In real life we have choices more like "is it worth spending $ 1 000 000 to save this person's life? or should we instead let the person die and use the money to save lives of other ten people?".
No, that's not the problem. In real life, the choice is, "Do we spend one million dollars on a welfare state (or labor laws, whatever) that can keep people alive longer and with more dignity, in the hope of eventually abolishing human-scale scarcity, or do we allocate one million dollars to an institutional investor's mutual-fund portfolio?" You are making the extremely false assumption that our economy is already Pareto-optimal with respect to saving human lives.
No serious economist actually believes that. In fact, they wouldn't even make the claim that the economy is designed to save human lives; it would be downright silly. They would point out two things:
1) If we use wealth-accumulation as an approximation of human value, the mutual-fund portfolio could, in some sense, be said to be more valuable than the human lives, in the sense that those human lives generate little value for other humans. Of course, socialists and anarchists can argue with capitalists over whether wealth-accumulation under a neoliberal capitalist economy is a good approximation of human value or not. (I side with the socialists in saying most definitely no.)
2) Real economies rarely or never actually hit Pareto-optimal equilibria, they merely oscillate around them, and in fact sometimes even rarely oscillate near them because the assumptions behind efficient-market theories are so far from real-world conditions. (There was once a paper published, IIRC, under the title *Markets are Efficient If and Only If P=NP".)
Given these two facts, we should most probably not consider "The Economy shouldn't be allowed to kill people" as an applause light, but instead as an ethical charge to find the deadweight losses of human lives and remove them. We can argue about zero-sum tradeoffs when we're actually faced with one, but when instead faced with a case where a clear positive-sum move exists, we should take it.
You are making the extremely false assumption that our economy is already Pareto-optimal with respect to saving human lives.
Actually, I don't. And it's not even necessary for the argument. Even if we nationalized all the investment funds and hanged all the evil capitalists, someone would still die because there would not be enough money to cure them.
(How could I possibly know? My country was like this. And the people here lived on average shorter than our evil neighbors. The medicine was completely free of charge, you just couldn't get it, because there...
Note: Originally posted in Discussion, edited to take comments there into account.
Yes, politics, boo hiss. In my defense, the topic of this post cuts across usual tribal affiliations (I write it as a liberal criticizing other liberals), and has a couple strong tie-ins with main LessWrong topics:
The issue is this: recently, I've seen a meme going around to the effect that companies like Walmart that have a large number of employees on government benefits are the "real welfare queens" or somesuch, and with the implied message that all companies have a moral obligation to pay their employees enough that they don't need government benefits. (I say mention Walmart because it's the most frequently mentioned villain in this meme, but others, like McDonalds, get mentioned.)
My initial awareness of this meme came from it being all over my Facebook feed, but when I went to Google to track down examples, I found it coming out of the mouths of some fairly prominent congresscritters. For example Alan Grayson:
Or Bernie Sanders:
Now here's why this is weird: consider Grayson's claim that each Walmart employee costs the taxpayers on average $1,000. In what sense is that true? If Walmart fired those employees, it wouldn't save the taxpayers money: if anything, it would increase the strain on public services. Conversely, it's unlikely that cutting benefits would force Walmart to pay higher wages: if anything, it would make people more desperate and willing to work for low wages. (Cf. this this excellent critique of the anti-Walmart meme).
Or consider Sanders' claim that it would be better to raise the minimum wage and spend less on government benefits. He emphasizes that Walmart could take a hit in profits to pay its employees more. It's unclear to what degree that's true (see again previous link), and unclear if there's a practical way for the government to force Walmart to do that, but ignore those issues, it's worth pointing out that you could also just raise taxes on rich people generally to increase benefits for low-wage workers. The idea seems to be that morally, Walmart employees should be primarily Walmart's moral responsibility, and not so much the moral responsibility of the (the more well-off segment of) the population in general.
But the idea that employing someone gives you a general responsibility for their welfare (beyond, say, not tricking them into working for less pay or under worse conditions than you initially promised) is also very odd. It suggests that if you want to be virtuous, you should avoid hiring people, so as to keep your hands clean and avoid the moral contagion that comes with employing low wage workers. Yet such a policy doesn't actually help the people who might want jobs from you. This is not to deny that, plausibly, wealthy onwers of Walmart stock have a moral responsibility to the poor. What's implausible is that non-Walmart stock owners have significantly less responsibility to the poor.
This meme also worries me because I lean towards thinking that the minimum wage isn't a terrible policy but we'd be better off replacing it with guaranteed basic income (or an otherwise more lavish welfare state). And guaranteed basic income could be a really important policy to have as more and more jobs are replaced by automation (again see gwern if that seems crazy to you). I worry that this anti-Walmart meme could lead to an odd left-wing resistance to GBI/more lavish welfare state, since the policy would be branded as a subsidy to Walmart.