• Windex007@lemmy.world
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    1 hour ago

    Kinda, I think we’re in the same zone, but I feel you’re kinda glancing off some important points, and also bringing in unrelated concepts.

    What if the money spent on the mri could have been spent on alzheimers?

    Well, if at the time it was reasonable to expect that the investment in MRIs was the most effective thing to do for society that’s fine. That’s just a choice made with reasonable expectations of a positive outcome that ultimately turned out to be suboptimal. It isn’t reasonable to expect that smoking won’t statistically be detrimental to your health. It’s a self-inflicted wound, done knowing this was a likly outcome. This is the critical difference there.

    Now, as for unrelated topics, you’ve muddled two distinct ideas: “moral evaluation of actions”, and “evaluation of worthiness to recieve care”.

    If you need an ER doctor to pull a dildo out of your ass, but didn’t reasonably expect to demand society to end up having to pay for it, then I see no moral issue, just like if someone forgets thier hair straightener on and thier house lights on fire and the firefighters risk thier lives to rescue you.

    If you fully expected to require an ER doctor beforehand, yah, morality issue there. If you light your own house on fire on purpose because you wanted to get carried down a ladder, same deal.

    Doesn’t mean you don’t deserve to be helped. Doesn’t imply that you must not, may, or are obligated to feel contempt or whatever. Evaluating the STATE of a moral agent RESPONDING to a moral transgression of another is several steps removed from the ideas of the morality of self-harm in a social collective with finite support resources.

    Anyways, long story short… I don’t mean to say that the two cases are morally identical. They’re both actions that needlessly risk degrading the overall health of your society. I think if you want to frame ONE as a moral issue, they BOTH are.

    So, to my original point… I don’t know if the public health angle for the moral evaluation is a great one here. I think it’s hard to build a consistent and reliable moral model around.