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I think that when I use the word "healthy", it reliably constrains expectations. If I tell you my shirt is red, and then you examine it, you wouldn't be expecting it to emit or reflect only light that's 460nm in frequency, even if the term "red" leaves room for subjective interpretation where it bleeds into orange or pink.
It would be rather awkward if I had to append the WHO definition (Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity) every time I used that phrase. Even said definition is implicitly subjective.
So no, it's not meaningless beyond an individual observer. If I delivered a baby missing a head and handed it to a mother, I'd be rather aghast if anyone in the room called it a healthy child.
I couldn't really be a psychiatrist if I subscribed to that notion, could I?
Sadly human language is rather imprecise. It's still useful. I'm unable to define health in a way so rigorous I could program it into a computer in Lisp, but LLMs prove that that's not necessary.
Consistancy is the hobgoblin of small minds, or so I'm informed.
I think "healthy at any size" is crap, and I say this as a member of the target audience. But in order to take that position, I'm implicitly making an objective claim that some states are healthier than others, regardless of what the people experiencing those states think. It doesn't seem to me that this sort of position is compatible with your critique of the naturalist fallacy above. The argument against obesity is that it's divergent from our natural state, from what we ought to be. But as you say, rabies, infant mortality, etc, etc, and it seems to follow that any downside to obesity could easily be framed as just a matter of insufficient technology.
I would argue that we should value the places where nature is consonant with our desires, and we should be skeptical of places where our desires require wholesale rejection of nature. To the extent that our desires potentially bring us into conflict with nature, I think we should favor the desires that are as concrete and general as possible, over the desires that are highly individual and unusual. I think doing so would allow us to pursue common ground for a supermajority of the population.
To the extent that values are sufficiently mutually incoherent that the rabies vaccine, reduced infant mortality, and prepubescent gender transition can't be distinguished, it seems to me that Dril rules are in effect.
I don't follow. I'm not the one arguing that obesity is bad because it's not natural. I think it's bad because it makes you slower, weaker, ruins your QOL, makes you more likely to die early and less likely to find an attractive partner.
If there was a magic pill or surgery that let you be obese without any of the present downsides, that's a matter of aesthetics. It would be no different to dying your hair a weird color or getting a garish tattoo.
Being super fit and muscular isn't natural at all. Yet that's the revealed preference in terms of what people look for or aspire to, and they at least feel bad about not being there. The closest humans to a "state of nature", hunter gatherers, aren't super models or killing it on dating apps.
Humans have been rejecting nature ever since they sharpened sticks and lit fires. It's worked out pretty well overall.
I think that questions of whether something is natural are often irrelevant to whether its good or desirable, noting that this unavoidable requires a subject to decide what counts as good or desirable. If that was you, then you might intrinsically think natural = better in many situations.
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