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If you can't answer the analog of those questions for an item of auto repair, does that mean we have reason to ban people from doing it?
My read is that all of those things are directly in the vein of "they can hurt themselves" and "there is still possible value in expertise", not externalities. It's telling that you started with the one example of a clear externality, and as soon as we took that off the table, you completely abandoned the externality argument. Or should I pull a you and say, "If you want to continue this conversation please explain what testosterone stewardship and why it's important, or argue why it isn't." Because if that's not a thing, you're jumping to an entirely different class of argument and not even bothering to acknowledge it.
The point is Chesterton's Fence.
You know nothing about medicine or the risks and benefits of what you are proposing. Medicine is not auto repair.
That's kind of important.
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