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wedrifid comments on Human errors, human values - Less Wrong
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Hypotheses: The hospital scenario involves a lot more decisions, so it seems as though there's more rule breaking.
You want a hard rule that medical personnel won't do injury to the people in their hands.
The trolley scenario evokes prejudice against fat people. It needs variants like redirecting another trolley that has many fewer people in it to block the first trolley, or perhaps knocking two football players (how?) into the trolley's path.
Fat people are OK but you have a problem with football players?
There are an awful lot of people who are interested in decision problems who might just say "push 'em" as group-affiliation humor!
The overt reason for pushing a fat man is that it's the way to only kill one person while mustering sufficient weight to stop the trolley. It seems plausible that what's intended is a very fat man, or you could just specify large person.
Two football players seems like a way of specifying a substantial amount of weight while involving few people.