A Solution to the Trolley Problem
Rick Coste says the solution depends upon what we’ll realistically allow.
I could make this decision a little easier. I could alter this scenario [above] so the unsuspecting potential donor patient is elderly and on life support. All you’d have to do is pull the plug – similar to throwing the train switch. But I’ll instead go straight to the difficult dilemma. If you wish to save the lives of the five terminal patients, you must sacrifice a healthy patient.
Again, as long as this is just a "thought experiment" and the folks in the trolley or in the hospital are just abstractions, your own "solution" can be "thought up" as well. A hypothetical resolution to a hypothetical dilemma. And, sure, if everyone involved are just complete strangers to you, some "ethical theories" might appear more reasonable than others.
Here is the author's own:
You can stop worrying about it. I will make this decision for you. You should do what you can, everything medically possible, to save the five and the one (even though he only has a sprained ankle, so good for him). The same goes for the unfortunate fat man on the bridge. You may enlist him to try to help you warn the five doomed men; but you should not push him to his death.
So, as a theoretical ethicist, is this the most rational resolution for you too? To the extent that you yourself must bear the sole responsibility for another's death, back off? Even though at the trolly or in the hospital less will perish?
Again, abstractly, theoretically, the author weighs in...
Why? Let me answer this with another question. Could you live in a society in which your life could be arbitrarily sacrificed at any moment to save the lives of a thousand, or a hundred, or even two people? Of course not.
Probably not. But in a No God world does that make such sacrifices inherently, necessarily immoral? Look at nations that draft citizens into the military. Lives to be sacrificed based solely on the day that they were born.
As a social structure consisting of organisms that have survived for millions of generations, our morality has evolved with us. Some may argue that true altruism does not exist since (as their argument goes) all our actions have selfish motivations driving them. But either way, a society that would allow, or even condone, the sacrifice of one life for the many as an integral component of its value system would not survive for long.
Ever and always: we need as context.
And, in this context, where
existentially do each of us as individuals fit into it? What happens to us
specifically if one rather than another course of action is chosen?
To torture or not to torture, for example:
https://netivist.org/debate/torture-pros-and-cons
Then this part:
Utilitarianism aside, unless you’re a sociopath you will feel the horror that accompanies the thought of pushing a man to his death.
Okay, but what if he is a sociopath? What philosophical argument can made by an ethicist in a No God world that would work to convince him not to do what he selfishly intends to do?
And back to the context in which, yes, you may feel horror when pushing the man, but you would feel an even greater horror at the consequences of not pushing him.
https://ilovephilosophy.com/viewtopic.php?f=1&t=175121