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Artaxerxes comments on Breaking the vicious cycle - Less Wrong Discussion
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My consideration of the value of his criticism was separate to these health concerns. Perhaps when taking it into account, yours is the sensible conclusion to come to.
On LW we have the habit to analyse details and have high standards for them. There are cases where that's valuable. In this case it makes more sense to look at the situation as a whole and see how a solution with beneficial for everyone involved looks like.
Look at the the decision tree and the results and then pick the node that goes in the right direction.