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
How much should governments pay to prevent catastrophes? Longtermism’s limited role – Carl Shulman (Advisor, Open Philanthropy) and Elliott Thornley (Global Priorities Institute, University of Oxford)
Longtermists have argued that humanity should significantly increase its efforts to prevent catastrophes like nuclear wars, pandemics, and AI disasters. But one prominent longtermist argument overshoots this conclusion: the argument also implies that humanity should reduce the risk of existential catastrophe even at extreme cost to the present generation. This overshoot means that democratic governments cannot use the longtermist argument to guide their catastrophe policy. …
The structure of critical sets – Walter Bossert (University of Montreal), Susumu Cato (University of Tokyo) and Kohei Kamaga (Sophia University)
The purpose of this paper is to address some ambiguities and misunderstandings that appear in previous studies of population ethics. In particular, we examine the structure of intervals that are employed in assessing the value of adding people to an existing population. Our focus is on critical-band utilitarianism and critical-range utilitarianism, which are commonly-used population theories that employ intervals, and we show that some previously assumed equivalences are not true in general. The possible discrepancies can be…
A Fission Problem for Person-Affecting Views – Elliott Thornley (Global Priorities Institute, University of Oxford)
On person-affecting views in population ethics, the moral import of a person’s welfare depends on that person’s temporal or modal status. These views typically imply that – all else equal – we’re never required to create extra people, or to act in ways that increase the probability of extra people coming into existence. In this paper, I use Parfit-style fission cases to construct a dilemma for person-affecting views: either they forfeit their seeming-advantages and face fission analogues…