This week at Children’s Hospital’s school, in my weekly session with the older students, I facilitated an activity adapted from an exercise created by my colleague David Shapiro.

Here is a brief description of the activity (in a larger class, this is done in small groups, and there are dozens of characters — the exercise can be found in David’s book Plato Was Wrong!):

We are all in a lifeboat, and our boat is sinking. In order to save everyone, we have to sacrifice one person in the boat, otherwise all of us will drown. I assigned each student a couple of characters, who they will play in a lifeboat. The following are some of the characters:

·     A 22-year-old mailroom clerk in a large law firm, who is planning to get her law degree when she graduates college.  She is not married and has no children.  
·      A 45-year-old Certified Public Accountant, who is married with two two teenaged children, and is an active community and church volunteer.  
·      A 12-year-old student in 6th grade, who is the president of his class and hopes to be a doctor when he grows up.
·      A 55-year-old homeless person who has been out of work for 10 years, is not married and has no children.
·      A 26-year-old world-famous rock star with fans all around the world, who is single with no children, and has a bad drug habit.
·      A 6-month-old baby who is her parents’ first child and the first grandchild for her grandparents.
·      A 30-year-old police officer, who is married with 2 young children.
·      A 28-year-old welfare recipient who hasn’t worked in 3 years, and has 6 children, none of whom live with her. 
The key is that the group has to work together to decide who will be sacrificed, and to agree on the principles, or reasons, that the person who is to be sacrificed is chosen.   And then, most importantly, the person who is to be sacrificed has to be able to articulate why he or she was chosen, and in particular, the principle that was used to make that choice.
We began with considering what principles should guide the decision. The students came up with the following:
1. The more of your life you have already lived, the more likely your life should be sacrificed
2. The more successful your life has been and is likely to continue to be, the less likely your life should be sacrificed
3. The more people with whom you have relationships and who depend on you, the less likely your life should be sacrificed
We then launched into trying to decide who would be sacrificed. 
I have done this exercise in many classrooms. For the first time, the conversation revolved not around the characters trying to save themselves, but offering to sacrifice themselves. The young girl who was playing the famous rock star character, for example, said, “I have accomplished all or most of what I’ll ever accomplish in my life, and my drug problem means I might not live very long anyway, so I should sacrifice myself.” When asked about the fans who would mourn, she said, “For them I’ll become a legend. They will be sad at first but they’ll also be glad I sacrificed my life for others, and they’ll never forget me.” 
Then the young girl whose character was the homeless person said, “No, I should jump off the boat. My life hasn’t been a success, and I’ve lived a lot of it already. I’m the oldest person in the boat and I have no family.” The rock star responded, “But you could still make something of your life.” Quietly, the girl playing the homeless person said, “This is the most important thing I’ll ever do.”

We discussed this for a long time and most of the group agreed that the homeless person should be sacrificed. Finally, at the end of our time together, I told the group that a rescue helicopter was now coming, but only one individual can be saved.  Who should it be?

The group quickly agreed that it should be the 12-year-old, who had his whole life ahead. Unlike the baby, one student observed, the 12-year-old knew what was going on in the boat. The baby would not suffer the emotional pain of knowing he was likely to die.

The discussion was rich in insight, and afterward I reflected about whether the special challenges these children face provides them with an especially keen awareness of the complexity of moral problems, and particularly those related to life and death.
I’m feeling very privileged to have the opportunity to work with these students.

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Hi tech Institute

Thanks for helping me to think more about this "Children's Hospital Patients".

Regards
Natasa | Laptop

Jana

I agree completely that young people should come out of this exercise understanding that there is no good ethical choice here, and that weighing one life against another is, as you say, a very slippery path. I thought it was very interesting when I did this with the children at the hospital, that they focused much less on pitching lives against each other, than on thinking about what their personal choices might be for the characters they were portraying. It is a rich exercise, if taught well, that helps us to see that all lives have immeasurable value. Thanks for helping me to think more about this!

Oshrat

Thank you for your response. I think what bothers me here is that the way that it is set up, with two lines about each person's age, family and professional situation, it implies that this information is what determines the "right" answer – who should be sacrificed and who should be saved. The moment you pitch lives against each other in that way, you go down a very slippery path. Is it "ethical" to chose the homeless person as the one who should die? What I mean by futility is that I believe that in such a situation, should it ever, God forbid, happen in real life, the decision will most likely not be based on rational deliberations, as "life is far from the improbable thought experiment which neutralizes the fear of death to a calmly ponderable idea", as T.W. Adorno said.
I suppose with a great, sensitive teacher, the exercise can provoke good discussions, but the children should not come out of it believing that there is a right, "ethical" choice here.

Jana

Thanks for your comment. In my view, the focus of the exercise is not to teach children that it is almost impossible to put a value on somebody's life, but to allow them the space to reflect about the difficulty of this exercise. In every conversation I have ever had about this activity, students quickly see that part of the difficulty is that every life is inherently and inestimably valuable. There are many potential characters in this exercise, and it just so happened that in this particular class the oldest character was homeless and without a partner or children, but this is not always the case. I'm not sure what you mean when you say that these kinds of thought experiments should have "no other point than to prove their own futility," as I think the point is to illuminate the complex and challenging nature of many ethical questions.

Oshrat

Hi Jana,
I just read this post, and I admit that I'm extremely disturbed by the exercise. The lines of the children as they impersonate the people in the boat are touching, and one could say that they come up with the best possible solution, but isn't the problem that there is no good solution? Shouldn't the focus of this exercise, if it is really carried out, be that it is nearly impossible to to put a value on somebody's life, let alone to rank it against others? Of course, I wasn't there and didn't hear the conversations, but the fact that the homeless person was "sacrificed" (and wanted to sacrifice herself) triggers all sorts of unconfortable questions in my head. It seems to me that such exercises should be handled with extreme caution, or avoided entirely, lest a "hierarchy" of lives based on one's contribution to the economy and one's life choices or absence of choice (the homeless person didn't have a family, but maybe she was the beloved friend of some lonely people who were highly dependent on her?) is subreptitiously reinforced. The fact that in the setup, the homeless person is also the oldest, and has no family, seems to push the outcome in a given direction which, again, profoundly bothers me. I strongly believe that these thought experiments should have no other point than to prove their own futility.