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  1. Justice and the allocation of healthcare resources: should indirect, non-health effects count? [REVIEW]Kasper Lippert-Rasmussen & Sigurd Lauridsen - 2010 - Medicine, Health Care and Philosophy 13 (3):237-246.
    Alternative allocations of a fixed bundle of healthcare resources often involve significantly different indirect, non-health effects. The question arises whether these effects must figure in accounts of the conditions under which a distribution of healthcare resources is morally justifiable. In this article we defend a Scanlonian, affirmative answer to this question: healthcare resource managers should sometimes select an allocation which has worse direct, health-related effects but better indirect, nonhealth effects; they should do this when the interests served by such a (...)
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  • Broome on Fairness and Lotteries.Hugh Lazenby - 2014 - Utilitas 26 (4):331-345.
    John Broome argues that when all claims cannot be perfectly fairly satisfied in outcome, the contribution to fairness from entering claims into a lottery, and so providing them some surrogate satisfaction, ought to be weighed against, and can outweigh, what fairness can be achieved directly in outcome. I argue that this is a mistake. Instead, I suggest that any contribution to fairness from entering claims into a lottery is lexically posterior to fairness in outcome.
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  • Fairness in life and Death Cases.Gerald Lang - 2005 - Erkenntnis 62 (3):321-351.
    John Taurek famously argued that, in ‘conflict cases’, where we are confronted with a smaller and a larger group of individuals, and can choose which group to save from harm, we should toss a coin, rather than saving the larger group. This is primarily because coin-tossing is fairer: it ensures that each individual, regardless of the group to which he or she belongs, has an equal chance of being saved. This article provides a new response to Taurek’s argument. It proposes (...)
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  • Broome's Theory of Fairness and the Problem of Quantifying the Strengths of Claims.James R. Kirkpatrick & Nick Eastwood - 2015 - Utilitas 27 (1):82-91.
    John Broome argues that fairness requires that claims are satisfied in proportion to their strength. Broome holds that, when distributing indivisible goods, fairness requires the use of weighted lotteries as a surrogate to satisfy proportionally each candidate's claims. In this article, we present two arguments against Broome's account of fairness. First, we argue that it is almost impossible to calculate the weights of the lotteries in accordance with the requirements of fairness. Second, we argue that Broome rules out those methods (...)
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  • Relevance and Non-consequentialist Aggregation.J. Paul Kelleher - 2014 - Utilitas 26 (4):385-408.
    Interpersonal aggregation involves the combining and weighing of benefits and losses to multiple individuals in the course of determining what ought to be done. Most consequentialists embrace thoroughgoing interpersonal aggregation, the view that any large benefit to each of a few people can be morally outweighed by allocating any smaller benefit to each of many others, so long as this second group is sufficiently large. This would permit letting one person die in order to cure some number of mild headaches (...)
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  • Prevention, Rescue and Tiny Risks.J. Paul Kelleher - 2013 - Public Health Ethics 6 (3):pht032.
    Contrary to popular belief, population-wide preventive measures are rarely cost-reducing. Yet they can still be cost-effective, and indeed more cost-effective than treatment. This is often true of preventive measures that work by slightly reducing the already low risks of death faced by many people. This raises a difficult moral question: when we must choose between life-saving treatment, on the one hand, and preventive measures that avert even more deaths, on the other, is the case for prevention weakened when it works (...)
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  • Sweatshops, Exploitation, and the Nonworseness Claim.Michael Kates - 2023 - Business Ethics Quarterly 33 (4):682-703.
    According to the nonworseness claim, it cannot be morallyworseto exploit someone than not to interact with them at all when the interaction 1) is mutually beneficial, 2) is voluntary, and 3) has no negative effects on third parties. My aim in this article is to defend the moral significance of exploitation from this challenge. To that end, I develop a novel account of why sweatshop owners have a moral obligation to pay sweatshop workers a nonexploitative wage despite the fact that (...)
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  • First Come, First Served?Tyler M. John & Joseph Millum - 2020 - Ethics 130 (2):179-207.
    Waiting time is widely used in health and social policy to make resource allocation decisions, yet no general account of the moral significance of waiting time exists. We provide such an account. We argue that waiting time is not intrinsically morally significant, and that the first person in a queue for a resource does not ipso facto have a right to receive that resource first. However, waiting time can and sometimes should play a role in justifying allocation decisions. First, there (...)
