Sewing-Machine comments on Rationality Quotes July 2012 - Less Wrong
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This is similar to the way people who claim to be physical non-realists still manage to avoid walking out of high story windows. If someone punched you or stole your stuff, I strongly suspect you'd object in moral terms.
To me, this is a point in favor of anti-realism. I hardly react at all when strangers get punched and worse (as we speak, probably). Tragedy is when I cut my finger.
Ethical egoism is still a form of moral realism.
(Disclaimer: I don't necessarily endorse full ethical egoism.)