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If two people are drowning and we can only save one, or if several people need a medicine and we only have enough for one, what do we do?
Mainstream Jewish law would have us save one even if others will die.
While the march of technology continually improves our health, it creates new scenarios and novel questions.
Although we choose to save a particular individual and others may die, we have not directly caused their deaths.
However, we could not kill one person in order to save another, unless the party we are killing is a rodef, someone pursuing another to kill them (see: Abortion in Jewish Law).
If the HIV rate in the Ethiopian population is not significantly higher than the general population, then discarding the blood is immoral.
But if the HIV rate in the Ethiopian population is significantly higher than the general population, then other factors come into play.