Blueberry comments on Defeating Ugh Fields In Practice - Less Wrong
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"These are people whose utility function does not place a higher utility on 'dieing but not having to take my meds'."
Why are you making claims about their utility functions that the data does not back? Either people prefer less to more, knowingly, or they are making rational decisions about ignorance, and not violating their "ugh" field, which is costly for them.
How is that any different than a smoker being uncomfortable quitting smoking? (Here I recognize that smoking is obviously a rational behavior for people who choose to smoke).
It's pretty similar, actually: just as a smoker may prefer to quit but find doing so psychologically difficult, someone with a terminal illness may prefer to take their meds but also find it difficult. It's not clear how to assign utility in such a case, as the agent involved isn't a unified whole. There's the sub-agent who is addicted and the sub-agent who wants to quit.