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You will start by giving them the choice to sacrifice their own life for another.
If more than one patient remains, you start factoring in their worth.
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Gonna stop you right there, because that is exactly my point. In the real world you would give it to whomever could pay more for it. In a world without money you would deem how valuable a person is. There will always be some type of currency or value, even if it doesn't come in a physical form. Money is just a different way of determining how everything works.
Also, in regards to your other posts, let's assume these men have no family, and all think the same. None of them are willing to give themselves up. None of them make any contribution to society and are not willing to. Basically, they're all bland and the same. What do you do then?