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  1. JOHANN FRICK
  2. Contractualism and
  3. Social Risk
  4. I. INTRODUCTION
  5. Contemporary nonconsequentialism is a family of views united less by a
  6. positive doctrine than by skepticism toward central tenets of
  7. consequentialist ethical thought. One such tenet, which is embraced by
  8. most consequentialists but opposed by many nonconsequentialists, is
  9. the notion of interpersonal aggregation.1 Ethical theories, like classical
  10. utilitarianism, that defend interpersonal aggregation hold that in evaluating an action, we should sum the benefits and losses it imposes on
  11. different people to obtain an aggregate quantity; this represents the
  12. overall goodness of the action’s consequences. The rightness or wrongness of the action depends not on how it affects each individual, but on
  13. the net balance of benefits over losses.
  14. Aggregative reasoning of this kind often yields counterintuitive implications, especially in cases where it enjoins us to let a few people suffer
  15. In writing this article I have accumulated many debts. For their very helpful comments
  16. on earlier drafts, I thank Arthur Applbaum, Ralf Bader, Eric Beerbohm, Selim Berker, Dan
  17. Brock, Norman Daniels, Tom Dougherty, Nir Eyal, Marc Fleurbaey, Mira Frick, Daniel
  18. Halliday, Louis-Philippe Hodgson, Aaron James, Stephen John, Frances Kamm, Gregory
  19. Keating, Paul Kelleher, Seth Lazar, Marc Lipsitch, Jeff McMahan, Andreas Mogensen, Ekédi
  20. Mpondo-Dika, David O’Brien, Laura Ong, Derek Parfit, David Plunkett, Tim Scanlon, Lucas
  21. Stanczyk, Victor Tadros, Gerard Vong, Dov Waisman, Alec Walen, and Daniel Wikler, as
  22. well as two anonymous referees for Philosophy & Public Affairs. I would also like to thank
  23. audiences and participants at the Moral and Political Philosophy Workshop at Harvard
  24. University, the New York Early Career Ethics Workshop, the Lawrence S. Rockefeller
  25. Seminar at Princeton, the Moral Philosophy Seminar at the University of Oxford, and the
  26. Workshop on the Ethics of Social Risk at the Centre de recherche en éthique, Montreal.
  27. 1. For a dissenting voice in the nonconsequentialist camp, see S. Matthew Liao, “Who Is
  28. Afraid of Numbers?” Utilitas 20 (2008): 447–61.
  29. © 2015 Wiley Periodicals, Inc. Philosophy & Public Affairs 43, no. 3
  30. 176
  31. Philosophy & Public Affairs
  32. large losses so that many people can enjoy smaller benefits. A wellknown illustration is T. M. Scanlon’s
  33. Transmitter Room Case: Jones has suffered an accident in a TV broadcasting station and is receiving extremely painful electrical shocks. If
  34. we turn off the power to save him, billions of viewers will miss the last
  35. half hour of the World Cup final.2
  36. Many of us share Scanlon’s intuition that it would be wrong not to save
  37. Jones from his agony, regardless of how many people are watching the
  38. game. The benefit of watching a soccer match is trivial compared to the
  39. agony of suffering strong electrical shocks. No matter how large the sum
  40. of these benefits, it would be wrong to keep the power on. Defenders of
  41. interpersonal aggregation, by contrast, seem committed to the view that
  42. at some point the combined benefits to the viewers must become large
  43. enough to morally outweigh Jones’s agony.
  44. A common nonconsequentialist diagnosis for the inadequacy of
  45. aggregative views is that they do not respect what John Rawls has called
  46. “the separateness of persons.” Collections of people are not superindividuals. Unlike a single individual, who may rationally choose to
  47. make some sacrifice in order to receive a stream of benefits, a group of
  48. people lacks the requisite unity such that imposing a significant harm on
  49. one person could straightforwardly be offset by conferring sufficient
  50. benefits on others.
  51. Seeking to formulate an account that better respects the separateness
  52. of persons, leading nonconsequentialists have put forward so-called
  53. competing claims models of moral rightness, according to which morality requires us to identify, by a series of pairwise comparisons, the action
  54. or policy that satisfies the strongest individual claim or—its flipside—
  55. generates the weakest individual complaint.3
  56. The fullest development of this antiaggregative approach is the
  57. contractualist moral theory defended by T. M. Scanlon. According to
  58. Scanlon’s contractualist formula, an action is morally right if and only if
  59. 2. Adapted from T. M. Scanlon, What We Owe to Each Other (Cambridge, Mass.:
  60. Harvard University Press, 1998), p. 235.
  61. 3. See, for instance, T. Nagel, “Equality,” in Mortal Questions (Cambridge: Cambridge
  62. University Press, 1979), pp. 106–27; and T. Nagel, Equality and Partiality (Oxford: Oxford
  63. University Press, 1991); see also T. M. Scanlon, What We Owe to Each Other, chap. 5.
  64. 177
  65. Contractualism and Social Risk
  66. it is justifiable to each person, that is, if a principle licensing the action
  67. could not be reasonably rejected by any single individual for personal
  68. reasons. Personal reasons, for Scanlon, are “reasons that are . . . tied to
  69. the well-being, claims, or status of individuals in [a] particular position.”4
  70. They exclude appeals to how an action will affect other individuals, as
  71. well as to impersonal concerns, such as the goodness of the overall
  72. outcome that the action will produce. Scanlon’s contractualist formula
  73. thus rules out interpersonal aggregation in two distinct senses: On the
  74. one hand, it excludes the “axiological” aggregation characteristic of classical utilitarianism. That is, it rejects the thought that the rightness of an
  75. action is a function of the overall goodness of its consequences, which in
  76. turn is determined by summing its good and bad effects for different
  77. individuals. On the other hand, the contractualist formula also rules out
  78. aggregation of a “normative” kind, in that it looks only at the personal
  79. reasons of individuals and does not allow for the pooling of moral claims
  80. or complaints across different individuals.
  81. In addition, Scanlon affirms the following:
  82. Greater Burden Principle: “It would be unreasonable . . . to reject a
  83. principle because it imposed a burden on you when every alternative
  84. principle would impose much greater burdens on others.”5
  85. Scanlonian contractualism yields the intuitively correct answer in Transmitter Room. Turning off the power is the only course of action that is
  86. justifiable to everyone, since Jones’s personal reasons for rejecting a
  87. principle that allowed us to continue the transmission are much
  88. weightier than any individual’s reasons against interrupting the broadcast. The fact that there are a large number of people with personal
  89. reasons for not wanting the broadcast to be interrupted is deemed
  90. 4. Scanlon, What We Owe to Each Other, p. 219. For Scanlon, the personal reasons
  91. invoked in reasonably rejecting a principle must be what he calls generic reasons. Generic
  92. reasons are based not on the idiosyncratic interests and features of actual individuals,
  93. but on what persons occupying this particular position would have reason to want “in
  94. virtue of their situation, characterized in general terms.” Scanlon, What We Owe to Each
  95. Other, p. 204.
  96. 5. T. M. Scanlon, “Contractualism and Utilitarianism,” in Utilitarianism and Beyond,
  97. ed. Amartya Sen and Bernard Williams (Cambridge: Cambridge University Press, 1982), p.
  98. 111.
  99. 178
  100. Philosophy & Public Affairs
  101. morally irrelevant, since contractualism rejects the aggregation of individual claims.6
  102. Cases like Transmitter Room, however, are quite rare. As Barbara
  103. Fried remarks, outside the context of crime and war, most instances of
  104. serious harm do not occur in situations where someone trades off certain
  105. harms to known individuals against certain benefits to other known
  106. individuals.7 (Let us call such situations interpersonal trade-offs under
  107. certainty.) Rather, most harm to others results from risks that some agent
  108. imposed on them, or failed to eliminate, in pursuit of some benefit for
  109. them, for the agent, or for others. The question I wish to raise in this
  110. article is whether contractualists can provide a plausible account of
  111. such risky actions and omissions, while honoring their antiaggregative
  112. commitments.
