Thinking about the original "Tuvix" moral dilemma.
I dunno, if we get the technology to eventually resurrect someone and it required someone else to die, then it gets thornier with the idea Neelix and Tuvok aren't there anymore. The ethical dilemma is not that they're not there anymore but they CAN be saved in the same way someone trapped in a pattern buffer or something would be.
I'm inclined to view this episode very differently from other show watchers, though, as I think the ethical dilemma here isn't nearly as unprecedented or weird as people make it out to be. I think that TOS and DS9 (more than TNG) made it clear that it is BASIC expectation of a Starfleet officer that you have to make questionably ethical life and death choices all the time.
Kobatashi Maru, anyone?
One of the earliest tests to see if Wesley Crusher had the stones (or whatever the nongendered version of it is in the 24th century) was whether or not he could leave a man to die to save someone else. VOY and ENT tried to softpedal this sort of thing (at least until ENT Season 3) but part of the reason Redshirts exist is because sometimes you have to send someone to die. Deana Troi did it to get her promotion.
To save two of her crew, Janeway had to let a random alien die. It's terrible but it's something I expect every Starfleet officer to do in this situation unless there's a greater good involved like the Prime Directive.
So I'm of the mind Captain Freeman would have straight up murdered him if she had to but sought a better option. I doubt she'd have found one, though.