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Callahan Against Fake Libertarian Clarity
Tomasi's question obliges the state to draw a line between "organic" ailments, the treatment of which can be subsidized only when performed by accepted medical professionals, and "noetic" afflictions, which anybody with a funny hat and/or a nonprofit can get government funding to cure.
Tomasi's argument is more fruitfully read as "If political liberals adopt neutrality of effect, what would follow?"
The aim/effect distinction is pretty fuzzy. If it becomes common knowlegde that as certain kind of policy has a particular effect, and one promotes it over alternatives that satisfy the original aim equally well, then it is hard to say that one is not really aiming at the particuar effect.