  113. Most of my article will focus on one class of risky actions and omissions that, prima facie, are particularly troubling to the contractualist.
  114. These actions are characterized by the following four features:
  115. (1) The risky action or omission will affect a large number of individuals. Because of this, it is virtually certain that some people
  116. will end up being burdened by it.
  117. (2) The individual losses to those who are burdened (relative to the
  118. baseline of some available alternative) are considerably greater
  119. than the individual gains for those who are benefited.
  120. (3) The action-type in question is rare, or rarely affects the same
  121. people twice; as a result, we cannot assume that over time almost
  122. 6. Scanlon does allow that the numbers may count when we must choose between
  123. preventing a smaller or a larger number of people from suffering an equivalent burden (for
  124. example, saving one from death vs. saving two from death). But even here his reasoning
  125. remains nonaggregative. In a choice between saving A or saving both B and C, it would be
  126. wrong to flip a coin—but not because two deaths represent a greater total loss, or because
  127. B and C can pool their claims to form a stronger collective claim. Rather, following Frances
  128. Kamm, Scanlon argues that a principle which did not allow numbers to “break the tie” in
  129. this case could be reasonably rejected by both B and C for failing to take account of the
  130. value of saving their life, “since it permits the agent to decide what to do in the very same
  131. way that it would have permitted had he not been present at all, and there was only one
  132. person in each group.” Scanlon, What We Owe to Each Other, p. 232, following F. Kamm,
  133. Morality, Mortality, vol. 2 (Oxford: Oxford University Press, 1993), pp. 116–17.
  134. 7. B. Fried, “Can Contractualism Save Us from Aggregation?” Journal of Ethics 16 (2012):
  135. 39–66.
  136. 179
  137. Contractualism and Social Risk
  138. everyone will benefit from a principle that permits actions of this
  139. type to be performed.8
  140. (4) The risky action or omission is intuitively permissible.
  141. Many actions in public policy, particularly in the domains of public
  142. health and of risk management, share these four features. (I will provide
  143. a range of stylized examples over the course of this article.) The challenge
  144. for the contractualist is to explain, without resorting to interpersonal
  145. aggregation, how such risky actions could be permissible, given features
  146. (1), (2), and (3). For want of an established label, I shall dub this the
  147. problem of social risk.
  148. As we shall see, cases of social risk force the contractualist to confront
  149. a question about his theory that, I argue, has not received a fully satisfactory answer to date: Are an individual’s personal reasons for rejecting
  150. a principle permitting the imposition of a given social risk a function of
  151. the prospect that the risky action gives to each person ex ante, allowing us
  152. to discount both benefits and harms by their improbability of occurring?
  153. Or is justifiability to each person a function of the action’s outcomes ex
  154. post? In that case, what would matter morally is not the ex ante likelihood of any given individual’s being benefited or harmed by the action,
  155. but rather the near certainty that, ex post, some persons will turn out to
  156. have been harmed by the action while others will have been benefited.
  157. The contractualist faces an apparent dilemma: if he rejects the ex ante
  158. view of justification, as Scanlon explicitly does in What We Owe to Each
  159. Other, and appeals instead to an ex post view, as other authors have
  160. urged,9 he seems committed to the intuitively unappealing conclusion
  161. that most instances of social risk, as defined above, are unjustifiable. On
  162. 8. This feature blocks an appeal to what Scanlon calls “intra-personal aggregation,”
  163. that is, “aggregation within each person’s life, summing up all the ways in which a principle
  164. [prohibiting that kind of risky action] would constrain that life, rather than aggregation
  165. across lives, adding up the costs or benefits to different individuals.” Scanlon, What We Owe
  166. to Each Other, p. 237. Intrapersonal aggregation may allow the contractualist to justify the
  167. performance of routine risky actions. While, on any given occasion, such a risky action may
  168. impose significant individual losses on some while providing only relatively minor benefits
  169. to others, over time almost everyone will come out ahead under a principle that permits
  170. risky actions of this type to be performed. The kinds of risky actions that I am concerned
  171. with in this article are not routine in this sense.
  172. 9. See, in particular, Sophia Reibetanz Moreau, “Contractualism and Aggregation,”
  173. Ethics 108 (1998): 296–311. Elizabeth Ashford, “The Demandingness of Scanlon’s
  174. Contractualism,” Ethics 113 (2003): 273–302, also assumes an ex post view of justification.
  175. 180
  176. Philosophy & Public Affairs
  177. the other hand, if he embraces an ex ante view, Scanlon fears that this
  178. will move his contractualist theory too close to those aggregative views
  179. that he wished to escape from in the first place.10
  180. In this article, I argue that this dilemma can be overcome. I defend a
  181. version of ex ante contractualism that gives a satisfactory response to the
  182. problem of social risk, while also avoiding the excesses of aggregative
  183. moral theories. My article proceeds as follows: To get a better grip on the
  184. problem of social risk, Section 2 begins by introducing a stylized case of
  185. social risk, and points out similarities with the more familiar problem of
  186. interpersonal trade-offs under certainty. Section 3 presents a simple yet
  187. seductive argument—the “Argument from Irrelevant Information”—
  188. that supports an ex post view of contractualist justification. According to
  189. this argument, the problem of social risk can be morally assimilated to
  190. that of interpersonal trade-offs under certainty. Section 4 challenges this
  191. view, arguing instead for an ex ante contractualism according to which
  192. the problem of social risk is more akin to one of intrapersonal risk taking.
  193. Section 5 returns to the Argument from Irrelevant Information, distinguishing three ways of fleshing it out. I argue that ultimately we must
  194. reject the Argument from Irrelevant Information on any of these interpretations, and with it the ex post contractualism that it supports. In
  195. Section 6, I critically examine T. M. Scanlon’s reasons for eschewing ex
  196. ante contractualism, by considering what I call the problem of ex ante
  197. rules. An ex ante rule is any rule the adoption of which, at some time t1, is
  198. in everyone’s individual interest, but which licenses or requires some
  199. agent to act at a later time t2 in a way that benefits some but significantly
  200. burdens others. As we shall see, the worry that ex ante contractualism
  201. may support morally indefensible ex ante rules is at the heart of
  202. Scanlon’s objections to this view. Moreover, I show that existing
  203. attempts by ex ante contractualists, such as Rahul Kumar, to overcome
  204. 10. This, at least, was Scanlon’s view in What We Owe to Each Other. In a more recent
  205. article, “Reply to Zofia Stemplowska,” Journal of Moral Philosophy 10 (2013): 508–14,
  206. Scanlon writes that his earlier opposition to ex ante contractualism was “a mistake,” and
  207. credits an earlier draft of my article for changing his mind.
  208. That ex ante contractualism cannot “save us” from aggregation is also the conclusion of
  209. Barbara Fried, “Can Contractualism Save Us from Aggregation?” Two more optimistic
  210. assessments of the prospects for ex ante contractualism, which can be read as complementing the case I make in this article, are given by Aaron James in “Contractualism’s (Not
  211. So) Slippery Slope,” Legal Theory 18 (2012): 263–92; and Rahul Kumar, “Risking and Wronging,” Philosophy & Public Affairs 43 (2015): 27–49.
  212. 181
  213. Contractualism and Social Risk
  214. this difficulty are not fully satisfactory.11 However, by adopting what I call
  215. the Decomposition Test, according to which an action is justifiable
  216. if and only if the actions it licenses us to perform are justifiable to each
  217. person at each temporal stage, I believe that Scanlon’s misgivings can be
  218. overcome.
