a. The trolley problem is a famous ethical puzzle created by Phillipa Foote: You are the conductor
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b. Another ethical dilemma sounds quite different: You are a medical doctor trying to find five organ donors to save the lives of five innocent people. A new patient comes in for a checkup, and you find that this patient has five organs exactly compatible with the five innocent people. Do you kill the one innocent patient to save the lives of five innocents? Suppose you will never get caught: Perhaps you live in a country where people don’t care about such things. Is this the same dilemma? Is it the same dilemma from a utilitarian perspective?
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