Solarpunk

I personally agree with the sentiment but how do we reconcile with medical or like farming equipment?

If we shut down a fossil fuel power station and all people in the ER die - who's fault is it? I guess the producers of the fuels for providing "dirty" electricity to hospitals, but then do we require anyone who wants to build or provide anything to consider all downstream misuses of the thing they've made?

I'm not trying to advocate for the status quo I'm genuinely trying to figure out a better alternative.