Eliezer,
The other assumption made about Prisoner's Dilemma, that I do not see you allude to, is that the payoffs account for not only a financial reward, time spent in prison, etc., but every other possible motivating factor in the decision making process. A person's utility related to the decision of whether to cooperate or defect will be a function of not only years spent in prison or lives saved but ALSO guilt/empathy. Presenting the numbers within the cells as actual quantities doesn't present the whole picture.
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Thank you!