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  • Weighted Lotteries and the Allocation of Scarce Medications for Covid‐19.Lynn A. Jansen & Steven Wall - 2021 - Hastings Center Report 51 (1):39-46.
    The allocation of vaccines and therapeutics for Covid‐19 obviously raises ethical questions, and physicians and ethicists have begun to address them. Writers have identified various criteria that should guide allocation decisions, but the criteria often conflict and need to be balanced against one another. This article proposes a model for thinking about how different considerations that are relevant to the distribution of vaccines and scarce treatments for Covid‐19 could be integrated into an allocation procedure. The model employs the construct of (...)
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  • Hypothetical Choice, Egalitarianism and the Separateness of Persons.Keith Hyams - 2015 - Utilitas 27 (2):217-239.
    Luck egalitarians claim that disadvantage is worse when it emerges from an unchosen risk than when it emerges from a chosen risk. I argue that disadvantage is also worse when it emerges from an unchosen risk that the disadvantaged agent would have declined to take, had he or she been able to do so, than when it emerges from an unchosen risk that the disadvantaged agent would not have declined to take. Such a view is significant because it allows both (...)
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  • Predictive policing and algorithmic fairness.Tzu-Wei Hung & Chun-Ping Yen - 2023 - Synthese 201 (6):1-29.
    This paper examines racial discrimination and algorithmic bias in predictive policing algorithms (PPAs), an emerging technology designed to predict threats and suggest solutions in law enforcement. We first describe what discrimination is in a case study of Chicago’s PPA. We then explain their causes with Broadbent’s contrastive model of causation and causal diagrams. Based on the cognitive science literature, we also explain why fairness is not an objective truth discoverable in laboratories but has context-sensitive social meanings that need to be (...)
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  • In defence of Pigou-Dalton for chances.Stefánsson H. Orri - 2023 - Utilitas 35 (4):292-311.
    I defend a weak version of the Pigou-Dalton principle for chances. The principle says that it is better to increase the survival chance of a person who is more likely to die rather than a person who is less likely to die, assuming that the two people do not differ in any other morally relevant respect. The principle justifies plausible moral judgements that standard ex post views, such as prioritarianism and rank-dependent egalitarianism, cannot accommodate. However, the principle can be justified (...)
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  • Fairness.Brad Hooker - 2005 - Ethical Theory and Moral Practice 8 (4):329 - 352.
    The main body of this paper assesses a leading recent theory of fairness, a theory put forward by John Broome. I discuss Broome's theory partly because of its prominence and partly because I think it points us in the right direction, even if it takes some missteps. In the course of discussing Broome's theory, I aim to cast light on the relation of fairness to consistency, equality, impartiality, desert, rights, and agreements. Indeed, before I start assessing Broome's theory, I discuss (...)
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  • The Fairness in Algorithmic Fairness.Sune Holm - 2023 - Res Publica 29 (2):265-281.
    With the increasing use of algorithms in high-stakes areas such as criminal justice and health has come a significant concern about the fairness of prediction-based decision procedures. In this article I argue that a prominent class of mathematically incompatible performance parity criteria can all be understood as applications of John Broome’s account of fairness as the proportional satisfaction of claims. On this interpretation these criteria do not disagree on what it means for an algorithm to be _fair_. Rather they express (...)
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  • Egalitarianism and Algorithmic Fairness.Sune Holm - 2023 - Philosophy and Technology 36 (1):1-18.
    What does it mean for algorithmic classifications to be fair to different socially salient groups? According to classification parity criteria, what is required is equality across groups with respect to some performance measure such as error rates. Critics of classification parity object that classification parity entails that achieving fairness may require us to choose an algorithm that makes no group better off and some groups worse off than an alternative. In this article, I interpret the problem of algorithmic fairness as (...)
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  • Who Should Intervene?Fredrik D. Hjorthen - 2017 - Res Publica 23 (4):391-407.
    The objective of this paper is to develop a novel account of how the duty to undertake humanitarian intervention should be assigned to states. It takes as its point of departure two worries about the best existing answer to this question, namely: that it is insensitive to historical considerations, and that its distribution is unfair. Against this background I propose that the duty to intervene should be assigned to states based on the strength of their claim to reject the burden (...)
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  • Proportionality in cyberwar and just war theory.Fredrik D. Hjorthen & James Pattison - 2023 - Ethics and Global Politics 16 (1):1-24.
