Scott's post proves too much. In particular it proves that early multicellular organisms would inevitably revert back to micro-organisms.
Edit: This is a bit too opaque. Scott argues that agents that sacrifice the common good for individual gains in reproduction and survival sill survival will outcompete agents that do not make these sacrifices. However, cells within early multicellular organisms could have done this, yet multicellular organisms nevertheless exist.
I understood it to mean that multicellular organisms don't maximize the values of their cells, if we would anthropomorphize them.
In other words, in this scenario you are the (potential) cancer. And the system evolves in a way that you either lose your battles (most of the time), or your victory against the system would result in your death anyway. (Because your survival depends on the system in too many ways.)
This is prompted by Scott's excellent article, Meditations on Moloch.
I might caricature (grossly unfairly) his post like this: