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 think) I'm arguing that if you have with some probability saved some people, and you intend to keep saving people, it is more efficient to keep saving the same set of people.
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.