Well for one, I immediately deleted my comment because I think I misread the post title, so didn't want to accuse OP. How can everyone see it still to vote and reply?
Two: it's talking about the trolley problem and letting one die. Seems transphobic to let the girl die because she revealed she had a dick (if that is indeed the reason). That implication is kind of there. At the same time it could simply be that both would be great options, which I think is what OP intended and is why I deleted my comment.
Three: it's a shitpost and it probably doesn't need such analysis.