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Culture War Roundup for the week of September 5, 2022

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I think it's worth trying to empathize with these people. Consider this previous discussion on some comments by Matthew Cortland, where he vociferously argues against the concept of QALYs, because as a disabled person, QALYs value his life less than that of someone who isn't disabled.

On the one hand, it is devastating to be told that you're not an entire person, even in an accounting sense.

On the other, when you're doing a utilitarianism, either you're going to count disabled people less than non-disabled ones, or you're going to see nothing wrong with deafening someone, or blinding them, and so on.

The silliest part of the anti-QALY argument also means that its not worth spending money to help disabled people, since we can't count their health as being less. The QALY is mostly an attempt to quantify health for resource prioritisation, but most critics don't believe there should be prioritisation at all. Either the societal health budget should be infinite, or they don't consider it at all.

I think your argument makes sense, but you're also talking about something very different from me. You seem to be addressing the position "a person should not be counted as worth less because they're deaf (autistic, etc)". I have no quarrel with that position at all (I agree with it). My beef is with the position "a person should not be cured of being deaf (autistic, etc) because that is destroying the person they were". That position is something I find morally abhorrent, because it is in effect preventing others from getting better (even if the intentions are pure).

Also, tbh I think your post is as much a strong argument against utilitarianism as anything else. I think utilitarianism has its place, but I think that it is actually pretty horrifying and immoral when applied at any sort of scale. Give me deontology or virtue ethics any day of the week!

Yeah, but by saying those things should be cured you are implying (not deliberately) that being deaf or autistic is lesser than. People who argue those things have usually made being deaf or autistic part of their identity, they have communities they have built their lives around that would cease to exist without their disability - and (this is a bit harsh but I can't find other words atm) those communities make their disability a strength, something special and unique to them that the rest of the world can't share. Learning that your child will never be a part of your world - worse, will become yet another normal who looks down on you for it - would be soul crushing. I'm not saying you are wrong, I don't think you are, but I do wish there was another way.

Edit: clarity

Well yes, of course it's less than (ideal). It's an illness. People aren't lesser for having the illness, of course. And if they want to keep it, that's certainly their prerogative. But to say "we shouldn't cure these conditions because that implies having them is lesser" is like saying "we shouldn't cure polio because that implies having polio is lesser". I wouldn't accept the latter argument and I don't accept the former, either.

I don't think that was the argument grendel was making, and it wasn't the argument I was making. I was just explaining why they take it so hard, and why I don't view them as morally abhorrent for taking that position - even though, absent their situation, I probably would.