CarlShulman comments on Shut Up and Divide? - Less Wrong
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Well, if you want to say that curing a TB patient to have a mostly happy life with low economic productivity in tradables is a despicable "travesty" and an "indulgent" waste of resources (and not because the return on investment could be used to do more good later), you can use words that way.
But in future it would be nice to make it plain when your bold conclusions about "cost-benefit analysis" depend so profoundly on normative choices like not caring about the lives or welfare of the powerless, rather than any interesting empirical considerations or arguments relevant to folk who do care.