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The two problems might seem to be equivalent but they aren't - in the "John" scenario those advocating not to arrest John and harvest his delicious organs are pointing out that:
that John should decide whether to sacrifice for the benefit of the other patients.
This is showing that the problems aren't equivalent because John has a choice to sacrifice ...
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Personally informed answer and I don't need to reference (which I will explain):
Metaphysical background: It's impossible to claim value without being part-subjective. Reason: such claim must come from a subject and since a moral idea is not a physical phenomenon (it may be brain physics, but unless one can explain it, then one cannot say it's physical), ...
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