Utilitarianism has to be equally-blooded for all outcomes, but this can also be accomplished by being hot-blooded about everything. Instead of shrugging and not caring about the pain and two-year loss, you can mourn it while also grinning and clapping your hands and jumping around shouting for joy at the perspective of someone gaining so much life.

Because any utilitarian with a brain will also think of things like "What will the consequences on society be if this sort of thing becomes normal?".