You could, but the willingness to frame it that way at a local decision-making level causes problems for global optimization. It's perfectly fine for a surgeon

You could, but the willingness to frame it that way at a local decision-making level causes problems for global optimization. It's perfectly fine for a surgeon to triage patients and actions. It's much less fine for a hospital administrator to decide they can get away with less staff because the increase in risk isn't _that_ high (maybe only a couple extra deaths per year). Perhaps it's fine to make that tradeoff, but the blatant conflict of interest and history of people doing worse things for less money suggests it should at least have oversight.