Consider the following scenario: A doctor is working in the Accident and Emergency Department of a hospital. A homeless man is brought in with brain damage sustained in a road traffic accident. The doctor recognises him; the man has no family and is in reasonable physical, if not mental, health. The doctor knows there is still time to save the man’s life. He also knows that if he does not start treatment, the man will suffer brain death and his organs could possibly be used to improve the quality of or even save several other people’s lives. Assuming there is no penalty associated with either choice, what would a strict utilitarian do?

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