  219. Unfortunately, ex ante contractualism’s success at dealing with the
  220. problem of social risk comes at a theoretical price, which hitherto has
  221. received scant attention from defenders of this view. In Section 7, I draw
  222. out some of the implications that ex ante contractualism has for a related
  223. problem: the question of “identified” vs. “statistical” lives. I argue that,
  224. contrary to received wisdom, ex ante contractualism can lend a measure
  225. of normative support to our common psychological propensity to give
  226. greater weight to the saving of “identified” over “statistical” lives. The
  227. problem, as I show in Section 8, is that, under certain circumstances, ex
  228. ante contractualism would lead us to privilege the saving of one identified life over any number of statistical lives.12 The most promising way of
  229. avoiding this extreme conclusion, I argue in Section 9, is by scaling back
  230. the ambitions of contractualism as a moral theory. Instead of providing
  231. a complete account of what it is for actions to be right or wrong, the
  232. contractualist competing claims model is better understood as capturing
  233. an important class of pro tanto moral reasons that contribute to making
  234. actions right or wrong, but that do not by themselves determine an
  235. action’s rightness all things considered.
  236. II. SOCIAL RISK AND INTERPERSONAL TRADE-OFFS UNDER CERTAINTY
  237. Consider the following stylized case of social risk:
  238. Mass Vaccination (Unknown Victims): One million young children are
  239. threatened by a terrible virus, which is certain to kill all of them if we
  240. do nothing. We must choose between mass producing one of two
  241. vaccines (capacity constraints prevent us from producing both):
  242. • Vaccine 1 is certain to save every child’s life. However, the vaccine
  243. will not provide complete protection against the virus. If a child
  244. 11. Kumar, “Risking and Wronging.”
  245. 12. James, “Contractualism’s (Not So) Slippery Slope,” and Kumar, “Risking and
  246. Wronging,” the two main proponents of ex ante contractualism in the literature, both fail
  247. to discuss this problem.
  248. 182
  249. Philosophy & Public Affairs
  250. receives Vaccine 1, the virus is certain to paralyze one of the child’s
  251. legs, so that he or she will walk on crutches for the rest of his or her
  252. life.
  253. • Vaccine 2 is risky. It gives every child a 999/1000 chance of surviving the virus completely unharmed. However, for every child there
  254. is a 1/1000 chance that Vaccine 2 will be completely ineffective and
  255. that the child will be killed by the virus. (Assume that the outcomes
  256. for different children are probabilistically independent.) Call the
  257. children who end up dying the luckless children.
  258. Whichever of the two vaccines we choose to produce will be administered to all one million children.13
  259. Before I go on, a brief note about the notions of “chance” and “probability,” as I employ them in this and subsequent cases. Notwithstanding the posits of contemporary quantum physics, I shall assume that
  260. natural processes at the macro-physical level that we deal with in medicine and most other domains of risky human activity are, for all intents
  261. and purposes, deterministic. When using the terms “probability” or
  262. “chance” in this and all following examples, I shall therefore assume
  263. that we are speaking not about objective indeterminacy at the level of
  264. physical reality itself, but about epistemic probability, which reflects
  265. our incomplete knowledge of the state of the world and the laws of
  266. nature. The notion of epistemic probability that I will be employing is
  267. evidence-relative: To say that, from the perspective of an agent, some
  268. event e has an epistemic probability p of occurring is to say that, given
  269. the evidence available to the agent, her rational degree of credence in
  270. the proposition “e will occur” would be p. (To keep things simple, I
  271. shall assume that the decision makers’ actual degrees of credence track
  272. what the available evidence makes it rational for them to believe.) In
  273. Section 5.C, I revisit this assumption and argue that, for the purposes of
  274. morally evaluating risky actions, it typically makes no difference
  275. whether the risk in question corresponded to objective or to “merely”
  276. epistemic chances.
  277. 13. I specify that the patients are young children in order to bracket the complicating
  278. factor of patient autonomy; an adult patient would presumably have the right to refuse
  279. either treatment.
  280. 183
  281. Contractualism and Social Risk
  282. How ought a contractualist to go about deciding how to act in Mass
  283. Vaccination (Unknown Victims)? One way of thinking about this case is
  284. by analogy with the following interpersonal trade-off under certainty:
  285. Mass Vaccination (Known Victims): The threat situation is as in Mass
  286. Vaccination (Unknown Victims) above. This time, we must choose
  287. between mass producing one of the following two vaccines:
  288. • Vaccine 1, as above, is sure to save every child’s life, at the cost of
  289. paralyzing one of their legs.
  290. • Vaccine 3 is sure to allow 999,000 children to survive the virus
  291. completely unharmed. However, because of a known particularity
  292. in their genotype, Vaccine 3 is certain to be completely ineffective
  293. for 1,000 identified children. These doomed children are sure to be
  294. killed by the virus if we choose Vaccine 3.
  295. From what was said in the previous section, it is clear how a
  296. Scanlonian contractualist ought to think about Mass Vaccination
  297. (Known Victims). The individual burden of becoming paralyzed in one
  298. leg, though significant, is not even close to that of losing one’s life at a
  299. young age. Since contractualism does not allow the aggregation of
  300. claims, the Greater Burden Principle implies that no one could reasonably reject a principle requiring us to produce Vaccine 1, whereas a principle licensing us to choose Vaccine 3 could be reasonably rejected by
  301. each of the 1,000 doomed children.
  302. Now return to Mass Vaccination (Unknown Victims). Note that, due
  303. to the Law of Large Numbers, we can predict with a high degree of
  304. confidence that the overall pattern of outcomes from administering
  305. Vaccine 2 would look a lot like that of administering Vaccine 3 in my
  306. second case. Although no particular child is certain to die, it is a statistical certainty that some children will be killed by the virus if we administer Vaccine 2, and the likelihood that roughly 1,000 (±100) will die is
  307. greater than 99 percent.14
  308. 999 ⎞ 1 ,000,000
  309. 14. The probability that at least one child will be killed by Vaccine 2 is 1 − ⎛
  310. ,
  311. ⎝ 1,000 ⎠
  312. which is very close to 1. By Chebyshev’s Inequality, the likelihood that roughly 1,000 children (±100) will be killed is > 0.99. Given that contractualism prohibits aggregation, only the
  313. former number really matters to the argument.
  314. 184
  315. Philosophy & Public Affairs
  316. Moreover, the harm of death is just as great for a luckless child as for
  317. a doomed child. Holding constant the fact of actually suffering a harm, it
  318. is typically no better for a person that she had some chance of escaping
  319. the harm rather than being certain to suffer it. (I return to this point in
  320. Section 5.)
  321. III. THE ARGUMENT FROM IRRELEVANT INFORMATION AND
  322. EX POST CONTRACTUALISM
  323. Given these two parallels—a near-identical overall pattern of outcomes
  324. and equivalent individual harms—a number of nonconsequentialist
  325. philosophers have maintained that cases of social risk can, under certain
  326. conditions, be morally assimilated to interpersonal trade-offs under certainty. In the following, I will concentrate on an argument by Sophia
  327. Reibetanz Moreau.15 Elsewhere,16 I have contended with similar arguments by Marc Fleurbaey and Alex Voorhoeve.17
  328. All of these philosophers deploy versions of the following basic argument, which, applied to my two examples, runs as follows:
  329. The Argument from Irrelevant Information: In Mass Vaccination
  330. (Known Victims), selecting Vaccine 3 is unjustifiable to the doomed
  331. children, since this would impose on them a greater individual
  332. burden than Vaccine 1 imposes on anyone. But in Mass Vaccination
  333. (Unknown Victims), we know that, if we choose Vaccine 2, some children will end up in the same position that the doomed children occupied in Mass Vaccination (Known Victims). They, too, will lose their
  334. lives, whereas under Vaccine 1 the greatest harm that any child would
  335. have had to suffer is a paralyzed leg. To be sure, we do not yet know
  336. who these luckless children are. But surely, the identity of the eventual
  337. victims is irrelevant information. Whoever will lose their life through
  338. Vaccine 2 will have as strong a complaint against the decision maker
  339. 15. Reibetanz Moreau, “Contractualism and Aggregation.”
