Friday, September 21, 2012

Trolley vs. Transplant



It seemed fairly inevitable and obvious that everyone would blog about the Trolley Problem after we discussed it in class today. Although Wikipedia is not an entirely credible source, it gives many different variations of the Trolley Problem. Here is the link: http://en.wikipedia.org/wiki/Trolley_problem. One alternative situation that did not use a trolley stated the following: “A brilliant transplant surgeon has five patients, each in need of a different organ, each of whom will die without that organ. Unfortunately, there are no organs available to perform any of these five transplant operations. A healthy young traveler, just passing through the city the doctor works in, comes in for a routine checkup. In the course of doing the checkup, the doctor discovers that his organs are compatible with all five of his dying patients. Suppose further that if the young man were to disappear, no one would suspect the doctor.” How different do you think that this situation is from the ones that we discussed in class? Essentially you would be doing the same thing – taking away one person’s life so you can save the lives of many. Personally, somehow, this situation seems to be more morally conflicting than the trolley situation. It seems worse to sacrifice an innocent man who was just going to the doctor for a simple check-up, than someone who was (unintelligently) loitering on the trolley tracks. 

Furthermore, in the trolley situation you are sure that you would save the ten people that are stuck standing on the one side of the tracks. In the surgeon situation, you are not entirely sure that the five patients will survive even if they receive the right organs. Numerous possibilities are present that could cause the death of any number of the five – infection, miscalculations,  unexpected response to the organ, a surgical error, the list can go on and on. So when the surgeon chooses to sacrifice the innocent man to donate his organs to the needy five patients, he cannot truly guarantee that his choice will save all or any of his patients. The doctor could accidently manage to kill all six of them.

What do some of you guys think? Do you think that both situations are equal? Would killing the one man on the tracks be the same as killing the one man for his organs? Or does one seem to be a worse offense than the other?

2 comments:

  1. I do agree that this situation is different from the other ones, though I am not exactly sure why. Maybe it is because in the trolley situation is a much quicker scenario in that you wouldn’t have much time to decide what to do or the thought that no one would suspect the doctor if the man were to disappear (I don’t know why but that sounds bad to me). I also agree that using an innocent man who came in for a checkup doesn’t seem fair.
    I think that one thing that separates the two situations is that in the trolley situation, no matter what people say, you can’t truly predict what you would do until you are in that situation, and in the trolley situation there wouldn’t be much time, so you would make your decision based on instinct. In the doctor situation, there would be more time to think about this. Though this is probably cheating, if the doctor could maybe take a kidney and some of the man’s liver (since you can live with one kidney and don’t need a whole liver for a transplant) and he could possibly save some of the people and still save the man. Again that is probably cheating and there could still be complications so no one could be ensured to live.
    Though the two situations are very similar, killing the man for his organs sounds worse to me and I am still not sure why, which I think brings up another question, why does the organ situation seem worse?

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  2. I think that the situation is totally different then when they are on the tracks. However, I dont think it is that much different then pushing the fat man off the bridge considering both instances are killing someone that was not previously endangered. I think that is the big difference because the patient walks in he should not be held accountable for the other people's lives. As professor J said in class, we generally make decisions in regards to utilitarianism, but this just doesn't seem right to take the life of an innocent man. I think also it is different here because it didn't say that things would definitely go well if you did sacrifice the man, there could be complications. This immediately makes me hesitant because if you wasted the life of a perfectly healthy man for several dying people it would be unbearable to live with. I think it is totally different situations, and just from the beginning without reviewing the situations you just have a natural instinct to not want to hurt the innocent man. When I here of situations like these it makes me very happy not to be a pre-med student. However, if I was then I would just see which one of the 5 sick people dies first and then use their organs to save the other 4 and give the healthy man a pat on the back and send him on his way.

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