Is not helping someone to survive, although you know for sure that you could, nearly as bad as killing someone?
Philosophically/analytically I want to say yes, but then I wouldn't feel nearly as guilty if I let someone I disliked die as I would if I'd killed them, and I wouldn't expect/think it's fair to receive nearly the same punishment if any. I guess on an emotional/spiritual/karmic/whatever level not helping someone to survive and killing someone are very different things, even if they seem functionally the same.
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