I'd choose to have the million people killed. I'm reasonably assuming around eighty percent, minimum, of those million would make the same choice. Their families as well, so I wouldn't feel bad in the least. Unless of course by people close to me we're talking distance wise. I can name off ten people in a close proximity that I wouldn't mind the death of.
Come to think of it... Not to be sick but I could probably do it myself too... See I'm a very distant person so the people close to me are REAL fucking close. Why dont we do some euthenasia (sp) and kill some terminal people? Or some leading members of the church and state?