  340. 16. Johann Frick, “Uncertainty and Justifiability to Each Person: Response to Fleurbaey
  341. and Voorhoeve,” in Inequalities in Health: Concepts, Measures, and Ethics, ed. Nir Eyal,
  342. Samia Hurst, Ole Norheim, and Daniel Wikler (New York: Oxford University Press, 2013).
  343. 17. Alex Voorhoeve and Marc Fleurbaey, “Decide as You Would with Full Information!
  344. An Argument against Ex Ante Pareto,” in Eyal, Hurst, Norheim, and Wikler, Inequalities in
  345. Health.
  346. 185
  347. Contractualism and Social Risk
  348. as a doomed child has against Vaccine 3. Therefore, Vaccine 1 is the
  349. only option that is justifiable to each person in either case.
  350. For proponents of the Argument from Irrelevant Information, the
  351. strength of an individual’s personal reasons for rejecting a risky action
  352. depends not on how likely they themselves were to suffer a burden, but
  353. on how likely it was that someone would. Thus, Sophia Moreau writes:
  354. As long as we know that acceptance of a principle will affect someone
  355. in a certain way, we should assign that person a complaint that is
  356. based upon the full magnitude of the harm or benefit, even if we
  357. cannot identify the person in advance. It is only if we do not know
  358. whether acceptance of a principle will affect anyone in a certain way
  359. that we should allocate each individual a complaint based upon his
  360. expected harms and benefits under that principle.18
  361. Moreau subscribes to what is called an ex post view of justification,
  362. according to which the relative strength of an individual’s harm-based
  363. complaint turns not on the ex ante prospect it offered her individually,
  364. but on the foreseeable distribution of outcomes across individuals that
  365. the action will produce ex post. Paired with a ban on the aggregation of
  366. claims, this ex post view strongly privileges the perspective of the individual who turns out to be most burdened under a given principle. It is to
  367. her that justification must be addressed, typically by showing that any
  368. alternative principle would have ended up imposing an even greater
  369. burden on her or on someone else.
  370. Although the Argument from Irrelevant Information is seductive, I
  371. believe that ex post contractualism is hard to accept. Note, in particular,
  372. that it would dramatically contradict many of our ordinary moral convictions: in real life, we often impose social risks that closely resemble
  373. that of choosing Vaccine 2 in Mass Vaccination (Unknown Victims).
  374. Thus, it is commonly deemed morally unproblematic to systematically
  375. inoculate young children against certain serious but nonfatal childhood
  376. diseases where there is a remote chance of fatal side effects from the
  377. inoculation itself. But this is not because it is unlikely that inoculation
  378. will ever lead to disaster for some unlucky children. Given the large
  379. 18. Reibetanz Moreau, “Contractualism and Aggregation,” p. 304.
  380. 186
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  382. number of children inoculated each year, it is a statistical certainty that
  383. some small number of them will develop fatal complications. If ex post
  384. contractualism were correct, a policy of systematic inoculation would be
  385. very hard to defend. Indeed, it would be as hard to defend as a policy that
  386. sacrificed the lives of some small known group of children each year in
  387. order to save the others from contracting nonfatal childhood diseases.
  388. IV. THE ARGUMENT FROM THE SINGLE-PERSON CASE AND
  389. EX ANTE CONTRACTUALISM
  390. Given these problems with ex post contractualism, it is worth exploring
  391. a different approach. A natural thought is that, instead of assimilating
  392. Mass Vaccination (Unknown Victims) to an interpersonal trade-off
  393. under certainty, we could compare it to a single-person decision under
  394. risk. Consider:
  395. Individual Vaccination: A single young child (call her Clara) is threatened by a terrible virus, which is certain to kill her if we do nothing. As
  396. Clara’s guardians, we must decide which of two available vaccines to
  397. give her. As before,
  398. • Vaccine 1 is certain to save Clara’s life, but at the cost of one of her
  399. legs becoming paralyzed by the virus.
  400. • Vaccine 2 will give Clara a 999/1000 chance of surviving the virus
  401. completely unharmed; however, there is a 1/1000 chance that
  402. Vaccine 2 will be completely ineffective for Clara and that she will
  403. be killed by the virus.
  404. How ought we to act? In von Neumann-Morgenstern’s expected utility
  405. theory, the effect of a utility loss on a person’s overall expected utility is
  406. weighted by the probability of its occurrence; this means that large but
  407. unlikely losses can be equivalent in expected utility to smaller but more
  408. likely losses (likewise for gains). Hence, according to expected utility
  409. theory, the prospect offered to Clara by Vaccine 1 is worse than that offered
  410. by Vaccine 2 if and only if her utility from becoming paralyzed and walking
  411. on crutches for the rest of her life is less than the weighted sum of her
  412. utility loss from death (weighted by a factor of 1/1000) plus the benefit of
  413. a life in full health (weighted by a factor of 999/1000). Many of us would
  414. 187
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  416. agree that this is the case, and hence that it would be morally right for
  417. Clara’s guardians to choose Vaccine 2 on her behalf.
  418. This result is not an artifact of embracing expected utility theory.
  419. Some versions of prioritarianism, for instance, maintain that as Clara’s
  420. guardians we ought not necessarily select the treatment that gives her
  421. the greatest expected utility ex ante. Rather, we should assign disproportionate normative weight to avoiding an outcome that is very bad for
  422. Clara (in this case, her death).19 Thus, even if Clara’s expected utility from
  423. receiving Vaccine 2 were somewhat greater than her expected utility
  424. from Vaccine 1, a prioritarian might still opt to give her Vaccine 1, because
  425. this is sure to avert the outcome that is worst for Clara. In the present
  426. case, however, Clara’s expected utility from receiving Vaccine 2 is arguably considerably greater than her expected utility from Vaccine 1. Given
  427. this, I claim, a reasonable prioritarian would concur that it would be
  428. justifiable for Clara’s guardians to choose Vaccine 2 on her behalf. For a
  429. young child, escaping certain paralysis in one leg for the rest of her life is
  430. worth a 1/1000 risk of death.
  431. Our response in Individual Vaccination points the way to a different
  432. way of thinking about the imposition of social risks. I call this the Argument from the Single-Person Case:
  433. Argument from the Single-Person Case: For contractualists, the rightness of an action is a function of each individual’s personal reasons for
  434. rejecting a principle that licenses the action. An act is wrong if and only
  435. if there is someone who can complain that we failed to treat her in a way
  436. that was justifiable to her, not because its consequences were impersonally bad. In assessing the rightness of a risky action, we must focus
  437. on how it affects each individual, compared to the possible alternatives. To better see how Mass Vaccination (Unknown Victims) affects
  438. each person individually, this case might be analytically decomposed
  439. into one million single-person gambles that occur in parallel. But
  440. what do we see if we do this? The prospect offered to each child by
  441. 19. I set aside the question whether this version of prioritarianism, which applies the
  442. view not just to interpersonal trade-offs but to intrapersonal gambles as well, is the most
  443. plausible way of fleshing out the view. For discussion of this point, see Michael Otsuka and
  444. Alex Voorhoeve, “Why It Matters That Some Are Worse Off Than Others: An Argument
  445. against the Priority View,” Philosophy & Public Affairs 37 (2009): 171–99; and Derek Parfit,
  446. “Another Defense of the Priority View,” Utilitas 24 (2012): 399–440.
