If we are going to look at the ecology of humanity, then we have scientific observations about everything people do, and if the observations are verifiable, scientific people will come to consensus about it. If you don't care to be scientific, then you cannot have ecological economics. I don't know where you are arguing from. That is exactly what I am saying. Profit can be viewed in energy terms.
Energy efficiency is energy profit.
This is precisely how I think the treatment of the sick should be hinged. It costs a certain large amount of energy to raise a child to energy profitable adulthood. If that adult becomes sick or hurt, it is worth that amount of energy to get them back to health, but if you fail, you have wasted energy. Do you think it better that the rich should have as much care as they can afford, regardless of whether there is any return on it - the aged die with no return for the care, and often spend vast sums in the process. Society has a doctor or team of medical people tied up doing useless work, all kinds of resources are used for nothing.