I once built a product that optimized waste. I was so proud of myself, it was going to save so much money. Did a site visit to a beta site and was talking to staff. One woman asked me if I knew what happened to that waste. I answered no. She told me it was bagged up and sent to third world countries where it saved lives. That is how I killed people to save money. Yes, if you are dependent on that waste it is very precarious. Doesn't change the reality for the people who it no longer went to save. I don't know the lesson to take from it. Still haunts me. Saving the money kept services in underserved communities in the US and touched tens of thousands of lives. But it also cost lives. The road to hell is paved with good intentions.