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Triage

Five patients need care and one doctor can only save three. How should the decision be made?

Least evil / tragic necessityAll available options cause harm; the chosen path appears least destructive, but residue remains.

Proposed action: Allocate care by medical need, likelihood of benefit, and fair process.

Strongest case for

When resources cannot save everyone, saving the most lives with fair clinical criteria preserves the most experience and possibility.

Strongest case against

Any selection risks smuggling in social worth, bias, or hidden judgments about whose life matters more.

Who is affected, on which currencies

All five patientsEach has full subject-standing.
Experience
5/5
Agency
4/5
Possibility
5/5
Medical teamThey must act under scarcity without pretending the loss disappears.
Agency
4/5
Possibility
3/5

Analysis by track

Experience

The primary welfare duty is urgent preservation of life and reduction of suffering.

Agency

Agency is constrained by emergency conditions. Fair criteria and consent where possible preserve respect.

Possibility

Saving more patients preserves more open futures, but this affects stakes, not intrinsic standing.

Reality-contact

Triage requires clear facts: prognosis, timing, resource limits, and clinical criteria.

Foreclosure

Death forecloses futures; the framework seeks the least destructive path under scarcity.

Irreversibility: 5/5
Culpability: 1/5

Residue

Even fair triage leaves residue because real people are lost through scarcity.

Process

Use transparent medical criteria, avoid social worth, document decisions, and reassess as resources change.

Numbers and survivability can guide triage; human worth cannot be ranked.

Still open

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