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Ghatanathoah comments on Some scary life extension dilemmas - Less Wrong Discussion
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The lifespan dilemma seems very similar to drug use dilemmas in general. For instance, using the generic term "Dose" which could be about a lifespan boosting chemical or a euphoriant drug, they appear to share several premises and points.
Premise 1: The first dose is good.
Premise 2: The next dose is better.
Premise 3: Too many doses will almost certainly hurt/kill you.
Point 1: Precommitting to take a certain arbitrary number of doses can give better results than taking 0, 1 or arbitrarily large doses.
Point 2: Be extremely wary of taking doses from someone you don't trust. They may be trying to pump you for utility.
Also, similar topics appear to come up a lot in Less Wrong debates in general. For instance, the Gandhi and the murder pills dilemma.
I'm not sure if I have any conclusions about this, but it does seem noteworthy.
You're right, this sounds exactly like the Gandhi-murder-pills dilemma. It has all the premises you described, plus the risk of killing innocent people. And it probably has the same solution.