SarahC comments on Diseased thinking: dissolving questions about disease - Less Wrong
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I think that's the best model for semi-voluntary problems -- it's usually not the case that no amount of effort would solve them, but that they would need much more effort than the average person. People with poor parents can become rich, but they have to work much harder than people with rich parents for the same result. If you're doing the same amount of work as an average person, I'd say you deserve as much credit as an average person.