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Kaj_Sotala comments on Dreams with Damaged Priors - Less Wrong
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Maybe because one never knows if their brain is going to become damaged, or whether it is in fact damaged right now. (That would be my explanation, I don't know if it's the same as Eliezer's.)
My father, who has brain cancer, said after coming out of surgery that he felt he was at about 75% of capacity. It's funny, as far as deadly serious cancer goes, that immediately before he said that, I thought to myself - but didn't say aloud - that he was at about 70%, compared to 10% before going into surgery.
Anecdotal evidence is anecdotal, but not all brain damage renders one unaware of its presence.