nerzhin comments on The Trolley Problem in popular culture: Torchwood Series 3 - Less Wrong
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I think of trolley problems as being related to Newcomb's problem.
If you expect to encounter Newcomb-like problems, you change your source code to precommit yourself to one-box, even though it seems less rational. Evolution expects us to encounter trolley-like problems, and has changed our source code (that's the "horror and disgust") so that we are in some sense precommitted to not throw the switch. And in general, if you're not considering theoretical dilemmas in an armchair, there are very good reasons for that source code change.