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alexandra_k said:
Then the problem becomes... How we can justify killing the one to save the six in the first case... While simultaneously justifying killing the six to save the one in the second case...

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Ah, there I think you're adding apples and oranges; the cases aren't related. That's like combining multiple people's misery to get "more" misery; you can't do that, people only feel what they themselves feel; I can't get any sadder than I am/do. I don't have to justify killing the one in the first case (to myself, and I'm all who matters because I only have to live with my own decisions) because the scenario was completely different.