If it's worth saying, but not worth its own post (even in Discussion), then it goes here.
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I'm not sure how much I agree with the whole "punishing correct behavior to avoid encouraging it" (how does the saintly person know that this is the right thing for him to do if it is wrong for others to follow his example), but I think the general point about tracking whose utility (or lives in this case) you are sacrificing is a good one.
No, my point is that, that the decision is correct, but believing we are allowed to make such decisions is less correct in general, and rules that allow them are suboptimal. E.g. we can believe putting violent criminals into prison is correct, and we can simultaneously believe only the criminal justice system should be allowed to do this and not every person feeling entitled to build a prison in their basement and imprisoning anyone they judge to be violent.