Yvain comments on Rationalists Are Less Credulous But Better At Taking Ideas Seriously - Less Wrong
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I'm not claiming that a majority of the people who don't do these options don't do them because they're aware of them but don't take them seriously. I'm claiming a majority (or at least many) of the people who possess enough knowledge about them to be able to figure out that they should do them, don't.
My source is mainly anecdotes from people I've talked to who know all the arguments for these but don't do them.
So, concretizing your claim, we get:
I find this hard to believe. Do you really have anecdotes supporting this? (And a lack of a comparable or greater quantity of anecdotes to the contrary?)
I am entirely unconvinced that taking modafinil is a good idea, so you would have to first demonstrate that.
I think your post would greatly benefit from the inclusion of some of those anecdotes you allude to. In other words, why do you believe this thing you believe? What has caused you to come to this conclusion? I would love to know!