If a person suffers and the world doesn’t notice, is the world a better or worse place?

If one person gets mental health help and five people don’t have their broken bones set quickly as a result, is the world a better or worse place?

If people function enough to produce and consume because of anti-depressants, but those same people never recover from their issues, is the world a better or worse place?

How much does it matter?

When would we notice?