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If how much a rich person is willing to pay to preserve their life is implicitly what that rich person's life is worth, then the fact that a poor person would be willing to pay the same amount if they had it implies that a poor person's life is worth the same amount.
Why? Precisely because, and not in spite of, the fact that healthcare is a commodity. Healthcare makes no distinction between who is paying for it. The going rate for healthcare is determined by aggregate demand, not individual demand. Therefore transitivity applies.
Solutions: Either make healthcare not a commodity, something distributed purely according to status rather than ability to pay, or accept the implications, which render pseudo-market mechanisms for providing healthcare into a massive externality generator which has to be handled.
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