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Ill answer 1 first
The organ scenario is not as pressing as the other two.
In the later scenarios, im making a decision under duress, whereas in the first case, what ill be doing will be pretty calculated and thus, taking a human life to save 5 others wont be an option



"The accumulated filth of all their sex and murders will foam up about their waist and all the whores and politicians will look up and shout "Save us!"...

 ....and I'll look down and whisper  "no."  

                                                                   - Rorschach