Equality wihin or without

Equality
Equality as an ethical value must relate to and modify other ethical values. It does so to define how things of a pragmatic nature are dealt with. As an ethical value it cannot equate its own holistic ethical values, or define what is 'wrong' as in fact 'right' on the basis of universal equivalence. Even where the end-value of society is anarchistic, this is in distinction from other end-values, and in particular tyranny, and chaos, but also altruism.
If the National Health Service has drugs for half of those who are in need, a harsh ethical choice has to be made as to who is treated. This may be the young who have a future in and for society, and it may also be those whose social life is the most responsible for the altruist agenda.