Hey RhodeIsland,
I guess my point was merely the use of the language - I think we all would do well to be more careful how we frame things, because it so strongly shapes what we see - as photographers we understand that, I'm sure.
I must admit I tend to be leery of arguments that lean on “pragmatism”.
pragmatism: a lack of creativity, inability to listen, and a desire to perpetuate the mistakes of our past.

Thank Gaia that John Muir, Thoreau, Aldo Leopold, Roosevelt, Rachel Carson, Stephen Mather, David Brower, et al, were not pragmatists, eh? Pragmatists don't climb mountains.
The analogy of a terminally ill patient is interesting. Firstly, because it redirects and absolves responsibility, doesn't it? Secondly it splits the players in the game to separate groups, further creating an illusion of innocence;
it forces an “us” who are treating the sick, and a “them” who are terminally ill, and the 3rd group who are the pathogens. Remember, the terminally ill, in your situation, are not “them” but us.
I'd rather the analogy of addiction; a crack addict doing time for stealing might say the police are a problem, no? This is merely a way of deflecting the problem - the problem is addiction, and dealing with everything else is merely blindfolding ourselves. IMO, of course.
Lastly, what if the so-called “solution” here is part of the problem?
Cheers
Carl