Solving the Trolley Driver and the Transplant Cases

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The “Trolley Driver” case and the “Transplant” case are very similar: if we choose to intervene, only one individual will die, whereas, if we do not intervene, five individuals will die. Therefore, in both cases we are given the option to save the lives of five people at the price of one person’s. Both cases also try to explore the notion of “moral permission.” Although both cases are similar structurally, the context of the cases differs significantly. In the Trolley Driver case it is morally permissible to turn the trolley onto the one person, killing him and saving the five. However, in the Transplant case it is not morally permissible to take the one person’s organs to save the five people. Therefore, why is it that we are permitted to intervene in the Trolley Driver case, whereas, we are not permitted to intervene in the Transplant case? What are the moral differences between these two cases? In order to solve this puzzle, first we have to clearly distinguish the different notions of “killing” and “letting die.” Killing is an act of causing the death of a person which we are directly responsible for. Letting die is an omission to prevent the death of a person which we are not directly responsible for. Moreover, it matters on how we perceive the cause of the death, whether it is because of natural causes or unnatural causes such as in the hand of others. Unnatural causes of death are regarded as killing, whereas natural causes of death can be regarded as letting die. Second, on our proposal, we have to reinforce the idea that killing is much worse than letting die. In the Trolley Driver case, both of our actions: whether we turn the trolley onto the one person or let it hit the five people, are regarded as killing because th... ... middle of paper ... ...he price of one person’s. In the Withholding Treatment case, both of our actions: whether we withhold the treatment of the one person in order to save the people or cure the one person and let the five people die, are considered as letting die because their deaths are something we failed to prevent and are not something we are directly responsible for as they are due to natural causes. Therefore, in this case, we are to choose between letting one die and letting five die. Although it seems that it is better for us to choose letting the one person die as it results in less death, it is morally impermissible to do that because in order to do so we have to withhold the treatment of the one person, letting him die when he is the one that should be saved. Additionally, our proposal is unable to solve this problem because we are only to choose between letting die.

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