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David_Gerard comments on The Trolley Problem: Dodging moral questions - Less Wrong
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In messy complicated real world always contains people with different agendas, massive uncertainty and disagreement about likely outcomes, moral hazard, and affected people pushing to get their desired result by any means available.
If assume them away, trolley problem has nothing to do with the real world.
Trolley problems may be useful if you're e.g. an extremely smart person doing Philosophy, Politics and Economics at Oxford and you're destined for a career in politics where dealing with real-life lose-lose hypotheticals is going to be part of the job. Or if you want to understand such people, e.g. because you're on one of the metaphorical tracks.