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gjm comments on Imitation is the Sincerest Form of Argument - Less Wrong
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It isn't at all obvious to me that he could help more people and make more money by making his career in writing. (I mean, obviously it's possible that he would, but you can't mean that because it's pretty much always true for any pair of careers.)
Just what sort of writing career do you envisage for him that's more lucrative and more world-enhancing than medicine?
(For the avoidance of doubt: I agree that his writing is excellent.)
Actually, I take it back. It's not a dichotomy. He can be both and he will probably be a better writer if he is also a practicing psychiatrist. He might decide to write professionally at some point, though.