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mrglwrf comments on Rationality Quotes September 2012 - Less Wrong
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Presuming that Starfleet Medical has limited enrollment, and that if he hadn't lied, a superior candidate would have enrolled, then that superior candidate would have saved those hundreds or thousands, and then a few more.
I see no good reason to presume a correlation between a med school's admissions criteria and total lives saved over a doctor's career as tight as this reasoning requires. Or to presume that it is near certain that if he hadn't lied, another liar wouldn't have been accepted in his place.
This reasoning merely requires that the correlation exist and be positive.