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Solvent comments on A variant on the trolley problem and babies as unit of currency - Less Wrong Discussion
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That's a good answer. However, I can just change the dollar values to increase it to 30 people saved, or whatever. I wouldn't call it a LCPW (least convenient possible world) issue, but it's an easy modification to the thought experiment.
Sure, but it seems to me that the effectiveness of the box is (should be) a critical factor in deciding whether or not to use it. If the number of people saved is small enough, it seems like the box shouldn't be used; if the number of people saved is big enough, it seems like the box should be used. The point at which we switch from not using it to using it is a number we should be willing and able to calculate before we use the box.