Davorak comments on The True Rejection Challenge - Less Wrong
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Effort is hard enough to judge in person and pretty much impossible over the internet. I have observed more then once in my life people judged as lazy, or many other negative traits, only to have the person years latter discover a perviously unknown medical condition causing the underlying problems. Once it is diagnosed as organ failure, a growth putting pressure in an odd place society stops judging them as lazy or any number of other negative traits.
The initial label of laziness(or other negative trait) was a logical misstep, coming to a conclusion without sufficient evidence.