Trolley Problem/Consistency in Ethics

[Magilla]

The two don't seem to be on completely even footing.

In the trolley one it seems like an evil act has been done to 6 people, your job is to minimize the causalities, in a practical situation like that you'd be calling the police or at least thinking of how to save that one persons life on the track after the lever has been pulled, you'd pull the lever to save the 5 people, then your goal, no matter how futile, would be to save the 1 person on their own.

In the surgery scenario you're actively killing someone and harvesting their organs, that seems to eliminate any chance of their possibly being intentions to save everyone's life.  

. . .

I agree. In the surgery example, there is no equivalent of a trolley heading towards the unfortunate organ donor, except one manufactured by the doctor, on a track manufactured by the surgical team, (more or less).