Musk has a lot of control over the consequences of those decisions. Planning for the future necessarily means trying to understand his reasoning. He does have

Musk has a lot of control over the consequences of those decisions. Planning for the future necessarily means trying to understand his reasoning. He does have access to more information about his decisions than we do, but his choices are so erratic that it's hard to believe he has that much more information. It's so prominent that it was parodied in a film last year: "It's so dumb, it's brilliant!" "No, it's just dumb!" So maybe he's playing the fabled "four dimensional chess", in which all his choices make sense from some perspective which is hidden from us. But those choices are important enough that we also have to take seriously the notion that they're being made irrationally, and we can expect future choices to also be made badly. That doesn't justify the invasion of privacy his associates seem to be making here. His private medical choices are his business. But the unjustified release of that information is still information -- albeit qualified by the fact that it's unreliable.