There are various degrees of acceptable insanity, but in general you would not want a person who thought a toad had the same intrinsic value as your mother to manage her Alzheimer’s disease. You would not want a person who equated the value of your daughter with that of a rat to decide whether she be injected with medicine still under trial, such as an mRNA vaccine. Or perhaps you would, as you may agree with the Lancet editorial in January 2023 that equates these, insisting: “All life is equal, and of equal concern.”