Haven't had one of these for awhile. This thread is for questions or comments that you've felt silly about not knowing/understanding. Let's try to exchange info that seems obvious, knowing that due to the illusion of transparency it really isn't so obvious!
You're fixating on the unimportant parts.
Let me change the scenario slightly to fix your collapse-of-medicine problem: Once in a while the government consults its random number generator and selects one or more, as needed, people to be cut up for organs. The government is careful to keep the benefits (in lives or QALYs or whatever) higher than the costs. Any problems here?
That people are stupefyingly irrational about risks, especially in regards to medicine.
As an example; my paternal grandmother died of a treatable cancer less than a year before I was born, out of a fear of doctors which she had picked up from post-war propaganda about the T4 euthenasia program. Now this is a woman who was otherwise as healthy as they come, living in America decades after the fact, refusing to go in for treatment because she was worried some oncologist was going to declare a full-blooded German immigrant as genetically ... (read more)