Alicorn comments on A variant on the trolley problem and babies as unit of currency - Less Wrong Discussion
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Note that it could not be so commonplace as to reduce the marginal value of money in the coffers of these charities.
Or, perhaps, it has been going on long enough that the last batch of people saved have had time to breed. If so the button pushers will struggle to keep up with the exponential growth.
Perhaps goods with innate value, such as difficult to synthesise medicines, are spontaneously generated instead of money.