...or that everyone on earth had their lifespan reduced by a tenth of a second?
Consider the following two options: (1) Reduce one person's lifespan by 20 years or (2) Reduce two people's lifespans by 10 years each. To me, these seem relatively equivalent. We could value equality, but neither of these people is being treated equally to the rest of the population. In terms of preventing harm to people, both options seem equally bad.
But we could break down the problem even further. Suppose we are given the option to reduce ten people's lifespans by 2 years each, and then a hundred people's lifespans by 73 days each, and so on...we're given the option to reduce 10.5 million people's lifespans by a minute each (these are approximations) and finally the opportunity to reduce the lifespan of everyone on earth by a tenth of a second.
Anything less than 10 milliseconds should be unnoticeable, but 70 billion people having their lives reduced by a hundredth of a second is a greater decrease in lifespan than a single person having their lifespan reduced by 20 years. Unnoticeable does not mean nonexistent—years are just a lot of milliseconds, after all. I think most people would rather inconvenience everyone on earth than bite the bullet and kill one person, but that requires us to determine where the analogy breaks down. When does premature death become an inconvenience rather than a tragedy? If human life is sacred, are milliseconds of a human life sacred?
A utilitarian could argue this recursively: Reducing one person's lifespan by X amount is morally equivalent to reducing the lifespan of 2 people by X/2 amount...after enough iterations, we would have to conclude that reducing one person's lifespan by X amount is morally equivalent to reducing the lifespan of 2^999 people by X/(2^999) amount.
We're also not doing some action X to prevent some outcome Y, so this isn't strictly a question of whether the ends justify the means. We're choosing between two direct harms X and Y and deciding which is worse—should we use utility as a measurement here, or something else?