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Journal article

Meaning, medicine, and merit

Abstract:
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.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1017/S0953820819000360

Authors


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Institution:
University of Oxford
Division:
HUMS
Department:
Philosophy Faculty
Oxford college:
Jesus College
Role:
Author


Publisher:
Cambridge University Press
Journal:
Utilitas More from this journal
Volume:
32
Issue:
1
Pages:
90-107
Publication date:
2019-09-23
Acceptance date:
2019-06-17
DOI:
EISSN:
1741-6183
ISSN:
0953-8208


Language:
English
Pubs id:
pubs:1031983
UUID:
uuid:103a80f1-2ab5-40a3-99d1-8f39c40fa99f
Local pid:
pubs:1031983
Source identifiers:
1031983
Deposit date:
2019-07-15

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