    Which harms and benefits should be viewed as relevant when considering whether to launch cyber-measures? In this article, we consider this question, which matters because it is central to determining whether cyber-measures should be launched. Several just war theorists hold a version of what we call the ‘Restrictive View’, according to which there are restrictions on the sorts of harms and benefits that should be included in proportionality assessments about the justifiability of going to war (whether cyber or kinetic). We (...)
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  • Procedural Fairness in Exchange Matching Systems.Gil Hersch - 2022 - Journal of Business Ethics 188 (2):367-377.
    The move from open outcry to electronic trading added another responsibility to futures exchanges—that of matching orders between buyers and sellers. Matching systems can affect the level and speed of price discovery, the distribution of revenue, as well as the level of price efficiency of a given market. Whether the matching system is procedurally fair is another important consideration. I argue that while FIFO (First In First Out) is a fair procedure in principle and is perceived as the default matching (...)
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  • From Choice to Chance? Saving People, Fairness, and Lotteries.Tim Henning - 2015 - Philosophical Review 124 (2):169-206.
    Many authors in ethics, economics, and political science endorse the Lottery Requirement, that is, the following thesis: where different parties have equal moral claims to one indivisible good, it is morally obligatory to let a fair lottery decide which party is to receive the good. This article defends skepticism about the Lottery Requirement. It distinguishes three broad strategies of defending such a requirement: the surrogate satisfaction account, the procedural account, and the ideal consent account, and argues that none of these (...)
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  • How to be fairer.Conrad Heilmann & Stefan Wintein - 2017 - Synthese 194 (9):3475-3499.
    We confront the philosophical literature on fair division problems with axiomatic and game-theoretic work in economics. Firstly, we show that the proportionality method advocated in Curtis is not implied by a general principle of fairness, and that the proportional rule cannot be explicated axiomatically from that very principle. Secondly, we suggest that Broome’s notion of claims is too restrictive and that game-theoretic approaches can rectify this shortcoming. More generally, we argue that axiomatic and game-theoretic work in economics is an indispensable (...)
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  • Dividing the indivisible: Apportionment and philosophical theories of fairness.Conrad Heilmann & Stefan Wintein - 2018 - Politics, Philosophy and Economics 17 (1):51-74.
    Philosophical theories of fairness propose to divide a good that several individuals have a claim to in proportion to the strength of their respective claims. We suggest that currently, these theories face a dilemma when dealing with a good that is indivisible. On the one hand, theories of fairness that use weighted lotteries are either of limited applicability or fall prey to an objection by Brad Hooker. On the other hand, accounts that do without weighted lotteries fall prey to three (...)
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  • Constrained Fairness in Distribution.Daniel Hausman - 2022 - Journal of Ethics and Social Philosophy 22 (1).
    In “Weighing Up Weighted Lotteries: Scarcity, Overlap Cases, and Fair Inequalities of Chance”, Gerard Vong addresses intriguing problems in which it is impossible to give an equal chance of receiving a good to a set of equal claimants, because goods can be distributed only via groups which have overlapping membership. Vong proposes a rule for distributing chances that he argues is sensitive to both comparative and absolute fairness. This comment discusses some formal difficulties with Vong’s proposal and argues that it (...)
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  • The PPE enterprise: A substantive research programme.Alan Hamlin - 2010 - Politics, Philosophy and Economics 9 (4):366-378.
    This article characterizes politics, philosophy, and economics as a substantive research programme as a flexible and analytic debate on the relations between the individual and society that incorporates both positive and normative analyses. This, in contrast to a view of PPE as a series of interdisciplinary or multidisciplinary topics. To this end, I sketch the general shape of the research programme, it boundaries and its features, before offering a slightly more detailed account of some aspects of the PPE programme. I (...)
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  • Comparative Desert Vs. Fairness.Kerah Gordon-Solmon - 2017 - Law and Philosophy 36 (4):367-387.
    In the recent book The Geometry of Desert, Shelly Kagan explores, with a rare degree of precision, how best to cash out two fundamental and widely shared intuitions. The first intuition says that virtuous people deserve to be doing well, and that less virtuous people deserve to be doing less well – and thus, that it’s good if virtuous people are doing well and if less virtuous people are doing less well. The second intuition says that the distribution of the (...)
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  • Mixed Feelings About Mixed Solutions.Jan Gertken - 2016 - Ethical Theory and Moral Practice 19 (1):59-69.
