“Do you understand what I'm saying?" shouted Moist. "You can't just go around killing people!"

   "Why Not? You Do." The golem lowered his arm.

   "What?" snapped Moist. "I do not! Who told you that?"

   "I Worked It Out. You Have Killed Two Point Three Three Eight People," said the golem calmly.

   "I have never laid a finger on anyone in my life, Mr Pump. I may be–– all the things you know I am, but I am not a killer! I have never so much as drawn a sword!"

   "No, You Have Not. But You Have Stolen, Embezzled, Defrauded And Swindled Without Discrimination, Mr Lipvig. You Have Ruined Businesses And Destroyed Jobs. When Banks Fail, It Is Seldom Bankers Who Starve. Your Actions Have Taken Money From Those Who Had Little Enough To Begin With. In A Myriad Small Ways You Have Hastened The Deaths Of Many. You Do Not Know Them. You Did Not See Them Bleed. But You Snatched Bread From Their Mouths And Tore Clothes From Their Backs. For Sport, Mr Lipvig. For Sport. For The Joy Of The Game.”

   ― Terry Pratchett, Going Postal

It means making an informed choice that you know raises fatality rates.

It means you’re deliberately killing people, but indirectly enough it can’t be prosecuted.

Fucking with vaccines kills people. Getting rid of USAID kills people. Selling cigarettes kills people. But none of these are crimes. Some of them probably should be.