Yes. Janeway said then: "I don't have the freedom to kill you to save another. My culture finds that to be a reprehensible and entirely unacceptable act."
WOW. I'd forgotten about that, too. Now that is one glaring inconsistency in her character. She went from refusing to take a complete stranger's life, even if it meant saving Neelix from being essentially a paralytic, to being willing to take the life of someone who had become a friend to the crew. What happened?