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lessdazed comments on Are Deontological Moral Judgments Rationalizations? - Less Wrong
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Another way of saying this (I think - Vladimir_M can correct me):
You only have two choices. You can be the kind of person who kills the fat mat in order to save four other lives and kills the fat man in order to get a million dollars for yourself. Or you can be the kind of person who refuses to kill the fat man in both situations. Because of human hardware, those are your only choices.
Spreading this meme, even by a believing virtue ethicist, would seem to reduce the lifespan of fat men with bounties on their heads much faster than it would spare the crowds tied to the train tracks.
U: "Ooo look, a way to rationalize killing for profit!"
VE: "No no no, the message is that you shouldn't kill the fat man in either ca-"
U: "Shush you!"
Of course, one may want to simply be the sort who tells the truth, consequences to fat men be damned.