The reason being lays in the differences between the agents intention toward their patients. The intention/foresight of an action is directly relevant to moral and ethical assessment of an action. According to Goldworth (2008), the physician must satisfies the four criteria for DDE in order for an action to be considered morally permissible. Therefore, the action of letting someone died purposely, such is the case in Organ Shortage, so his or her organs can be utilize to save others does not meet the DDE criteria, since the bad effect and not the good effect is intended first. However, if we find ourselves in the physician’s predicament, it may be difficult to say what course of action should have been taken instead, without knowing the physician’s intention, and whether or not the physician has the ability to determine his or her own…