maxfan8
Joined 7 years ago
Joined 7 years ago
I'll note that I never "pretended that it's not justifiable". I did explicitly say earlier:
> That's a fair position (you seem to be a utilitarian), and probably quite defensible.
I'm disengaging, for now, since it seems like we understand each other's position, and we had a productive, lively discussion.
Does the position seem clear now? I apologize if this line of reasoning was not clear earlier.
That's a fair position (you seem to be a utilitarian), and probably quite defensible. But, one could argue that patient choice is an important feature for our medical systems to have. I certainly want to be able to refuse medications that my doctor recommends (e.g. opioids) or seek alternate advice/second opinions. My cost-benefit analysis equation is probably not the same as my doctor.
To be clear, I'm not talking about an "idealized dream world", as you put it -- I'm talking about patient autonomy in the real world, even if it means allowing patients to make what seems like a suboptimal decision.
Yes, my argument does rely on patients being rational agents.
> They aren't.
That may be true, but it's certainly paternalistic (in the formal, definitional sense) to act as if they are not rational agents and withhold information/reduce autonomy. This is a case of pure paternalism (again, in the formal philosophical sense).
Different ethical systems, of course, make different judgements on whether this behavior is moral. It's also up for debate whether this is a desirable feature of the medical system.
In my opinion, the only justifiable factors are probably along the lines of:
- invasiveness (e.g. if it's non-invasive or minimal cost)
- benefit to the patient if detected
- cost relative to other screenings/actions that can be done for the patient
Everything else seems strictly suboptimal.
Perhaps one way of encouraging a "greener" grid is to first encourage the development of cheap energy storage solutions, and then letting the market figure out the best way to utilize such storage (rather than the other way around). Might lead to more efficient/creative green energy solutions.
I think it’s very promising/exciting as a method of smoothing out the demand curves of the electric grid. Plus, it’s fairly straightforward to modify existing dams/hydro infrastructure to have this capacity.
Since some dams are already used as water reservoirs for drinking/agriculture, this could be quite viable if the desalination can be done cheaply and efficiently at scale (not sure if this is even possible on the scales required for this idea to make sense, though).
Here’s a particularly nice one about David Foster Wallace:
> James Wallace, who was a graduate student in philosophy in 1959-1962, not only learned philosophy at Cornell but also picked up a gesture of Wittgenstein. The gesture - hitting himself in the back of his head, to indicate what a fool he was was then passed on to his son, David Foster Wallace, who eventually figured out its origin.
https://github.com/InnovativeInventor
contact: hn at max 'dot' fan
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