PhilGoetz comments on On Charities and Linear Utility - Less Wrong
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What shapes for U(X,Y,Z) could make the linear approximation not work? It would have to be a curve that had sudden local changes. It would be kinked or fractal. That would be surprising. If U(X,Y,Z) is continuous, smooth, monotonic, and its first and second derivatives are monotonic, I can't imagine how the linear approximation could fail.
There's an example later in the post, with mixed derivatives. Everything could be smooth and monotonic including all derivatives. Basically think of U(X,Y,Z) as containing a 100XY component.