The current studies on poverty revealed, over the years, countless issues regarding the inequality between people, the violation of their human rights, global justice or the advantages certain groups have over others. This is just one feature why the concern for the poor could be seen as a moral problem. When we address to issues regarding extreme poverty and to the persons which are affected by it we are referring to values which might be named social values. In this case, we are dealing with a conflict between the duty to maximize the utility (maximizing the utility in our case means to find solution in order to enhance or to eliminate poverty so that the poor could have a good life) and the attempt to protect the rights and the liberties of the individuals. By enhancing the lives of the others it could be said that it automatically enhances the health at a global level, choosing a path with social achievements such as equality, ensuring that the rights and the liberties of the people are respected and that the overall utility is maximized. The extreme poverty raises a set of difficulties with many objectives, but they could be summed up in two main purposes: the purpose to protect the good of the public health and the purpose to protect the rights of the people (as members of the society). What does it mean to be poor in a developing country? Is this a problem on which we should focus? Many philosophers, economists, and medical researchers debate in their papers this matter and I will explain in the following passages why. The goal of this article is to show a way in which we can discuss about the responsibility wealthy people from developed countries have to help the poor from the underdeveloped countries. The argument has at its core the idea that there is a global institutional order, through which the wealthy people from developed countries benefit from certain advantages that the inequality creates. Hence, examining extreme poverty from a global institutional order point of view, we could conclude that the rich people unfairly benefit from their position. But it does not necessary mean that the only solution is to fight against this order.