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Yes, even from a utilitarian viewpoint, the prospect of living in a society that will murder you if there happen to be a sufficient number of people that require your organs is a dismal prospect. A utilitarian should also account for that very significant negative externality.

Many of these examples fail to take overall utility into account. The sadistic pleasure is another prime example. You must consider not just those who would enjoy the torture but also those that would be repulsed by it.

Same with the cookie. Rewarding a serial killer would make much of society unhappy. From a utilitarian point of view, giving the cookie to Mother Teresa (generally rewarding those who act kindly to others), is a very straightforward choice. The individual perception of cookie sweetness contributes very little to the overall utility.




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