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Economics & Marginalia: September 22, 2023

Imagine you were undergoing a programme of uncomfortable and unpleasant, but necessary, exercise and dietary changes to improve your health and found yourself slightly ahead of schedule, though some distance from your target. You sit down with your doctors and give them the good news: I’m doing better than planned, though I still need to lower my blood pressure to healthy levels and it’s going to be tough to get there. How would you react to a doctor whose response was to crack open a pack of Malboro reds, slide a triple-cheeseburger and fries across the table and offer you a chocolate milkshake to wash that down with? I would sack the imbecile there and then; and even more so if your wellbeing depended on the collective health of a group of people of which you are only one, and most of the others are behind schedule. Sure, a burger would be nice, but with a life of chronic health problems at stake you’d hope that your doctor at least would be able to help you resist the short- ....

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