Why would not giving him $5 make it more likely that people would die, as opposed to less likely? The two would seem to cancel out. It's the same old "what if we are living in a simulation?" argument- it is, at least, possible that me hitting the sequence of letters "QWERTYUIOP" leads to a near-infinity of death and suffering in the "real world", due to AGI overlords with wacky programming. Yet I do not refrain from hitting those letters, because there's no entanglement which drives the probabilities in that direction as opposed to some other random direction; my actions do not alter the expected future state of the universe. You could just as easily wind up saving lives as killing people.