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@ink_slinger I'm sure there are a ton of other people exactly like that who have been able to be productive members of society due to similar levels of privilege. As well as a ton of folks who have ended up in prison who wouldn't have had they had similar levels of support from the system and from people around them.

@freakazoid @ink_slinger This is my sense as well. I'm no expert, but I've noticed that a number of disorders were first identified in their most flagrant form (unsurprisingly!) and then later the more subtle or latent forms were identified.

IIRC, celiac disease was that way. Autism. Some other things that aren't coming to mind.

There are no doubt a shitload of psychopaths who are pretty prosocial, because we only really know about the ones who go around doing the most flagrantly antisocial stuff!

@varx @ink_slinger Diseases are primarily diagnosed based on their symptoms. Which is a good thing, since otherwise we'd be overtreating them even more than we already do. Prostate cancer, for example, has been overtreated for a very long time, because the people who sell the products you'll need after having a prostatectomy will pay for you to have a free prostate cancer screening when you don't need it.

@ink_slinger @varx (Because the screening doesn't actually tell you how long the cancer will take to kill you, but almost everyone who is told they have prostate cancer will get it treated. The presence of symptoms is a much better predictor of whether the cancer is actually dangerous and needs treatment.)

@freakazoid @varx Prostate cancer is really a perfect example of over-treatment because the vast majority of people who are diagnosed are old enough that they'll likely die of old age before the cancer becomes serious enough to cause problems. I think the medical community is starting to change their approach as a result. Why bother treating something that won't do much harm, especially when the treatment will often have a worse effect in the short term?

UberTumbleweed @UberTumbleweed

@ink_slinger @varx @freakazoid I think, at least in Canada, things are changing re: prostate cancer. My grandad was diagnosed in 2008 (in his mid-70s) after having some mystery symptoms, but has never had treatment beyond watch and wait. My dad's was found accidentally in 2014, and was also strongly urged to choose only maintenance until it began spreading aggressively.

Both their doctors were strong advocates of active monitoring and made it a comfortable choice.