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Vaniver comments on A variant on the trolley problem and babies as unit of currency - Less Wrong Discussion
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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.