Decide As You Would With Full Information! An Argument Against Ex Ante Pareto

In Ole Norheim, Samia Hurst, Nir Eyal & Dan Wikler (eds.), Inequalities in Health: Concepts, Measures, and Ethics. Oxford University Press (2013)

Authors
Alex Voorhoeve
London School of Economics
Abstract
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 because it conflicts with the requirement that, when possible, one ought to decide as one would with full information. We apply our argument in an analysis of US policy on screening for breast cancer. -/- .
Keywords Pareto Principle  Egalitarianism  Decision-Making Under Risk  Social Choice Theory
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References found in this work BETA

Reasons and Persons.Derek Parfit - 1984 - Oxford University Press.
Weighing Lives.John Broome - 2004 - Oxford University Press.
Can We Harm and Benefit in Creating?Elizabeth Harman - 2004 - Philosophical Perspectives 18 (1):89–113.

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An Intrapersonal Addition Paradox.Jacob M. Nebel - 2019 - Ethics 129 (2):309-343.
Should We Wish Well to All?Caspar Hare - 2016 - Philosophical Review 125 (4):451-472.
The Ethics of Making Risky Decisions for Others.Luc Bovens - 2019 - In Mark D. White (ed.), Oxford Handbook of Ethics and Economics. Oxford University Press. pp. 446-473.

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