Perestroika posted:

Edit: I also just had the first event that left me with a kind of a weird feeling about my decision: An injured worker was due to have his arm amputated because of gangrene, but he violently resisted the attempt. The choice was between letting him have his way, which would probably kill him, or to subdue him and forcibly save his life through amputation. I basically immediately went with the former option, in part on the grounds of basic informed consent, but my overriding rationale was basically: "Either he makes it, in which case I retain a useful worker, or he dies, in which case I won't have to feed a useless amputee. Win-win!". Only a second afterwards did I realise how intensely hosed up that was.