    The numbers problem concerns the question of what is the right thing to do in trade-off cases where one can save different non-overlapping groups of persons, but not everyone. Proponents of mixed solutions argue that both saving the many and holding a lottery to determine whom to save can each be morally right in such cases, depending on the relative sizes of the groups involved. In his book The Dimensions of Consequentialism, Martin Peterson presents an ingenious version of such an (...)
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  • We Should Not Use Randomization Procedures to Allocate Scarce Life-Saving Resources.Roberto Fumagalli - 2022 - Public Health Ethics 15 (1):87-103.
    In the recent literature across philosophy, medicine and public health policy, many influential arguments have been put forward to support the use of randomization procedures to allocate scarce life-saving resources. In this paper, I provide a systematic categorization and a critical evaluation of these arguments. I shall argue that those arguments justify using RAND to allocate SLSR in fewer cases than their proponents maintain and that the relevant decision-makers should typically allocate SLSR directly to the individuals with the strongest claims (...)
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  • Egalitarianism and the Separateness of Persons.Alex Voorhoeve & Marc Fleurbaey - 2012 - Utilitas 24 (3):381-398.
    The difference between the unity of the individual and the separateness of persons requires that there be a shift in the moral weight that we accord to changes in utility when we move from making intrapersonal tradeoffs to making interpersonal tradeoffs. We examine which forms of egalitarianism can, and which cannot, account for this shift. We argue that a form of egalitarianism which is concerned only with the extent of outcome inequality cannot account for this shift. We also argue that (...)
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  • Betterness of permissibility.Benjamin Ferguson & Sebastian Köhler - 2020 - Philosophical Studies 177 (9):2451-2469.
    It is often assumed that morally permissible acts are morally better than impermissible acts. We call this claim Betterness of Permissibility. Yet, we show that some striking counterexamples show that the claim’s truth cannot be taken for granted. Furthermore, even if Betterness of Permissibility is true, it is unclear why. Apart from appeals to its intuitive plausibility, no arguments in favour of the condition exist. We fill this lacuna by identifying two fundamental conditions that jointly entail betterness of permissibility: ‘reasons (...)
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  • Why is Cognitive Enhancement Deemed Unacceptable? The Role of Fairness, Deservingness, and Hollow Achievements.Nadira S. Faber, Julian Savulescu & Thomas Douglas - 2016 - Frontiers in Psychology 7.
    We ask why pharmacological cognitive enhancement (PCE) is generally deemed morally unacceptable by lay people. Our approach to this question has two core elements. First, we employ an interdisciplinary perspective, using philosophical rationales as base for generating psychological models. Second, by testing these models we investigate how different normative judgments on PCE are related to each other. Based on an analysis of the relevant philosophical literature, we derive two psychological models that can potentially explain the judgment that PCE is unacceptable: (...)
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  • Rational Numbers: A Non‐Consequentialist Explanation Of Why You Should Save The Many And Not The Few.Tom Dougherty - 2013 - Philosophical Quarterly 63 (252):413-427.
    You ought to save a larger group of people rather than a distinct smaller group of people, all else equal. A consequentialist may say that you ought to do so because this produces the most good. If a non-consequentialist rejects this explanation, what alternative can he or she give? This essay defends the following explanation, as a solution to the so-called numbers problem. Its two parts can be roughly summarised as follows. First, you are morally required to want the survival (...)
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  • Playing Dice with Morality: Weighted Lotteries and the Number Problem.Mathieu Doucet - 2013 - Utilitas 25 (2):161-181.
    In this article I criticize the non-consequentialist Weighted Lottery (WL) solution to the choice between saving a smaller or a larger group of people. WL aims to avoid what non-consequentialists see as consequentialism's unfair aggregation by giving equal consideration to each individual's claim to be rescued. In so doing, I argue, WL runs into another common objection to consequentialism: it is excessively demanding. WL links the right action with the outcome of a fairly weighted lottery, which means that an agent (...)
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  • Enhancement and desert.Thomas Douglas - 2019 - Politics, Philosophy and Economics 18 (1):3-22.
    It is sometimes claimed that those who succeed with the aid of enhancement technologies deserve the rewards associated with their success less, other things being equal, than those who succeed without the aid of such technologies. This claim captures some widely held intuitions, has been implicitly endorsed by participants in social–psychological research and helps to undergird some otherwise puzzling philosophical objections to the use of enhancement technologies. I consider whether it can be provided with a rational basis. I examine three (...)
