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Guest
The runaway trolley problem is where there is a runaway train headed to run over and kill four people who are tied to the tracks. However, you are next to a lever, and if you pull that lever, the train will be diverted to a different track, where only one person is tied to the track. If you do nothing, then surely four people will die, but the one person can be easily untied and he will be saved. If you pull the lever, then that one person will surely die, but you will save the other four. Most people will say it is better to pull the lever because having one person die is better than having four people die.
But let’s consider an analogous scenario where there are four patients where each one is in desperate need of a different organ transplant. Each one will die very soon without the required organ. There is a highly skilled transplant surgeon right there, but there are no organs available. And it is sure that they will not be able to find these organs in time to save the four patients. The surgeon has a perfect record of transplanting the organs in question successfully. The four patients will surely live if the doctor can find the organs. OTOH, there is a young man sitting in the waiting room and it turns out that he has the correct blood type and the four healthy organs necessary for the transplant. But if these organs are taken from his body, he will surely die. Should the surgeon then save the four people by taking the organs from the young man who is sitting in the waiting room? His intention is not to kill the one young man, but to save four desperate people who are in immediate need of transplant surgery. Unfortunately, though, the one young man will surely die as the doctor removes his organs to perform the transplant and save the other four.
Most people will say that the doctor should not kill the one young man in order to save the other four.
What is the difference between the two scenarios?
Why is it permissible to kill one person and save four in the first or runaway trolley scenario but not in the second or transplant scenario?
But let’s consider an analogous scenario where there are four patients where each one is in desperate need of a different organ transplant. Each one will die very soon without the required organ. There is a highly skilled transplant surgeon right there, but there are no organs available. And it is sure that they will not be able to find these organs in time to save the four patients. The surgeon has a perfect record of transplanting the organs in question successfully. The four patients will surely live if the doctor can find the organs. OTOH, there is a young man sitting in the waiting room and it turns out that he has the correct blood type and the four healthy organs necessary for the transplant. But if these organs are taken from his body, he will surely die. Should the surgeon then save the four people by taking the organs from the young man who is sitting in the waiting room? His intention is not to kill the one young man, but to save four desperate people who are in immediate need of transplant surgery. Unfortunately, though, the one young man will surely die as the doctor removes his organs to perform the transplant and save the other four.
Most people will say that the doctor should not kill the one young man in order to save the other four.
What is the difference between the two scenarios?
Why is it permissible to kill one person and save four in the first or runaway trolley scenario but not in the second or transplant scenario?