My point is that there is a trade-off ratio you’d use for dollars (as in your first example, between you and your sister), and another ratio you’d use for lives, and that these will come apart.
Suppose that it costs $10,000 dollars to save a life at the margin in Country A, and $100,000 in Country B. If you valued (lives in Country A):(lives in Country B) at 1:20, then you should value (dollars in healthcare in Country A):(dollars in healthcare in Country B) at 1:2.
My point is that there is a trade-off ratio you’d use for dollars (as in your first example, between you and your sister), and another ratio you’d use for lives, and that these will come apart.
Suppose that it costs $10,000 dollars to save a life at the margin in Country A, and $100,000 in Country B. If you valued (lives in Country A):(lives in Country B) at 1:20, then you should value (dollars in healthcare in Country A):(dollars in healthcare in Country B) at 1:2.