of agent-relative moral reasons relating to partiality between generations, an idea I call ​discounting for kinship​. I respond to Parfit’s objections to discounting for kinship, but then highlight a number of apparent limitations of this…

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…

Funding public projects: A case for the Nash product rule – Florian Brandl (Stanford University), Felix Brandt (Technische Universität München), Dominik Peters (University of Oxford), Christian Stricker (Technische Universität München) and Warut Suksompong (National University of Singapore)

We study a mechanism design problem where a community of agents wishes to fund public projects via voluntary monetary contributions by the community members. This serves as a model for public expenditure without an exogenously available budget, such as participatory budgeting or voluntary tax programs, as well as donor coordination when interpreting charities as public projects and donations as contributions. Our aim is to identify a mutually beneficial distribution of the individual contributions. …