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Emile comments on The Pleasures of Rationality - Less Wrong
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You may be able to get an even better kidney-for-the-buck ratio (and increased moral outrage) with a lottery system: get $5.000 for a one-in-ten chance of losing a kidney; or $50.000 for a one-in-ten chance of being killed and having all your organs harvested.
That would be like signing up for a particularly high-risk job, like soldier.
To ensure people don't defect when they discover they've lost the lottery, you'd have to play lethal injection Russian Roulette.
The optimal system would probably be one where ten victi, uh, candidates around the world are simultaneously given a sleeping pill, attached to a machine with a breathing tube, and once they are a sleep a central server under high scrutiny randomly triggers death on one of the machines; upon waking up, the survivors are given their money.
OK, I think this thread is creepy enough now.