I think what your missing is that the trolley problem here isn’t an allegory for the US health care system. This trolley problem is entirely unrelated, and the victims are pleading their case for harm mitigation… Until it gets hijacked by a greedy CEO trying to bribe out of it. The self sacrifice the other two on his track is not symbolic of anything other than the generally growing hatred and resentment toward the billionaire class. It could be any CEO there. The health insurance one is just the currently relevant one.
Now I can tell people I strive to be FOSS rather tham say I’m into bimbofication.