TheOtherDave comments on Several Topics that May or May Not deserve their own Post - Less Wrong Discussion
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Not if they believe that the costs to them of being impolite in that instance would be higher than the cost of sacrificing whatever it was.
And further, it may be that the cost of the sacrifice is much, much smaller than the gain to the other person. To say that I value my quality of life more highly than yours is not to say I place no value on yours at all.