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Azathoth123 comments on Open thread, Sept. 1-7, 2014 - Less Wrong Discussion
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In practice the best case scenario is that they give it to inefficient charities. The worst scenario is that they support nice-sounding but very destructive political causes.
It is true that I implicitly assumed that people feeling guilty about possession of wealth and attempting to do good in order to assuage their guilt will do more good than harm in so attempting. I think this is a fair assumption, however.