If a dog runs to your kid, teeth bared, you probably kick it away without having a dilemma; but if pushing a fat man to die saves a bunch of kids, you have to decide to do it?

I mostly have (maybe) dilemmas of the kind 'if I spend another hour at work, I will finish the task, but not make dinner' which does have implications for me as a housewife; or (in the past) 'if I fine this obviously poor flower seller, she might not earn her dinner, but others here will be less inclined to sell Cyclamen kuznetzovii'. (This latter is based on several assumptions, of course.)