According to Thomson, most people have the same response to the trolley story and the surgeon story: in each case, one life should be sacrificed to save five lives.

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In the trolley story, most people agree that diverting the trolley to save five lives at the expense of one is morally permissible. However, in the surgeon story, where a surgeon considers killing a healthy person to use their organs to save five patients, most people find this morally impermissible. The difference in responses highlights complex moral intuitions about direct harm, intention, and the nature of action versus inaction.

According to Thomson, Most People Have the Same Response to the Trolley