First iff, the lack of negative options was the joke.
Second, A person who is truely selfish, skillfully selfish, will act exceedingly generously and kind. Bei g generous and kind to others is also benefit you the most. The kinder you are to those around you the more they will help you in return. While being selfish might mean if your starving you dont give away your last meal, that also means you survive another day to be able to continue doing good for others.
That is why it is called "altruistic egoism". It is more appropriate to say caring about ones self, if done with skill, must include altruism.