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War-like emotions, he points out, may have been useful in an earlier civilization, but are now a total disutility.
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Conclusions: This literature review highlights that at present utility scores (or disutility penalties) exist for relatively few health states in DKD.
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Either they are not injurious enough to be eliminated by natural selection; or they are correlated with other organs, whose utility outweighs their disutility.
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Utilities for each health state were determined, and disutilities were applied for complications and toxicities of treatment.
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But an hereditary bent of human nature is not to be put out of the way with an argument showing that it has its disutilities.