I'm with you, but someone who kills the CEO of a health insurance company does not strike me as someone who dismisses real/immediate suffering out of hand.

Ironically the trolley problem meme here is a great example of the objection: the same set up that puts him in the position to pull the lever also requires that people be tied to the track.

Realistic version: pulling the lever would save five lives but that decision would cost shareholders $7.23. What should you do?

10/10 CEOs fail this test!

I guess because I was an idiot cringe atheist rationalist realist (you know the type) when I was his age, and thanks to an open mind and some very patient very wise people in my life, I was able to grow out of it, I give people like that the benefit of the doubt as long as they're otherwise kind and open-minded.