...is not unheard of here either. The most recent incarnation: why should the system provide PrEP if ppl could also choose to have safe sex?
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Replying to @rolandbouman
That's pretty much the argument. It's ignoring the basic realities of life, but people stick to it because it feels morally superior
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Replying to @GidMK
Honest curious question: how do you feel about this in relation to the utalitarian decisions sometimes made by medical professionals w/re...
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Replying to @rolandbouman @GidMK
...to say, organ transplants for people with an unhealth lifestyle? I.e. liver transplant for alcoholics; lung transplant for smokers; etc?
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Replying to @rolandbouman
Short answer: it's complicated. It's a massive, messy issue that I don't think has a good answer
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Replying to @GidMK
But is it in the same gray area? Or is it in your professional opinion a good reason for not preferring to give a smoker a lung transplant?
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Replying to @rolandbouman
Ideally, I don't think it's ethical to deny smokers lung transplants. But choosing who gets an organ is an issue fraught with heartache
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Replying to @GidMK @rolandbouman
I don't think there is a perfect answer, because each case is different. But generally? No, it's not fair to deny people healthcare
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Replying to @GidMK
Ok. So in this case, you can defend that there is a purely utalitarian reason: it's not just a case of money, there is actual, real ...
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Replying to @rolandbouman @GidMK
... scarcity of organs, and so one chooses for the best chance of survival? Something like that?
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Pretty much. It also depends on whether they are a current or former smoker: current smokers are much more likely to die
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Replying to @GidMK
Yeah this confirms my intuition. There are good reasons to pick, but there is a difference. It's just not one that is easily accepted by...
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Replying to @rolandbouman @GidMK
...society, and esp. healthcare consumers, since they cannot or do not distinguish between incidental lifestyle and actual, objective ...
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