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I'm not sure you can apply this formula in all cases...First of all utilitarianism specifies "the greatest benefit for the greatest number" - so it is possible, if the benefit is colossal, even though it only applies to a few, to still make pursuing it a worthwhile endeavour...
Else, we why should we ever invest money to research rare diseases! And there are often cases (especially politics) where minority interests need protecting...I don't think medical decisions can always simply be taken along the lines of helping a greater number of people - so many other factors come into it.
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