The solution for people in extreme poverty with zero access to healthcare is to get them healthcare, not to boil oceans so that silicon valley people can get rich from giving them disastrously bad medical advice.
Isn't this what happened to that creepy bloke on Tumblr. Maybe all rationalist-adjacent bloggers eventually shit themselves to death after trying to fix their health problems with punishing exercise regimes and dodgy supplements.
Just found out from a screenshot in a tweet that Marc Aandreesen considers Nick Land to be some kind of patron saint of "techno-optimism". Setting aside Land's ugly views about everything... I didn't think optimism was what he was known for. More like grasping, desperate, disgusted embrace of the onward march of capital.
I read his Wikipedia recently and he just seemed like a user who was careless with the people in his life. His philosophy was "do what thou wilt shall be the whole of the law", which is obviously open to abuse and exploitation.
I don't make the rules, so you'd have to consult whoever does make the rules. I'm not really sure who that is though