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

Simulation expectation – Teruji Thomas (Global Priorities Institute, University of Oxford)

I present a new argument for the claim that I’m much more likely to be a person living in a computer simulation than a person living in the ground-level of reality. I consider whether this argument can be blocked by an externalist view of what my evidence supports, and I urge caution against the easy assumption that actually finding lots of simulations would increase the odds that I myself am in one.

Critical-set views, biographical identity, and the long term – Elliott Thornley (Global Priorities Institute, University of Oxford)

Critical-set views avoid the Repugnant Conclusion by subtracting some constant from the welfare score of each life in a population. These views are thus sensitive to facts about biographical identity: identity between lives. In this paper, I argue that questions of biographical identity give us reason to reject critical-set views and embrace the total view. I end with a practical implication. If we shift our credences towards the total view, we should also shift our efforts towards ensuring that humanity survives for the long term.

Once More, Without Feeling – Andreas Mogensen (Global Priorities Institute, University of Oxford)

I argue for a pluralist theory of moral standing, on which both welfare subjectivity and autonomy can confer moral status. I argue that autonomy doesn’t entail welfare subjectivity, but can ground moral standing in its absence. Although I highlight the existence of plausible views on which autonomy entails phenomenal consciousness, I primarily emphasize the need for philosophical debates about the relationship between phenomenal consciousness and moral standing to engage with neglected questions about the nature…