You’re thinking of a p-Vulcan as a slight variation on a human. But the context includes:
Remember, it’s highly likely that shrimps have some form of phenomenal consciousness and experience some form of suffering. Shrimp suffering is bad. Even though we lack the capability to accurately predict its intensity, the shrimp certainly suffers more than the Vulcan would. Vulcans totally lack the capacity to suffer.
A p-Vulcan doesn’t have to be very humanlike. It only needs to be shrimplike, but without the ability to suffer. I do think that many existing video game characters would qualify, by that standard, as similar to a p-Vulcan. Is it wrong to kill those video game characters?
My response to the smoking lesion question is:
If the lesion doesn’t affect your ability to reason, then deciding to smoke as the result of a reasoning process isn’t correlated with cancer, even though deciding to smoke in general is, so you should smoke.
If the lesion does affect your ability to reason, the question is ill defined because it may not be possible for you to execute some strategies, or only possible to execute them with some probability.
Of course “as the result of a reasoning process” needs to be phrased more precisely (every decision can be said to be the result of some reasoning process). Maybe “when you make some particular deduction, compared to a counterfactual world where you did not make that deduction”.