  447. 188
  448. Philosophy & Public Affairs
  449. administering Vaccine 2 is exactly the same as the one given to Clara in
  450. Individual Vaccination, and the alternative option is the same as well.
  451. Hence, by mass producing and administering Vaccine 2, we do for each
  452. child what a guardian, concerned solely with that child’s interests,
  453. ought to have done for her in a single-person case. Given this, how
  454. could any child in Mass Vaccination (Unknown Victims) reasonably
  455. reject a principle that licenses us to choose Vaccine 2?20
  456. Underpinning this argument is a different way of thinking about the
  457. justification of social risk. According to ex ante contractualism, the
  458. strength of someone’s personal reasons for rejecting a principle licensing a risky action depends on the quality of the prospect that the action
  459. gave her ex ante. A person’s harm-based complaint against a loss she
  460. suffers must, therefore, be discounted by her ex ante unlikelihood of
  461. suffering a loss and by her ex ante likelihood of benefiting from the risky
  462. action. If the person’s ex ante prospect from the risky action was good
  463. enough, she may have no reasonable complaint under the Greater
  464. Burden Principle, even if she is unlucky and ends up suffering a greater
  465. loss than anyone would have suffered under an available alternative.21
  466. 20. Alternatively, consider the following sequential decomposition of Mass Vaccination
  467. (Unknown Victims): A doctor must, over a period of time, see one million young children,
  468. each in the same situation as Clara in Individual Vaccination. Due to the Law of Large
  469. Numbers, the doctor can foresee that, if he gives each child Vaccine 2, at some point
  470. misfortune will strike and some child will be killed by the virus. Does this mean that, while
  471. it would be justifiable to give Clara Vaccine 2 in Individual Vaccination, it would be unjustifiable for the doctor to adopt a policy of giving every child Vaccine 2 in the sequential
  472. case? This is what ex post contractualism implies, but it seems scarcely credible. The
  473. potential benefits for each child of receiving Vaccine 2 in the sequential case are just as
  474. great as they were for Clara in Individual Vaccination, and the risk faced in exchange is no
  475. greater than what was deemed acceptable to Clara in that case. It seems implausible that a
  476. policy of giving every child Vaccine 2 should be unjustifiable to a child, not because of how
  477. it is likely to affect that child, but just because, under that policy, other children will, at
  478. different points in time, be exposed to the same probabilistically independent risk. For an
  479. argument along similar lines, see Tom Dougherty, “Aggregation, Beneficence, and
  480. Chance,” Journal of Ethics and Social Philosophy 72 (2013): 1–19.
  481. 21. This is not to claim that prospects have nonderivative value or disvalue in themselves. As I will argue in Section 5, people are not made worse off by the mere risk of
  482. suffering a loss, nor do they benefit from the mere chance of receiving a benefit, holding
  483. everything else constant. But while what ultimately matters to individuals’ well-being is
  484. whether they end up being benefited or harmed, what might matter morally is to ensure a
  485. justifiable distribution of prospects. I owe this point to Derek Parfit, “Justifiability to Each
  486. Person,” Ratio 16 (2003): 368–90.
  487. 189
  488. Contractualism and Social Risk
  489. Ex ante contractualism, as I am proposing it, must be sharply distinguished from the contractualist rule-utilitarian view espoused by John
  490. Harsanyi.22 According to Harsanyi, in order to decide an interpersonal
  491. trade-off under certainty, such as Mass Vaccination (Known Victims), in
  492. a manner that is justifiable to each person, we should imagine all
  493. affected parties placed behind a hypothetical veil of ignorance that
  494. deprives them of all knowledge of their personal identity. The right
  495. course of action is that which all parties would, in this situation, endorse
  496. on grounds of self-interest.
  497. To Harsanyi, the hypothetical veil of ignorance device offers two principal attractions: First, it promotes impartial and unbiased decision
  498. making by modeling our moral principles on the choices of hypothetical
  499. deliberators who lack the ability to tailor principles to their personal
  500. traits and needs. Behind the veil of ignorance, even selfish deliberators
  501. are forced to give fair consideration to the interests of every person
  502. concerned—for all they know, they might turn out to be that person.
  503. Second, the veil of ignorance device promises to reduce a difficult interpersonal trade-off to a more tractable problem of intrapersonal choice
  504. under risk. Since none of the affected parties possesses information that
  505. would give them reason to prefer a different course of action than
  506. anyone else, we can expect deliberation behind the hypothetical veil of
  507. ignorance to render a unanimous verdict.
  508. In Mass Vaccination (Known Victims), this verdict would be to
  509. produce Vaccine 3. Given no information about her identity, Harsanyi
  510. maintains, each child must assume that there is a 999/1000 chance that
  511. Vaccine 3 will work for her and only a 1/1000 chance that it will not (if she
  512. turns out to be one of the doomed children).23 This intrapersonal gamble
  513. is equivalent to that of Individual Vaccination, and there we concluded
  514. that it would be in a child’s interest to take the risk. Therefore, according
  515. to Harsanyi, choosing Vaccine 3 can be justified to each person and is
  516. morally right.
  517. 22. See, for instance, John Harsanyi, “Morality and the Theory of Rational Behavior,” in
  518. Sen and Williams, Utilitarianism and Beyond, pp. 39–62.
  519. 23. John Rawls’s more famous use of the veil of ignorance device differs from Harsanyi’s
  520. in this regard. Whereas Harsanyi assumes that every deliberator behind the veil has an
  521. equal epistemic probability of occupying any position beyond the veil, Rawls himself
  522. eschews this equiprobability assumption in favor of a “thick” veil of ignorance, which
  523. deprives the deliberators of all probabilistic knowledge.
  524. 190
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  526. Scanlon, however, rejects Harsanyi’s hypothetical veil of ignorance
  527. approach, arguing that it mischaracterizes the nature of justification to
  528. individuals. By modeling interpersonal trade-offs on analogy with a
  529. single individual’s choices under risk, the hypothetical veil of ignorance
  530. mechanism fails to give each person the separate and individual concern
  531. that she is due. That it is often rational to take risks in pursuit of greater
  532. benefits in our own lives does not, ipso facto, justify making someone
  533. suffer burdens for the good of other people. Thus, “the question of what
  534. everyone could reasonably agree to or what no one could reasonably
  535. reject” is “a quite different question [from] what would maximize the
  536. expectations of a single self-interested person choosing in ignorance of
  537. his true position.”24 For a moral principle to be valid is for it to be justifiable to each person from her own point of view, without artificial informational restrictions.
  538. Unlike Harsanyi’s hypothetical veil of ignorance method, which
  539. works by depriving people of information that they in fact have, ex ante
  540. contractualism of the kind I am proposing comes into its own in
  541. situations where our inability to foresee the individual outcomes of our
  542. actions places us behind what might be called a natural veil of
  543. ignorance. It is natural uncertainty itself, not the strictures of a hypothetical veil of ignorance, that forces people to deliberate in the
  544. absence of complete knowledge about how they will be affected by the
  545. action in question. To claim that such situations can be illuminatingly
  546. analyzed by analogy with intrapersonal gambles under risk is not to
  547. commit ourselves to a view that reduces interpersonal justification in
  548. general to a question of self-interested choice under informational
  549. restrictions.
  550. Indeed, if ex ante contractualism is sound, it suggests a sharp distinction between the two Mass Vaccination cases. Choosing Vaccine 3 in
  551. Mass Vaccination (Known Victims) means the doomed children face the
  552. prospect of certain death. By contrast, administering Vaccine 2 in Mass
  553. Vaccination (Unknown Victims) gives no child a comparably bad prospect. While it is certain that some children will die, there is no child who
  554. is certain to die if we administer Vaccine 2. Indeed, given the significant
  555. burden of partial paralysis under Vaccine 1, a course of action that
  556. 24. Reibetanz Moreau, “Contractualism and Utilitarianism,” p. 122.
  557. 191
  558. Contractualism and Social Risk
  559. promises to avoid this certain burden at the cost of a tiny risk of death
  560. seems in every child’s interest. Given this, selecting Vaccine 2 is justifiable to every child, according to ex ante contractualism.
  561. A. The Case of Knowable Victims
  562. In discussing the contrast between Mass Vaccination (Known Victims)
  563. and Mass Vaccination (Unknown Victims), I have so far focused on two
  564. classes of cases: cases where we know the identities of individuals who
  565. will suffer if we perform a certain action and cases where, given the
  566. available evidence and current scientific know-how, we cannot know, at
  567. the time of acting, who will suffer if we act in a certain way. But this
  568. distinction is not exhaustive.
