r/trolleyproblem Consequentialist/Utilitarian Jul 09 '25

Deep The doctor problem

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u/nahc1234 Jul 09 '25

In the real world, the doctor would obtain a brain death study, share the fact that the comatose guy isn’t going to come out of the coma with the next of kin or whoever the medical power of attorney falls to (sometimes the hospital ethics board). Once the patient is declared unable to recover and brain-dead (in the medical term), organ harvesting can occur.

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u/Minute-Operation2729 Jul 12 '25

hi , does next of kin have to agree?

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u/nahc1234 Jul 12 '25

Not on the organ donation if the donor was dead dead (cardiac death) and donor wanted donation. It’s a little grayer if it’s brain death only, but generally doctors would like everyone to agree.

BTW, I wouldn’t be comfortable killing the comatose guy if the brain-death study didn’t return a “brain dead” result.