scholarly journals When do caregivers ignore the veil of ignorance? An empirical study on medical triage decision–making

Author(s):  
Azgad Gold ◽  
Binyamin Greenberg ◽  
Rael Strous ◽  
Oren Asman
2021 ◽  
Vol 11 (5) ◽  
pp. 66
Author(s):  
Rose Martin ◽  
Petko Kusev ◽  
Joseph Teal ◽  
Victoria Baranova ◽  
Bruce Rigal

Making morally sensitive decisions and evaluations pervade many human everyday activities. Philosophers, economists, psychologists and behavioural scientists researching such decision-making typically explore the principles, processes and predictors that constitute human moral decision-making. Crucially, very little research has explored the theoretical and methodological development (supported by empirical evidence) of utilitarian theories of moral decision-making. Accordingly, in this critical review article, we invite the reader on a moral journey from Jeremy Bentham’s utilitarianism to the veil of ignorance reasoning, via a recent theoretical proposal emphasising utilitarian moral behaviour—perspective-taking accessibility (PT accessibility). PT accessibility research revealed that providing participants with access to all situational perspectives in moral scenarios, eliminates (previously reported in the literature) inconsistency between their moral judgements and choices. Moreover, in contrast to any previous theoretical and methodological accounts, moral scenarios/tasks with full PT accessibility provide the participants with unbiased even odds (neither risk averse nor risk seeking) and impartiality. We conclude that the proposed by Martin et al. PT Accessibility (a new type of veil of ignorance with even odds that do not trigger self-interest, risk related preferences or decision biases) is necessary in order to measure humans’ prosocial utilitarian behaviour and promote its societal benefits.


Author(s):  
Klaudijo Klaser ◽  
Lorenzo Sacconi ◽  
Marco Faillo

AbstractThe most evident shortcoming of the international agreements on climate actions is the compliance to their prescriptions. Can John Rawls’s social contract theory help us to solve the problem? We apply the veil of ignorance decision-making setting in a sequential dictator game to study the compliance to climate change agreements and we test the model in a laboratory experiment. The veil of ignorance shows to be very powerful at inducing the subjects to converge on a sustainable intergenerational path. However, the voluntary compliance to the agreement still remains an open issue, because even small incentives to defect can undermine the compliance stability, and therefore break the whole sustainable dynamic.


2020 ◽  
Author(s):  
Karen Huang ◽  
Regan Bernhard ◽  
Netta Barak-Corren ◽  
max bazerman ◽  
Joshua D. Greene

The COVID-19 crisis has forced healthcare professionals to make tragic decisions concerning which patients to save. Furthermore, The COVID-19 crisis has foregrounded the influence of self-serving bias in debates on how to allocate scarce resources. A utilitarian principle favors allocating scarce resources such as ventilators toward younger patients, as this is expected to save more years of life. Some view this as ageist, instead favoring age-neutral principles, such as “first come, first served”. Which approach is fairer? The “veil of ignorance” is a moral reasoning device designed to promote impartial decision-making by reducing decision-makers’ use of potentially biasing information about who will benefit most or least from the available options. Veil-of-ignorance reasoning was originally applied by philosophers and economists to foundational questions concerning the overall organization of society. Here we apply veil-of-ignorance reasoning to the COVID-19 ventilator dilemma, asking participants which policy they would prefer if they did not know whether they are younger or older. Two studies (pre-registered; online samples; Study 1, N=414; Study 2 replication, N=1,276) show that veil-of-ignorance reasoning shifts preferences toward saving younger patients. The effect on older participants is dramatic, reversing their opposition toward favoring the young, thereby eliminating self-serving bias. These findings provide guidance on how to remove self-serving biases to healthcare policymakers and frontline personnel charged with allocating scarce medical resources during times of crisis.


2021 ◽  
Vol 13 (12) ◽  
pp. 6631
Author(s):  
Toshiaki Hiromitsu ◽  
Yoko Kitakaji ◽  
Keishiro Hara ◽  
Tatsuyoshi Saijo

In public decisions with long-term implications, decisions of the present generation will affect long-term welfare, including future generations. However, only the present generation is able to participate in such decision-making processes. In this study, we invited “Imaginary Future Generations” (IFGs), as participants in a discussion who take on the role of members of future generations to argue on behalf of their future interests to engage in present-day deliberations among residents of a Japanese town. Through analysis, it was seen that the deliberations among IFGs rose interest in issues that are related to common fundamental needs across generations. While the cognitive aspects of interpersonal reactivity, which measure the reactions of one individual to the observed experiences of another, were seen as useful in arguing for the interests of future generations, it was suggested that the environment for deliberation had a significant impact on the ability to effectively take on the role of members of future generations. Finally, this paper positioned IFGs within the broad context of general rules for good decision-making, based on an analysis of these deliberations and in light of philosophical arguments such as the veil of ignorance by John Rawls.


2021 ◽  
pp. 232949652110288
Author(s):  
Meaghan Stiman

In theory, participatory democracies are thought to empower citizens in local decision-making processes. However, in practice, community voice is rarely representative, and even in cases of equal representation, citizens are often disempowered through bureaucratic processes. Drawing on the case of a firearm discharge debate from a rural county’s municipal meetings in Virginia, I extend research about how power operates in participatory settings. Partisan political ideology fueled the debate amongst constituents in expected ways, wherein citizens engaged collectivist and individualist frames to sway the county municipal board ( Celinska 2007 ). However, it was a third frame that ultimately explains the ordinance’s repeal: the bureaucratic frame, an ideological orientation to participatory processes that defers decision-making to disembodied abstract rules and procedures. This frame derives its power from its depoliticization potential, allowing bureaucrats to evade contentious political debates. Whoever is best able to wield this frame not only depoliticizes the debate to gain rationalized legitimacy but can do so in such a way to favor a partisan agenda. This study advances gun research and participatory democracy research by analyzing how the bureaucratic frame, which veils partisanship, offers an alternative political possibility for elected officials, community leaders, and citizens to adjudicate partisan debates.


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