Dr. Hidalgo mentions a thought experiment where a doctor can either (secretly) kill a healthy person and use their organs to save the lives of five unwell people, or do nothing and assume that the five will die and the one will live (Hidalgo 13). This dilemma reminded me of the train track question from class. It seems like a slightly different question, but upon review, I think that they are the same question, just framed differently. In both cases, the death of either one or five people is inevitable. A set of circumstances exists that will lead to the death of the five, assuming no action is taken. In order to prevent the most possible people from dying, an actor must pull someone out of safety and into harm’s way. In each case, one must choose between the consequentialist and deontic rationale. The former would have you kill the one person, while the latter would have you take no action.
In class, I found myself gravitating toward pulling the lever and killing one person for the sake of the other five. I found the doctor example, although fundamentally the same scenario, more troubling. Perhaps the transparency of the train scenario makes it an easier decision. Everyone present can see what is going to happen and why. On the other hand, the though of deciding to deceive a patient who believes that they are in good hands adds a layer of ethical “bad”. I might lean more toward the deontic argument for the doctor example, because the action itself feels much worse, regardless of the positive consequences. These examples illustrate how small contextual changes can influence our reasoning and how we go about evaluating moral arguments.