Vaniver comments on A Pure Math Argument for Total Utilitarianism - Less Wrong
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It must allow negative numbers, or it's not a group, as (R+,+) is not a group. (Each element must has an inverse which returns that element to the identity element, which for this particular free group is "no one alive".)
However, I believe this specific issue is solved by the lattice structure. If "medium" were "-5" instead of "1", when you add "medium" to any universe, you create a lattice element below the original universe, because we know it is worse than the original universe.