It doesn't really start until after the initial acceleration.
Imagine that the ship just passed the Earth, rather than taking off from it. Everything would work out the same, but turning around is clearly the only break in symmetry.
No the symmetry breaking event would just be further back in time. Also you could not call it the twin paradox, because you would not be able to explain how one of the twins got into the moving reference frame with out accelerating.
It has been suggested that animals have less subjective experience than people. For example, it would be possible to have an animal that counts as half a human for the purposes of morality. This is an argument as to why that may be the case.
If you're moving away from Earth at 87% of the speed of light, time dilation would make it look like time on Earth is passing half as fast. From your point of reference, everyone will live twice as long. This obviously won't change the number of life years they live. You can't double the amount of good in the world just by moving at 87% the speed of light. It's possible that there's just a preferred point of reference, and everything is based on people's speed relative to that, but I doubt it.
No consider if their brains were slowed down a different way. Suppose you uploaded someone, and made the simulation run at half speed. Would they experience a life twice as long? This seems to be just slowing it down a different way. I doubt it would change the total amount experienced.
If that's true, it means that sentience isn't something you either have or don't have. There can be varying amounts of it. Also, someone whose brain has been slowed down would be less intelligent by most measures, so this is some evidence that subjective experience correlates with intelligence.
Edit: replaced "sentience" with the more accurate "subjective experience".