You won’t find a doctor anywhere that doesn’t treat someone because ‘they deserve to die’.
I agree. Yet, that’s the approach MAGA is asking us to sign up for – “I like Mother Teresa and I dislike Dahmer, so let’s give the meds to MT.”
But any doctor practicing anywhere is constantly making decisions about where best to spend her time and the available money to obtain the best results.
It’s a fine line to tread, for sure. And it tends to look a whole lot like utilitarianism. So, it requires precise and delicate care, especially in terms of the ‘intent’.
There are even Ethical Commitees serving in any decent sized hospital who literally make life and death decisions. What you are proposing is that they are acting immorally.
Not at all. Just pointing out that they
can slip into utilitarianism, depending on their intent. But, if the decision is “we can expect a greater chance of success with patient X over patient Y, and don’t have the resources to treat them both with treatment Z (which is scarce but better than treatment W)… so we’ll try Z with X and W with Y”… well, in that case, they
are acting responsibly and morally.
That Ethical Commitee, if deciding who gets the life saving treatment will most definately take into account that one person is worth saving and the other most definitely is not.
NO. No, NO,
NO!!! A hundred times NO! If they said “Wozza is worth saving, but MAGA is not”, then that would be immoral. On the other hand, if they reasoned, “we believe that we have a 75% chance of saving Wozza with the one dose of the miracle drug that’s available, but only a 25% chance of saving MAGA”, then
that would be a morally sound decision. It all comes down to intent.
Because the act and intention and purpose was to divert the trolley away from the five.
The act and the intent must be distinct, no?
No, only the intention (which is the same as the actor’s purpose) is to divert the trolley. The moral object is twofold – save five and directly kill one.
I think you have it backward. The
intent has to do with saving five. The
act has to do with… well… an
action: that is, diverting the trolley to the other track.
(And, since “diverting the trolley to the track with one person on it” is not an act that’s morally sound or at least neutral, one cannot take that action.)