  569. Consider, briefly, an intermediate case, which is like Mass Vaccination
  570. (Known Victims), except that the children who will be killed by the virus
  571. if we choose Vaccine 3 are not currently known but merely knowable, in
  572. the sense that we have the necessary evidence and wherewithal to determine their identities prior to administering Vaccine 3. For instance,
  573. suppose we know that Vaccine 3 will be completely ineffective for a child
  574. if and only if she carries a rare gene G. Moreover, we know that there are
  575. 1,000 such children among the one million threatened by the virus. What
  576. we do not currently know is which children carry G. However, a simple
  577. and costless genetic test would allow us to find out.25 Call this case Mass
  578. Vaccination (Knowable Victims).
  579. Intuitively, the fact that the victims in this case are not known but
  580. merely knowable does not make a moral difference. “Surely,” the
  581. thought goes, “if vaccinating would be unjustifiable in Mass Vaccination
  582. (Known Victims) because we already know the identities of the doomed
  583. children, our ignorance of the doomed children’s identities in Mass Vaccination (Knowable Victims) would be a very poor excuse for choosing
  584. Vaccine 3. For this lack of information about the doomed children’s
  585. identities is one that we are entirely free to remove by carrying out the
  586. simple genetic test.”
  587. 25. Alternatively, imagine that the test has already been carried out, and that its
  588. results—though not yet known to us—are stored in a filing cabinet where we could easily
  589. consult them.
  590. 192
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  592. Ex ante contractualism supports this intuitive verdict.26 To see why,
  593. return first to the contrast between Mass Vaccination (Unknown Victims)
  594. and Mass Vaccination (Known Victims). According to the Argument from
  595. the Single-Person Case, the crucial difference between these cases is that
  596. in the former we can say to each child: “To the best of our knowledge,
  597. choosing Vaccine 2 is highly likely to benefit you, and has only a tiny
  598. chance of turning out to your disadvantage. Indeed, we could justify
  599. giving you this vaccine even in a single-person case, where furthering your
  600. interests was our sole concern.” By contrast, we could not say this to each
  601. child in Mass Vaccination (Known Victims), in attempting to justify
  602. Vaccine 3. For in that case, there are some individuals—the doomed
  603. children—of whom we know that they will die if we choose Vaccine 3. For
  604. a doomed child, choosing Vaccine 3 does not correspond to what we
  605. ought to do in a case where her interests were our sole concern.
  606. I maintain that in the respects highlighted by the Argument from the
  607. Single-Person Case, Mass Vaccination (Knowable Victims) is equivalent
  608. to Mass Vaccination (Known Victims). As in Mass Vaccination (Known
  609. Victims), we could not justify Vaccine 3 by saying to each child: “To the
  610. best of our knowledge, choosing Vaccine 3 is highly likely to benefit you,
  611. and has only a tiny chance of turning out to your disadvantage. We could
  612. justify giving you this vaccine even in a single-person case.” Both halves
  613. of this statement are false.
  614. Consider the first half first. Granted, it is true that
  615. (A) In Mass Vaccination (Knowable Victims), given our present
  616. ignorance about which children have gene G, there is no child of
  617. whom we know that will die if we choose Vaccine 3.
  618. Indeed,
  619. (B) In Mass Vaccination (Knowable Victims), given our present
  620. ignorance about which children have gene G, it is rational to
  621. believe, of any given child, that it is highly likely to benefit if we
  622. produce Vaccine 3, and very unlikely to be burdened.
  623. Yet both (A) and (B) are things we can affirm only as long as we do not
  624. avail ourselves of all the freely available evidence, namely, by carrying
  625. 26. I thank an anonymous referee for pressing me to clarify my reasoning about this
  626. point.
  627. 193
  628. Contractualism and Social Risk
  629. out the simple and costless genetic test. However, something that we
  630. can only affirm without taking into account freely available evidence is
  631. not something we can affirm “to the best of our knowledge.” Hence,
  632. neither (A) nor (B) can support
  633. (C) In Mass Vaccination (Knowable Victims), it is true of every
  634. child that, to the best of our knowledge, choosing Vaccine 3 is
  635. highly likely to benefit the child, and has only a tiny chance of
  636. turning out to her disadvantage.
  637. Nor is it true that, by choosing Vaccine 3 in Mass Vaccination (Knowable Victims), we are treating each child in a way that would have been
  638. justifiable in a single-person case. Consider a single-person analogue
  639. involving only Clara and her doctor: The doctor can administer a genetic
  640. test, which will determine whether Clara carries G or not. Given that this
  641. test is simple and costless, and will help the doctor to select the appropriate treatment, there is no justification for failing to administer the test.
  642. But if the test indicates that Clara carries gene G, it will not be justifiable
  643. for the doctor to administer Vaccine 3. He must administer Vaccine 1.
  644. Consequently, we cannot say to each child in Mass Vaccination (Knowable Victims) that by giving him Vaccine 3, we are treating him in a way
  645. that would have been justifiable in a single-person case. This will be false
  646. for those children who carry G.
  647. I conclude that if ex ante contractualists are right to use the Argument
  648. from the Single-Person Case to draw a moral line between cases like
  649. Mass Vaccination (Unknown Victims) and Mass Vaccination (Known
  650. Victims), then cases involving victims whose identities are not presently
  651. known but are knowable should often be treated on analogy with cases
  652. involving known victims—at least if it is simple and costless to ascertain
  653. their identities.
  654. Suppose, by contrast, that although we could find out who
  655. carries gene G in Mass Vaccination (Knowable Victims), doing so
  656. would be extremely costly for us. Intuitively, this seems to bring this case
  657. closer to Mass Vaccination (Unknown Victims), where information
  658. about the identities of the victims is simply unobtainable prior to
  659. acting.
  660. I believe that ex ante contractualism has the resources to underwrite
  661. this intuition as well, though I can only sketch a tentative proposal. Once
  662. again, it is helpful to first consider a single-person analogue of the case in
  663. 194
  664. Philosophy & Public Affairs
  665. question. Suppose that, in principle, the doctor has the ability to determine whether Clara carries the rare gene G, but that doing so would be
  666. extremely costly to the public purse (Clara herself cannot bear these
  667. costs). In this case, the doctor may have a valid justification for not
  668. carrying out the genetic test, and for instead giving Clara the treatment
  669. that gives her the best prospect, given ignorance about her exact genotype, namely, Vaccine 3. He might say to Clara: “To the best of my knowledge, given justifiable limits on the resources we can be expected to
  670. expend in gathering further information about your particular case,
  671. Vaccine 3 is highly likely to benefit you, and has only a tiny chance of
  672. turning out to your disadvantage.”
  673. This reasoning carries over to Mass Vaccination (Knowable Victims).
  674. Unlike in the costless case we discussed above, choosing Vaccine 3 in the
  675. costly case may be justifiable to every child. For in this case, by giving all
  676. children Vaccine 3, we would be doing for them the same thing that
  677. would have been justifiable to each in a single-person case.
  678. V. REJECTING THE ARGUMENT FROM IRRELEVANT INFORMATION AND
  679. EX POST CONTRACTUALISM
  680. Since ex ante contractualism avoids some of the implausible implications of the ex post view and seems independently attractive, it pays to
  681. take a closer look at the ex post contractualist’s Argument from Irrelevant Information, to see whether we can find fault with it.
  682. Consider the following reconstruction of the Argument from Irrelevant Information:
  683. (1) An action is permissible if and only if it is justifiable to each
  684. person.
  685. (2) In Mass Vaccination (Known Victims), selecting Vaccine 3 cannot
  686. be justified to the doomed children.
  687. (3) In Mass Vaccination (Unknown Victims), we know that, if we
  688. select Vaccine 2, the luckless children will suffer the same losses
  689. that the doomed children suffer under Vaccine 3, although we
  690. cannot know the identities of the luckless children.
  691. (4) The fact that we cannot know the identities of the luckless children is irrelevant to the question of whether selecting Vaccine 2 is
  692. justifiable to each person.
