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Notes -
You'd welcome medicine to fix those health problems but will it fix the unpleasantness that you spent a paragraph detailing? I think more medicine is good but I'd still prefer a world where everyone is thin. It's less disgusting in my opinion.
My point is that a philosopher of perfect emptiness couldn't choose between these two:
making fat people no longer exist
making it healthy to be fat
It takes an additional axiom like:
most efficient solution
fatness is disgusting
fatness is beautiful and diverse
In order to really care for one over the other.
I'm normally quite good at decoupling but the whole point is that we don't have this choice. It's not just a matter of efficiency, it's make fat people no longer exist or just be worse off for every marginal increase in obesity. We, at the moment, cannot mitigate the totally natural impacts of obesity. My disgust is totally irrelevant to diabetes and heart disease. The choice in the world that exists is not difficult.
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