Edit: Woops, I broke the quoting...
For this reason, I'll automatically de-job the First Aid item from any dwarf exhibiting those adverse inclinations. [...]
That's too much micromanagement for me. I mean, I will look at my dwarves' personalities, but mostly for fun, and couldn't be arsed to keep the unhelpful from doing healthcare. Even if they get a bad thought from it, not only do I expect it to be fully compensated by all the conveniences in my fort, but I don't feel any obligation towards avoiding bad thoughts that are essentially caused by a dwarf being a dick.
Well, I'm in there anyway, for all my original seven and all migrants as they arrive, obsessively spreadsheeting their abilities and skill levels and [dis]inclinations. While I'm there, typing it all in, it seems that micromanaging the healthcare item away is trivial!
I forget why I've been doing that, now. Possibly it was either so I could calculate the chances of various options coming up, the hard way, or so that I could write something like the following (long, but reasonably accurate) parody, which has been sitting on my USB stick for ages:
Starver has been fine lately.
He is apatheistic, agnostic and softly atheist.
He is a citizen of The United Kingdom. He is a member of The Bay12
forums
Starver likes Silicon, copper, liquid crystal, denim, desks, computer games,
anti-virus programs and panoramic views for their width and depth of field. When
possible he prefers to consume chicken, camembert and Irn-Bru.
He has a calm demeanor. He never becomes angry. He often feels discouraged. He
is self-conscious. He occasionally overindulges. He becomes completely helpless
in stressful situations. He is somewhat reserved. He tends to avoid crowds. He
prefers that others handle the leadership roles. He is relaxed. He is not a risk
taker. He is bored by reality and has a wonderful imagination. He can easily
become absorbed in art and the beauty of the natural world. He is mostly unaware
of his own emotions and rarely expresses them. He prefers familiar routines. He
is entranced by riddles and puzzles and loves to debate issues and ideas. He
admires tradition. He is naturally trustful of everybody. He is very
straightforward with others. He is truly fulfilled by assisting those in need.
He dislikes confrontation. He would never claim to be better than somebody else.
He does not feel effective in life. He is very disorganized. He has a sense of
duty. He strives for excellence. He has very little self-discipline. He often
does the first thing that comes to mind. He likes working outdoors and grumbles
only mildly at the inclement weather.