My answer is that in the trolly problem the people are interchangeable, and 5 > 1. In the doctor problem, you have 5 sick and 1 healthy, and they have different value.
What the doctor should do is pick (by any means) one of the sick patients, extract thier 4 healthy organs and save the other 4. The end result for the unlucky one is the same (death), but the other 4 do better.
My answer is that in the trolly problem the people are interchangeable, and 5 > 1. In the doctor problem, you have 5 sick and 1 healthy, and they have different value.
What the doctor should do is pick (by any means) one of the sick patients, extract thier 4 healthy organs and save the other 4. The end result for the unlucky one is the same (death), but the other 4 do better.