[user104658]

Originally Posted by Niamh.

This one reminds me of a scene in the Handmaids tail actually (only read if you're up to date)

Spoiler:

When June walks in to see Eleanor has taken an over dose but chooses not to alert anyone and allow her to die to stop her from messing up the rescue mission

I'd say that situation was more or less identical to (probably even inspired by) the train track dilemma.