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Tenek comments on Some rationality tweets - Less Wrong
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Learning how to transplant a kidney is much easier when you have a few dozen people to experiment on. (I think that was the idea, anyways...)
I thought it referred to training at one thing so hard that you become incapable of doing anything else. Like the programmer who forgets to shower, eat, sleep, etc.
But the tweet is directed at the reader. Surely Peter didn't expect many of his readers to be faced with that sort of decision while learning their skills?