this post was submitted on 15 Jul 2026
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The only reason that I keep bringing up worthiness to receive care is to reaffirm that idea that the hospital is a safety net. That is the only way I think about it. I'm not looking for efficiencies. Its efficiencies do not affect my moral calculus.
If there were enough smokers that the hospital had to triage the issue to focus on some guy's brain tumor, that's fine. That's a budgeting issue. I would also choose the nicer of two people if both were hanging off either end of a bridge.
Would it be nice to spend obesity money on something else? Sure. It can't be, though. It's hard to see obesity and cost as a moral issue when I don't actually view the obese, nor the smoker, nor the drug addict, nor the suicidal, nor the adrenaline junkie, nor the MMA fighter, nor the venomous snake guy as burdens. Every one of these people "should know" that they will cost the medical industry money; they might be the ones to "kill" a guy with a brain tumor. I'm not bothered by this because these are the very people the medical industry is built to serve. It exists for them.
A medical industry that cannot accomodate obesity is one that is failing its own constituents. It is failing to serve its purpose. So, becoming obese, and costing the healthcare system money, is immaterial. It doesn't matter.
But, a guy in the supermarket sneezing on people is a burden. Not because he is straining medical services and indirectly murdering in-care patients, but because there are people in the supermarket who now must be burdened with illness.
So this is what my view comes down to:
This view is useful because it means I am socially equipped to punish people for anti-social and irresponsible medical behavior, but also that I remain sympathetic to victims of the tobacco and sugar industries. And that guy with the snake.
It's also not that complicated, because my problem is chiefly with anti-social behavior.
How does this relate to necrophilia?... I don't know. He probably shouldn't do that.
Ok. I think I need to tap out. I don't think we can have the same conversation. And that isn't a judgement or anything about you, or your points, or anything. I think that fundamentally we're just trying to have two similar but distinct conversations.
There are two conversations: one about exploring and establishing a model of moral evaluation of action, and one about how a hospital should be run, dignity, how to organize a society for the betterment of its members, etc etc. They're both great conversations. I'll happily concede that yours is more important.
I keep trying to talk about morality and ethics. To me, it's the much more interesting conversation. It's extremely rare to actually get the opportunity to get into moral philosophy, so even fucking roadkill is great.
It's not that I necessarily disagree with what you're saying. It's just that you're not at all talking about morals and ethics, and each attempt i make to pull you back in is met in failure. Now you're talking about "fault" which is a completely distinct philosophical concept and "failure of the hospital system" which is not really anything.
Yeah hospitals should treat everyone. I have universal Healthcare. How to run a hospital or a health system is a tedious conversation for me. The moral and ethical discussion and examination of right and wrong of actions when a moral agent is part of a social collective with health support and limited resources is interesting.
If we just talked about your thing... we'd basically just be two people roughly agreeing with each other. Which is fine, it's just that isn't really a valuable conversation for either of us. We're already like 99% aligned, there is nothing material to explore or debate. I can't offer you anything in that conversation that you don't already have and vice versa.