orthonormal comments on Against Cryonics & For Cost-Effective Charity - Less Wrong
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Getting a heart transplant has instrumental value that cryonics does not.
A heart transplant enables the recipient to continue being a productive member of society. If the recipient is doing a lot to help other people then the cost of the heart transplant is easily outweighed by the recipients' productivity.
By way of contrast, if society gets to the point where cryopreserved people can be restored, it seems likely that society will have advanced to the point where such people are much less vital to society.
Also, the odds of success for a heart transplant are probably significantly higher than the odds of success for cryorestoration.
Edit: See a remark in a post by Jason Fehr at the GiveWell Mailing List:
I don't think that having Bill Clinton cryopreserved would be nearly as valuable to society as the cardiovascular operations that he underwent were.
So, then, should prospective heart transplant recipients have to prove that they will do enough with their remaining life to benefit humanity, in order for the operation to be approved?
I think you're holding cryonics to a much higher standard than other expenditures.
Distinguish personal morality from public enforcement. In a liberal society our personal purchases should (typically) not require anyone else's permission or "approval". But it still might be the case that it would be a better decision to choose the more selfless option, even if you have a right to be selfish. That seems just as true of traditional medical expenditures as it does of cryonics.