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SilasBarta comments on Consequentialism Need Not Be Nearsighted - Less Wrong
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I don't think that follows. The LCPW can allow that people could imagine others being TDT agents, but that the scenario does not provide sufficient evidence that the doctor is killing patients. Furthermore, if only 0.1% of the population can detect the doctor's decision theory, it's unlikely that their arguments will be comprehensible to the rest of the population, at least at a cost low enough to have the purported "people stop going to doctors" effect.
Yeah, but at that point you're not really talking medical ethics, you're playing against the rest of the world in a game of "God dicks you over in mysterious ways."
If someone is known, by their friends and family, to be relatively aware when it comes to such issues; and warns said friends and family of this danger, they will not need to give a comprehensible argument.
Their statement is, in itself, evidence to those who trust them.