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Yoreth comments on Deontological Decision Theory and The Solution to Morality - Less Wrong
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Would it be correct to say that, insofar as you would hope that the one person would be willing to sacrifice his/her life for the cause of saving the 5*10^6 others, you yourself would pull the switch and then willingly sacrifice yourself to the death penalty (or whatever penalty there is for murder) for the same cause?
I'd be willing to die (including as part of a legal sentence) to save that many people. (Not that I wouldn't avoid dying if I could, but if that were a necessary part of the saving-people process I'd still enact said process.) I wouldn't kill someone I believed unwilling, even for the same purpose, including via trolley.