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I don't think EA institutions argue that they have the One True Answer. They just often give recommendations - "eg. if you care about maximizing QALY overall, we recommend charities X, Y, and Z." If I don't care about QALY maximization, fine. But if I do, why would I not listen to the recommendations?

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Longtermism and QALY do not seem compatible.

They do if you legitimately think the long-term thing will kill everyone.

I don't think that myself, but it's internally consistent.

EA and Longtermism are not the same thing.

However the linked article makes a pretty strong case that the two are increasingly interlinked, especially in the EA institutions.

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