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I also found it genuinely disturbing for the same reason. The 'you decide' aspect of the site seems very sick to me.

I think the moral dilemma could be solved easily by just having a single fund that you pay into. The money is then distributed among the people who need treatment. No input from the giver.

The problem is that you get fewer donations if you do it that way, because people prefer to donate to a story.

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