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  • What Is Wrong With Kamm's and Scanlon's Arguments Against Taurek.Tyler Doggett - 2009 - Journal of Ethics and Social Philosophy 3 (3):1-16.
    I distinguish several arguments Kamm and Scanlon make against Taurek's claim that it is permissible to save smaller groups of people rather than larger. I then argue that none succeeds. This is a companion to my "Saving the Few.".
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  • Original position arguments and social choice under ignorance.Thijs De Coninck & Frederik Van De Putte - 2022 - Theory and Decision 94 (2):275-298.
    John Rawls famously argued that the Difference Principle would be chosen by any rational agent in the original position. Derek Parfit and Philippe Van Parijs have claimed, contra Rawls, that it is not the Difference Principle which is implied by Rawls’ original position argument, but rather the more refined Lexical Difference Principle. In this paper, we study both principles in the context of social choice under ignorance. First, we present a general format for evaluating original position arguments in this context. (...)
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  • Special relativity and the intrinsicality of shape.Matthew Davidson - 2014 - Analysis 74 (1):ant100.
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  • To be fair.Benjamin L. Curtis - 2014 - Analysis 74 (1):47-57.
    In this article I present a theory of what it is to be fair. I take my cue from Broome’s well known 1990 account of fairness. Broome’s basic thesis is that fairness is the proportional satisfaction of claims, and with this I am in at least partial agreement. But neither Broome nor anyone else (so far as I know) has laid down a theory of precisely what one must do in order to be fair. The theory offered here does just (...)
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  • Public goods and fairness.Garrett Cullity - 2008 - Australasian Journal of Philosophy 86 (1):1 – 21.
    To what extent can we as a community legitimately require individuals to contribute to producing public goods? Most of us think that, at least sometimes, refusing to pay for a public good that you have enjoyed can involve a kind of 'free riding' that makes it wrong. But what is less clear is under exactly which circumstances this is wrong. To work out the answer to that, we need to know why it is wrong. I argue that when free riding (...)
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  • The Fair Chances in Algorithmic Fairness: A Response to Holm.Clinton Castro & Michele Loi - 2023 - Res Publica 29 (2):231–237.
    Holm (2022) argues that a class of algorithmic fairness measures, that he refers to as the ‘performance parity criteria’, can be understood as applications of John Broome’s Fairness Principle. We argue that the performance parity criteria cannot be read this way. This is because in the relevant context, the Fairness Principle requires the equalization of actual individuals’ individual-level chances of obtaining some good (such as an accurate prediction from a predictive system), but the performance parity criteria do not guarantee any (...)
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  • Perspectives on the Fairness of Lotteries.Jan-Willem Burgers - 2016 - Res Publica 22 (2):209-224.
    When there are equally strong claimants for a scarce good, lotteries are often argued to be a fair method of allocation. This paper reproduces four of the views on the fairness of lotteries that have been presented in the literature: the distributive view; the preference view; the actual consent view; and the expressive view. It argues that these four views cannot offer plausible explanations for the fairness of lotteries. The distributive view is argued to be inadequate because, even though receiving (...)
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  • Overpopulation and Procreative Liberty.Greg Bognar - 2019 - Ethics, Policy and Environment 22 (3):319-330.
    A few decades ago, there was a lively debate on the problem of overpopulation. Various proposals to limit population growth and to control fertility were made and debated both in academia and in th...
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  • Where Democracy Should Be: On the Site(s) of the All-Subjected Principle.Andreas Bengtson - 2021 - Res Publica 28 (1):69-84.
    In this paper, I set out to defend the claim that a central principle in democratic theory, the all-subjected principle, applies not only when one is subject to a rule by a state but also when one is subject to a rule by a ‘non-state’ unit. I argue that self-government is the value underlying the all-subjected principle that explains why a subjected individual should be included because she is subjected. Given this, it is unfounded to limit the principle to the (...)
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  • Teasing out Artificial Intelligence in Medicine: An Ethical Critique of Artificial Intelligence and Machine Learning in Medicine.Mark Henderson Arnold - 2021 - Journal of Bioethical Inquiry 18 (1):121-139.
    The rapid adoption and implementation of artificial intelligence in medicine creates an ontologically distinct situation from prior care models. There are both potential advantages and disadvantages with such technology in advancing the interests of patients, with resultant ontological and epistemic concerns for physicians and patients relating to the instatiation of AI as a dependent, semi- or fully-autonomous agent in the encounter. The concept of libertarian paternalism potentially exercised by AI (and those who control it) has created challenges to conventional assessments (...)
