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Things that take place over too long a period of time. Like heart disease, injustice, climate change, diabetes, addiction etc. We're evolved to prioritise short term pleasure over long term benefits, hence that cigarette, drink, line, burger is so difficult to say no to.
I think uncertainty plays a big role here.
You could bump a line and smoke a pack a day and get to 90.
You could do nothing harmful and die at 30.
Even if you make it to 90 avoiding lots of fun, was it worth it or would you rather trade 20 years for more fun?
At the end of the day it is a matter of personal risk tolerance towards an impossible to quantify risk.
As someone who treated their 20s like that, I strongly suggest at least dabbling in restraint along the way. Hell, shibari counts.