The difference is I didn't pull a lever or make a choice to help ensure that those people who die every day would die. And I disagree about ignoring things because I "have no reasonable influence" over them. I might not be able to change the fact that people die every day, but I sure as hell can act responsibly to help make sure I'm not part of the problem (i.e, I'm a safe driver, I don't drink, I don't own a gun, etc.). I do not think that anyone on earth is more non-ignorant of and conscientious about the plight of others on this planet, something I think about constantly.