sufficiently advanced utilitarianism is indistinguishable from evil
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Sounds like the externalization of socially borne disutilities.
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you need to optimize harder!
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Institutions that would corrupt the societal soul, be abused, and lower utility on net :P
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QALYs are a bad measure of utility that HTAs use because they have to use something. Optimizing them more broadly is like building your life around getting a "perfect" 22.5 BMI.
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The problem with utlitarianism is less that it's evil and more that it's impossible, because you can't actually measure utility.
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Inability to understand complex systems.
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