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Notes -
i guess from the economics perspective of law if you are prone to committing acts that have huge negative utility to others due to lapses of sanity then there is a good chance that the state strongly punishing such acts could be efficient. for example if you were aware of such punishments then the insane while they are rational could carry out actions that reduce the risk of them committing bad acts while they are insane. kind of like how Odysseus ties himself to the mast. i believe the law already punishes people who are in a non-pure state due to drugs or alcohol this is not so much different.
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