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Eugine_Nier comments on Constructing fictional eugenics (LW edition) - Less Wrong Discussion
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A more important difference is that I have a lot more choice in my doctor than in my government.
I confess the example was facetious. But I still can't empathise with the intuitive dislike of interference. I understand there are pragmatic considerations (e.g. choosing a good doctor) but this seems to go beyond that to being a value in and of itself (thus the original example of it not being a utopia if its run by an interfering government).
Well it won't be. Without the threat of leaving the government has little incentive to intervene benevolently.