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  • Policy Evaluation under Severe Uncertainty: A Cautious, Egalitarian Approach.Alex Voorhoeve - 2021 - In Conrad Heilmann & Julian Reiss (eds.), Routledge Handbook of Philosophy of Economics. London: Routledge. pp. 467-479.
    In some severely uncertain situations, exemplified by climate change and novel pandemics, policymakers lack a reasoned basis for assigning probabilities to the possible outcomes of the policies they must choose between. I outline and defend an uncertainty averse, egalitarian approach to policy evaluation in these contexts. The upshot is a theory of distributive justice which offers especially strong reasons to guard against individual and collective misfortune.
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  • Maximising Expected Value Under Axiological Uncertainty. An Axiomatic Approach.Stefan Riedener - 2015 - Dissertation, Oxford
    The topic of this thesis is axiological uncertainty – the question of how you should evaluate your options if you are uncertain about which axiology is true. As an answer, I defend Expected Value Maximisation (EVM), the view that one option is better than another if and only if it has the greater expected value across axiologies. More precisely, I explore the axiomatic foundations of this view. I employ results from state-dependent utility theory, extend them in various ways and interpret (...)
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  • Values in Psychometrics.Lisa D. Wijsen, Denny Borsboom & Anna Alexandrova - forthcoming - Perspectives on Psychological Science.
    When it originated in the late 19th century, psychometrics was a field with both a scientific and a social mission: psychometrics provided new methods for research into individual differences, and at the same time, these psychometric instruments were considered a means to create a new social order. In contrast, contemporary psychometrics - due to its highly technical nature and its limited involvement in substantive psychological research - has created the impression of being a value-free discipline. In this article, we develop (...)
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  • Why Health-Related Inequalities Matter and Which Ones Do.Alex Voorhoeve - 2019 - In Ole F. Norheim, Ezekiel J. Emanuel & Joseph Millum (eds.), Global Health Priority-Setting: Beyond Cost-Effectiveness. Oxford University Press. pp. 145-62.
    I outline and defend two egalitarian theories, which yield distinctive and, I argue, complementary answers to why health-related inequalities matter: a brute luck egalitarian view, according to which inequalities due to unchosen, differential luck are bad because unfair, and a social egalitarian view, according to which inequalities are bad when and because they undermine people’s status as equal citizens. These views identify different objects of egalitarian concern: the brute luck egalitarian view directs attention to health-related well-being, while social egalitarianism focuses (...)
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  • The Bounds of Defense: Killing, Moral Responsibility, and War.Bradley Jay Strawser - 2023 - New York, US: OUP Usa.
    Most people believe that killing someone, while generally morally wrong, can in some cases be a permissible act. Most people similarly believe that war, while awful, can be justified. This book addresses both subjects as equal parts in a larger meditation on the ethics of harm and moral responsibility—whether in war collectively or in individual cases of self-defense—and whatever it is that lies in between the two. The book sets out by examining the moral justification for individual defensive killing and (...)
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  • The Ethics of Climate Engineering: Solar Radiation Management and Non-Ideal Justice.Toby Svoboda - 2017 - Routledge.
    This book analyzes major ethical issues surrounding the use of climate engineering, particularly solar radiation management techniques, which have the potential to reduce some risks of anthropogenic climate change but also carry their own risks of harm and injustice. The book argues that we should approach the ethics of climate engineering via "non-ideal theory," which investigates what justice requires given the fact that many parties have failed to comply with their duty to mitigate greenhouse gas emissions. Specifically, it argues that (...)
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  • Decide As You Would With Full Information! An Argument Against Ex Ante Pareto.Marc Fleurbaey & Alex Voorhoeve - 2013 - In Ole Norheim, Samia Hurst, Nir Eyal & Dan Wikler (eds.), Inequalities in Health: Concepts, Measures, and Ethics. Oxford University Press.
    Policy-makers must sometimes choose between an alternative which has somewhat lower expected value for each person, but which will substantially improve the outcomes of the worst off, or an alternative which has somewhat higher expected value for each person, but which will leave those who end up worst off substantially less well off. The popular ex ante Pareto principle requires the choice of the alternative with higher expected utility for each. We argue that ex ante Pareto ought to be rejected (...)
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  • Meaning, medicine, and merit.Andreas Mogensen - manuscript
    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 (...)
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