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MrMind comments on Why No Wireheading? - Less Wrong Discussion
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Ceteribus paribus yes, of course, but not if "achieve maximum pleasure" violates some moral code or drastically diminishes something else you might value, as could be in the case of orgasmium collapse.
I commented that because your first sentence seemed odd- there may be no one reason to not go orgasmium, but there's only one reason to go orgasmium.