  One final variation still causes trouble. Imagine that the doctor herself wounded the five people who need organs. If the doctor does not save their lives, then she will have killed them herself. In this case, even if the doctor can disvalue killings by herself more than killings by other people, the world still seems better from her own perspective if she performs the transplant. Critics will object that it is, nonetheless, morally wrong for the doctor to perform the transplant. Many people will not find this intuition as clear as in the other cases, but those who do find it immoral for the doctor to perform the transplant even in this case will want to modify consequentialism in some other way in order to yield the desired judgment.