Trolley Problem/Consistency in Ethics

[SteveII]

The thought experiments are not equivalent. In the trolley scenario , you have control and responsibility over the thing that is causing the death(s). In the organ scenario, you don't have control and responsibility over the thing that is causing the deaths. What you have is control over one solution to the problem that may or may not be better than the problem. Nowhere in the organ scenario is there any responsibility to decide. 

To whomever chooses "consistent", that is disturbing, but in line with the morality one can glean from a totally naturalistic/deterministic worldview--which is to say an entirely subjective morality.