  693. 195
  694. Contractualism and Social Risk
  695. (5) In Mass Vaccination (Unknown Victims), there are some children to whom selecting Vaccine 2 cannot be justified, although
  696. we cannot know the identities of these children. [from (2), (3),
  697. and (4)]
  698. ∴ Selecting Vaccine 2 is impermissible in Mass Vaccination
  699. (Unknown Victims). [from (1) and (5)]
  700. The crucial step in this argument is premise (4). Proponents of the
  701. Argument from Irrelevant Information assume that the lack of information about individual outcomes that characterizes cases of social
  702. risk is a merely epistemic phenomenon, devoid of moral significance. It
  703. is morally irrelevant, they claim, that we cannot know who will be
  704. harmed by the risky action, as long as we know that some persons will
  705. be harmed. Instead of affecting whether Vaccine 2 is justifiable to each
  706. person, our lack of information about individual outcomes merely
  707. masks the identity of those children to whom the choice of Vaccine 2
  708. cannot be justified.
  709. Premise (4), however, directly contradicts what defenders of ex ante
  710. contractualism affirm. And they, as we saw, have an argument for rejecting premise (4): given lack of information about individual outcomes, it
  711. is in each patient’s ex ante interest to take the gamble that Vaccine 2
  712. offers. By administering Vaccine 2, we thus do for each child what we
  713. would do on her behalf in a single-person case, where that child’s wellbeing was our only concern. The same cannot be said in an interpersonal
  714. trade-off under certainty.
  715. Lest they beg the question against their opponent, defenders of ex
  716. post contractualism thus need an independent argument for affirming
  717. premise (4). Let me review what seem to me the three strongest
  718. contenders.
  719. A. The Argument from Certain Loss
  720. The first and, I believe, the most natural way of reading the passage from
  721. Moreau that I cited above is as proposing what I shall term the Argument
  722. from Certain Loss. According to this argument, information about individual outcomes is not needed in cases of social risk, because whoever
  723. ends up being burdened by the risky action will have a complaint that is
  724. augmented by the fact that it was certain that someone would be burdened. Recall Moreau: “As long as we know that acceptance of a
  725. 196
  726. Philosophy & Public Affairs
  727. principle will affect someone in a certain way, we should assign that
  728. person a complaint that is based upon the full magnitude of the harm or
  729. benefit, even if we cannot identify the person in advance.”
  730. The Argument from Certain Loss, however, implies an odd asymmetry
  731. between single-person gambles and cases of social risk-imposition. A
  732. proponent of the Argument from Certain Loss would agree that a principle licensing us to choose Vaccine 2 in Individual Vaccination is justifiable to Clara. Even if Clara is unlucky and the gamble turns out badly for
  733. her, she has no weighty complaint. After all, in this single-person case, the
  734. likelihood that someone will be killed is the same as the likelihood that
  735. Clara will be killed. By contrast, the choice of Vaccine 2 is said to be
  736. unjustifiable in Mass Vaccination (Unknown Victims), since here it is a
  737. statistical certainty that some child will be killed. What, therefore, makes
  738. the moral difference between the single-person and the social case is our
  739. enhanced knowledge of the overall pattern of outcomes—not any difference in the attractiveness of the gamble offered to each individual.
  740. But why, we may wonder, should a luckless child have a greater complaint than Clara, just because, even if he had not been unlucky, it is
  741. statistically certain that some other child would have died instead? This
  742. looks suspiciously like a new form of interpersonal aggregation: the combination of complaints by different individuals at different possible
  743. worlds, depending on who happens to be unlucky at that possible world.
  744. But if contractualists reject the combination of claims by different people
  745. at the same possible world, then a fortiori they ought not to allow different
  746. people to aggregate their complaints across different possible worlds.
  747. B. The Argument from Lack of Concern
  748. According to the next argument, the lack of information about individual
  749. outcomes in Mass Vaccination (Unknown Victims) does not matter,
  750. because we know that whoever ends up being burdened could make the
  751. following complaint: given that we knew for certain that some children
  752. would die if we chose Vaccine 2—an outcome that we could have
  753. avoided by opting for Vaccine 1 instead (which would not have imposed
  754. a similarly severe loss on anyone)—our willingness to nonetheless opt
  755. for Vaccine 2 betrays a lack of concern for the eventual losers.
  756. This argument also misses its mark: it might be claimed that our
  757. action shows too little concern for avoiding that there will be losers. This,
  758. 197
  759. Contractualism and Social Risk
  760. however, expresses a preoccupation with the overall shape of the
  761. outcome, as might arise from an impersonal moral principle such as telic
  762. egalitarianism or the priority view. As I argued above, contractualism’s
  763. exclusive focus on personal reasons does not allow us to appeal to such
  764. impersonal principles.
  765. By contrast, what no luckless child can claim is that the risky action
  766. showed too little concern that he will be a loser. Again, our action takes
  767. no greater risks with the well-being of any child than its analogue in
  768. Individual Vaccination, where defenders of ex post contractualism
  769. agreed that taking the gamble on Clara’s behalf did not show insufficient
  770. concern for her. Unequal outcomes are not always evidence of unequal
  771. concern or treatment, especially when they are produced by a chancy
  772. causal process.
  773. C. The Argument from Determinism
  774. Let us consider one final argument for the ex post perspective. We are
  775. conducting our discussion under the working assumption that at the
  776. macro-physical level that we deal with in most cases of social riskimposition, nature is, for all intents and purposes, deterministic. All
  777. probabilities we encounter in these contexts are merely epistemic, that is,
  778. owed to our incomplete knowledge of the state of the world and the laws
  779. of nature that govern it, not objective, that is, due to indeterminacy at the
  780. level of physical reality itself.27
  781. But if this assumption is true, might it not spell trouble for the ex ante
  782. contractualist? After all, if determinism is true, then someone who loses
  783. 27. How exactly to characterize the notion of “objective” probability remains a hotly
  784. debated topic in contemporary metaphysics. The intuitive contrast with the “epistemic”
  785. notion of probability that I have been working with is, nonetheless, clear enough. Recapitulating from above: to say that, from the perspective of an agent, some event e has an
  786. epistemic probability p of occurring is to say that, given the evidence available to the agent,
  787. her rational degree of credence in the proposition “e will occur” would be p. Note that,
  788. given incomplete knowledge of the world, p can be > 0 even for events that are, as a matter
  789. of fact, physically impossible. By contrast, to claim that e has an objective probability p of
  790. occurring is to locate probability “in the world.” Here, p characterizes the physical propensity or disposition of a given type of physical situation to yield event e or to yield a long-run
  791. relative frequency p of such an outcome-type. To say that e has an objective probability p
  792. of occurring is thus to imply, minimally, that it is in fact possible that e will occur. For a
  793. seminal discussion of the distinction between epistemic and objective probability, see
  794. David Lewis, “The Subjectivist’s Guide to Objective Chance,” in Philosophical Papers, vol.
  795. 2 (Oxford: Oxford University Press, 1986).
  796. 198
  797. Philosophy & Public Affairs
  798. a gamble was, in a sense, always going to lose it. In terms of objective, if
  799. not of epistemic, probability, there was no chance that the gamble would
  800. turn out in her favor.
  801. From this angle, it may now seem that the problem with imposing
  802. social risks is not just, as the Argument from Certain Loss assumed, that
  803. the agent knows with statistical certainty that someone will end up losing
  804. if she imposes the risk. Rather, the agent knows that whoever ends up
  805. losing was in fact certain to lose, in objective terms. But surely, the
  806. argument goes, a principle allowing us to condemn someone to an objectively certain loss, so that others may enjoy smaller individual benefits, is
  807. one that the loser could reasonably reject. On this view, there is an
  808. important difference between cases of social risk such as Mass Vaccination (Unknown Victims) and single-person gambles like Individual Vaccination: In cases of social risk, we know with statistical certainty that
  809. there will be some losers (by the Law of Large Numbers and the assumption that individual outcomes are probabilistically independent). Moreover, if determinism is true, we know that those who end up losing were,
  810. in fact, objectively certain to lose. In single-person gambles, we also
  811. know that if the person loses, she was objectively certain to lose.
