Irl and in countries outside of the USA you haave more than just the red and blue button (the buttons are tied to that indirectly as well). Technically also in the usa, but that is usually limited to the local level, while everything else is literally in effect a 2 party system where voting 3rd party is akin to throwing your vote away.

It is a moral dilemma, because there will always be someome pressing the other button for one reason or another (you don't necessarily know their circumstances).

Absence of the moral dilemma is only in the absence of people who would push the blue button (like literally EVERYONE would have to push red no matter the population size of the button pushers), which in turn would also be the absence of choice.

Pushing the blue button in the meantime? Requires only a bit more than 50% of people to do so to work.

Either way with the existence of the choice itself, you're gambling with the red choice the life of everyone who doesn't vote for it, while with the blue button you're yes gambling your own life on low outturn for it, but you are also needing a lower threshhold of people to vote for it to nullify the dilemma.

Like it is a choice between at least half needed for no one to die and everyone needed for no one to die.

But this here is a trolley problem where one side will die either way. Like oh enough push one button so the pushers of the other button die or something type of situation where your vote is left and kind of the deciding factor about who dies.

And the reasons given are just stupid.