As both a and a , I'm going to go out on a limb and say the ethical bar for is *far* lower than the bar for . Reading a bad story may make you feel like you've wasted an irretrievable chunk of your life, but it's very unlikely to land you in the morgue. So the idea that there might be ethical uses for in medicine but not in writing seems rather strange to me.

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Jamming the two together: I'm alternately amused and annoyed by how much has doing things like , but relegates care to . Uh ...

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