  812. However, unlike situations of social risk, we have no statistical reasons to
  813. believe that we are in a case in which someone will lose. Indeed, in
  814. Individual Vaccination, the available evidence makes it rational for us to
  815. believe, with credence 0.999, that Clara will win her gamble (indeed, that
  816. she is objectively certain to do so). This may make it permissible to give
  817. her Vaccine 2, even if doing the same in Mass Vaccination (Unknown
  818. Victims) would not be justifiable to each person. Call this the Argument
  819. from Determinism.
  820. If sound, the Argument from Determinism would have strongly revisionary implications. Ex ante reasoning could continue to be employed
  821. for social risk-imposition under conditions of causal indeterminacy.
  822. However, in all domains in which the assumption of causal indeterminacy is not plausible (and this, I have said, may include most risky
  823. human activity), contractualist decision makers who cared about
  824. making their actions justifiable to each person would have to resort to an
  825. ex post model of justification. We have already seen that this would have
  826. a profoundly confining effect on the conduct of social policy, which often
  827. involves an ineliminable element of risk. Given these stakes, we should
  828. take a hard look at the Argument from Determinism to examine whether
  829. 199
  830. Contractualism and Social Risk
  831. the fact of causal determinism really has the profound normative significance that this argument attributes to it.
  832. In so doing, it is helpful to first go back to a single-person case like
  833. Individual Vaccination, and to ask whether, in that situation, the presence or absence of objective chance makes any difference to Clara’s
  834. reasons for wanting to take Vaccine 2. Let us distinguish two scenarios: in
  835. the indeterministic scenario, the success of Vaccine 2 is objectively
  836. chancy, contrary to what I have been assuming so far. That is, given
  837. Vaccine 2, Clara has a 999/1000 objective chance of surviving the virus
  838. unharmed and a 1/1000 objective chance of dying. In the deterministic
  839. scenario, the outcome of Vaccine 2 is merely epistemically chancy. Given
  840. the available evidence, there is a 999/1000 epistemic chance that Vaccine
  841. 2 is objectively certain to allow Clara to survive the virus unharmed, and
  842. a 1/1000 epistemic chance that she is objectively certain to die if we give
  843. her that medicine.
  844. Now, I cannot see any good reason why Clara should hope to be in the
  845. indeterministic rather than the deterministic scenario. In both situations, Clara’s rational degree of credence that she will actually avoid
  846. death is the same. And from the perspective of prospective self-interest,
  847. this is all that appears to matter. (If you are not yet persuaded, the
  848. following analogy might help: All else equal, is there any greater selfinterested reason to buy a ticket for a lottery where the prize will be
  849. allocated by a genuinely indeterministic mechanism [a “quantum randomizer”] than to buy a ticket for a lottery with the same epistemic odds
  850. where a ticket is either sure to win or sure to lose, in the objective sense
  851. [a scratch-card lottery with a preagreed winning number]? Again, it is
  852. hard to think of any such reason. If you had a ticket to the indeterministic
  853. lottery, and someone offered to trade it for an equivalent ticket to the
  854. deterministic lottery plus a small amount of cash, there would be no
  855. good reason to refuse this offer.)
  856. Nor could it be said that if the gamble goes badly, it is worse for Clara
  857. to become disadvantaged as the result of a causal process that was deterministic as opposed to indeterministic. The prudential value of receiving
  858. a chance of some good, whether epistemic or objective, is strictly parasitic upon the value of the good itself. It is no benefit, in and of itself, to
  859. have had an objective rather than a merely epistemic chance of receiving
  860. the good. If, therefore, the gamble does not end up giving Clara the
  861. benefit she sought, it would be in no way better for her to have “at least”
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  863. Philosophy & Public Affairs
  864. had an objective rather than a merely epistemic chance of obtaining the
  865. benefit. Once we hold fixed the fact of Clara’s death, there is no retrospective reason for her to care whether this happened due to a process
  866. that was objectively or merely epistemically chancy.
  867. I conclude that there is no reason, neither a prospective nor a retrospective one, why a single patient like Clara should care whether she is in
  868. the deterministic or the indeterministic scenario.
  869. These arguments carry over to the case of social risk. Here, too, the
  870. only thing each child has reason to care about is whether he is being
  871. treated in a way that will allow him to actually survive the disease
  872. unharmed. But, for each child, our rational degree of credence that
  873. Vaccine 2 will actually allow that child to survive unharmed is just as high
  874. in the deterministic as in the indeterministic scenario.
  875. Of course, we know that not all children will, in fact, survive if we
  876. choose Vaccine 2. Some will die because the vaccine fails to protect
  877. them from the virus. But this is due to the Law of Large Numbers, paired
  878. with the assumption that individual outcomes are probabilistically
  879. independent, not the issue of determinism vs. indeterminism. Moreover, as I argued in discussing the Argument from Certain Loss, this
  880. fact does not increase any child’s personal reasons for rejecting a principle licensing us to select Vaccine 2. To claim it does would be to
  881. engage in the interpersonal aggregation of claims across different possible worlds.
  882. All told, it is hard to see how the fact that we can predict the overall
  883. pattern of outcomes in Mass Vaccination (Unknown Victims) would give
  884. anyone a greater harm-based complaint against Vaccine 2 than in a
  885. single-person gamble. I conclude that the Argument from Irrelevant
  886. Information fails. By assimilating cases of social risk-imposition to interpersonal trade-offs under certainty, the ex post contractualist conflates
  887. the moral significance of “we know that someone will be harmed” with
  888. that of “there is someone who we know will be harmed.”
  889. Let us take stock: if my arguments for ex ante and against ex post
  890. contractualism have been successful so far, I have shown how the
  891. epistemically chancy nature of many public-policy decisions may allow
  892. a contractualist to justify the imposition of social risks that will
  893. foreseeably result in a pattern of benefits and burdens that his theory
  894. would have forbidden him from bringing about through an interpersonal trade-off under certainty.
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  897. A catchy way of summarizing the appeal of ex ante contractualism is
  898. that it permits us to “count the numbers without aggregating”: For a
  899. population of a given size, the greater the number of people who would
  900. foreseeably experience some harm H as the result of some socially risky
  901. action, the worse the prospect that this action gives to each individual
  902. (and mutatis mutandis for benefits). In this sense, an ex ante view
  903. “counts the numbers,” because the number of those who will end up
  904. being harmed by the action is an indicator of the prospect that it gives to
  905. each individual. At the same time, ex ante contractualism does not
  906. aggregate, because the structure of justification remains individualistic.
  907. Overall outcomes matter because of what they say about individual prospects, not because of their total goodness or the combination of claims.
  908. VI. EX ANTE RULES AND THE DECOMPOSITION TEST
  909. The intermediate result I have reached stands in sharp contrast with the
  910. position defended by T. M. Scanlon in What We Owe to Each Other.
  911. There are a number of passages in which Scanlon explicitly rejects ex
  912. ante contractualism. He writes:
  913. In considering whether a principle could reasonably be rejected we
  914. should consider the weightiness of the burdens it involves, for those
  915. on whom they fall, and the importance of the benefits it offers, for
  916. those who enjoy them, leaving aside the likelihood of one’s actually
  917. falling in either of these two classes.28
  918. Scanlon concedes that it is “intuitively obvious that the likelihood that a
  919. form of behavior will lead to harm is an important factor in determining
  920. its permissibility.” However, he argues that this does not require that we
  921. “take this probability into account . . . as a factor that, in one way or
  922. another, diminishes the complaint of a person who suffers this harm.”
  923. Rather,
  924. the probability that a form of conduct will cause harm can be relevant
  925. not as a factor diminishing the “complaint” of the affected parties
  926. (discounting the harm by the likelihood of their suffering it) but rather
  927. 28. Scanlon, What We Owe to Each Other, p. 208.