The true annoyance of hearing sirens at 12:30AM is knowing that nobody has weighed the disutility of 10,000 people woken up from sleep.
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Do they only turn on sirens for cases where instant treatment saves more life than the expected health damage from lost sleep? Surely not.
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Prime example of why act utilitarianism is ludacris; did you calculate the utility of tweeting about it? Or of replying to this tweet?
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Quality of life loss from scrupulously worrying about utility is bigger than most gains. Far-scope policy decisions don't have that defence.
End of conversation
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