That's what makes it such a fascinating ethical issue! Action/Inaction is an important distinction for ethical frameworks and our intuition, but this situation

That's what makes it such a fascinating ethical issue! Action/Inaction is an important distinction for ethical frameworks and our intuition, but this situation is so difficult to reason about because it forces us to ask when triage/lifeboat ethics apply. Even more tricky because the obvious solution to triage/lifeboat/trolley ethical problems (avoid getting into them) doesn't make sense here because the technology can save so many people! How many lives can we ethically save in exchange for putting doctors and biophysicists into trolley problems? Entropy is why we can't have nice things.