Wes_W comments on "incomparable" outcomes--multiple utility functions? - Less Wrong Discussion
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There are some very interesting ideas in the rest of this topic; I'm going to come at it from a bit of a different angle.
I think a lot of the indecision/doubt/regret comes from uncertainty. Decision problems usually have the options and payoffs mapped explicitly, but for real decisions we often have to estimate, without any rigorous way to do so. And our estimates are not just inaccurate, but also imprecise: it can be really hard to tell the difference between perfect indifference, slightly favoring A, and slightly favoring B.
On this view, the "waffling between incomparable outcomes" can be interpreted as "attempting to resolve severe uncertainty" - trying to get the EV calculation nailed down, before you can shut up and multiply.