Friend posted this on Facebook
Suppose Bill is a healthy man without family or loved ones. Would it be ok painlessly to kill him if his organs would save five people, one of whom needs a heart, another a kidney, and so on? If not, why not?
Consider another case: you and six others are kidnapped, and the kidnapper somehow persuades you that if you shoot dead one of the other hostages, he will set the remaining five free, whereas if you do not, he will shoot all six. (Either way, he'll release you.)
If in this case you should kill one to save five, why not in the previous, organs case? If in this case too you have qualms, consider yet another: you're in the cab of a runaway tram and see five people tied to the track ahead. You have the option of sending the tram on to the track forking off to the left, on which only one person is tied. Surely you should send the tram left, killing one to save five.
But then why not kill Bill?
The basis behind this conundrum is supposed to be, that in the case of the train, you are but a distant observer who can flip a simple switch and the result is a net 4 lived saves, where as in the case of the hostages you must actively cause the death of another person by your own hand. Now, of course, you actively caused death in both instances, but with the train it's much easier to disconnect the act of flipping a switch, something you do all the time, from the act of pulling the trigger of a gun and watching a person suffer and die by your hand. Many people are mentally incapable of forming a rational for such an action and wouldn't act.
One only has to take the train argument to the extreme to see the problem more clearly....There is an inbound ICBM (nuke) and you find yourself capable of diverting it if you only press a button. If you don't New York will be blown up (several million people), or you can divert it to an isolated area in northern Maine where only a few hundred people will be killed.
Here I hope the solution is a bit more clear....If there is anyone that would be such a coward that they would let millions of people die because they didn't want to act (even though doing nothing is in fact an action with consequences) I really don't want to know about it as I have nothing to say to you.
Anyway....I hope that the vast majority of you see the dilemma for what it is. The question is only, how many people have to be at risk before you will act? I mean, if the nuke were headed to Boston and you could divert to another city with just a few hundred less people, Perhaps not... I would think the moral calculus would have to provide a pretty clear answer.....
Now up the anti...What if the 5 men on the track were in their 90's and the 1 on the other track was just a baby? Or what if the one was on the cusp of curing cancer?
There is no easy answer to these questions and you can't simply apply some one-size-fits-all moral standard. In cases were more information were known there may be justification.....
Personally I think that at any given point in time there is an objective moral standard that applies given the circumstances and information known (but that's not to say that we are always aware of what that standard is). But the circumstances can change and moral action can become immoral and the other way around.
For instance, I think we can agree that it would be immoral for me to cut off another persons hand. But if they were bit by a venomous snake and the person bit and I agreed that cutting off his hand was the only way to save him, and I cut off his hand, would that be immoral?
What if later on I take him to a hospital where they look at my freind and then say to me in disbelief, "why did you cut his hand off? you didn't have to do that!!!"...Would that suddenly make my action immoral??
See how a question with a seemingly simple answer can get very complicated?