How are you using "basilisk"?
My understanding of Roko's is that being exposed to it decreases global utility while exposure to "you should help other people and it's very important" increases it. But I don't know if that's relevant to basilisk status.
A basilisk, in this context, is a thought that kills you if you think it, which is excessive for this, and for Roko's. I mean a thought that breaks your cognitive processes in some way if you think it. Which I think is a fair way to describe someone who, on contact with the "you're murdering everyone you don't try to save" idea, is consumed with guilt that their every moment is not devoted with maximum effort to saving the world.
Imagine you had magical healing powers. Sitting quietly with someone and holding their hand you could restore them to health. While this would be a wonderful ability to have, it would also be a hard one: any time you spent on something other than healing people would mean unnecessary suffering. How could you justify a pleasant dinner with your family or a relaxing weekend at the beach when that meant more people living in pain?
But you already have these powers. Through the magic of effective charity you can donate money to help people right now. The tradeoff remains: time you give yourself when you could be working means money you don't earn which then can't go to help the people who would most benefit from it.
(I don't think this means you should try for complete selflessness; you need to balance your needs against others'. But the balance should probably be a lot further towards others' than it currently is.)
Update 2012-08-12: this is a response to hearing people offline saying that if they had magical "help other people" powers then they should spend lots of time using them, without having considered that they already have non-magical "help other people" powers.
I also posted this on my blog