If it's worth saying, but not worth its own post (even in Discussion), then it goes here.
Notes for future OT posters:
1. Please add the 'open_thread' tag.
2. Check if there is an active Open Thread before posting a new one. (Immediately before; refresh the list-of-threads page before posting.)
3. Open Threads should be posted in Discussion, and not Main.
4. Open Threads should start on Monday, and end on Sunday.
I assume you meant "more ethical" rather than "more efficient"? In other words, the correct metric shouldn't just sum over QALYs, but should assign f(T) utils to a person with life of length T of reference quality, for f a convex function. Probably true, and I do wonder how it would affect charity ratings. But my guess is that the top charities of e.g. GiveWell will still be close to the top in this metric.