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  1. Bioethics: An International, Morally Diverse, and Often Political Endeavor.Mark J. Cherry - 2022 - HEC Forum 34 (2):103-114.
    Bioethicists often remind health care professionals to pay close attention to issues of diversity and inclusion. Approaches to ethics consultation, where the perspective of the bioethicist is taken to be more morally correct or necessarily authoritative, have been critiqued as inappropriately authoritarian. Despite such apparent recognition of the importance of respecting moral diversity and the inclusion of different viewpoints, authoritarianism is all too often the approach adopted, especially as bioethics has shifted evermore into concerns for public policy. Yet, secular values (...)
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  • Compensation for Blood Plasma Donation as a Distinctive Ethical Hazard: Reformulating the Commodification Objection.Adrian Walsh - 2015 - HEC Forum 27 (4):401-416.
    In this essay, I argue that the Commodification Objection, locates a phenomenon of real moral significance. In defending the Commodification Objection, I review three common criticisms of it, which claim firstly, that commodification doesn’t always lead to instrumentalization; secondly, that commodification isn’t the only route to such an outcome; and finally, that the Commodification Objection applies only to persons, and human organs are not persons. In response, I conclude that moral significance does not require that an undesirable outcome be a (...)
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  • Introduction: Medical Migrations.Nancy Scheper-Hughes & Elizabeth F. S. Roberts - 2011 - Body and Society 17 (2-3):1-30.
    Moshe Tati, a sanitation worker in Jerusalem, was among the first of more than a thousand mortally sick Israelis who signed up for illicit and clandestine ‘transplant tour’ packages that included: travel to an undisclosed foreign and exotic setting; five-star hotel accommodation; surgery in a private hospital unit; a ‘fresh’ kidney purchased from a perfect stranger trafficked from a third country. Although Tati’s holiday turned into a nightmare and he had to be emergency air-lifted from a rented transplant unit in (...)
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  • A fair exchange: why living kidney donors in England should be financially compensated.Daniel Rodger & Bonnie Venter - 2023 - Medicine, Health Care and Philosophy 26 (4):625-634.
    Every year, hundreds of patients in England die whilst waiting for a kidney transplant, and this is evidence that the current system of altruistic-based donation is not sufficient to address the shortage of kidneys available for transplant. To address this problem, we propose a monopsony system whereby kidney donors can opt-in to receive financial compensation, whilst still preserving the right of individuals to donate without receiving any compensation. A monopsony system describes a market structure where there is only one ‘buyer’—in (...)
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  • The Morality of Kidney Sales: When Caring for the Seller’s Dignity Has Moral Costs.Alexander Reese & Ingo Pies - 2023 - Journal of Bioethical Inquiry 20 (1):139-152.
    Kidney markets are prohibited in principle because they are assumed to undermine the seller’s dignity. Considering the trade-off between saving more lives by introducing regulated kidney markets and preserving the seller’s dignity, we argue that it is advisable to demand that citizens restrain their own moral judgements and not interfere with the judgements of those who are willing to sell a kidney. We also argue that it is advisable not only to limit the political implications of the moral argument of (...)
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  • What Money Cannot Buy and What Money Ought Not Buy: Dignity, Motives, and Markets in Human Organ Procurement Debates.Ryan Gillespie - 2019 - Journal of Medical Humanities 40 (1):101-116.
    Given the current organ shortage, a prevalent alternative to the altruism-based policy is a market-based solution: pay people for their organs. Receiving much popular and scholarly attention, a salient normative argument against neoliberal pressures is the preservation of human dignity. This article examines how advocates of both the altruistic status quo and market challengers reason and weigh the central normative concept of dignity, meant as inherent worth and/or rank. Key rhetorical strategies, including motivations and broader social visions, of the two (...)
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  • The Injustice of Enforced Equal Access to Transplant Operations: Rethinking Reckless Claims of Fairness.H. Tristram Engelhardt - 2007 - Journal of Law, Medicine and Ethics 35 (2):256-264.
    The globalizing or totalizing imposition of a particular understanding of justice, fairness, or equality, as seen, for example, in Canada's single health care system, which forbids the sale of private insurance and the purchase of better basic health care, cannot be justified in general secular terms because of the following limitations: the plurality of understandings of justice, fairness, and equality, and the inability to establish one understanding as canonical. The secular state lacks plausible moral authority for the coercive imposition of (...)
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  • The Injustice of Enforced Equal Access to Transplant Operations: Rethinking Reckless Claims of Fairness.H. Tristram Engelhardt - 2007 - Journal of Law, Medicine and Ethics 35 (2):256-264.
    This essay does not directly address organ transplantation or even issues of justice, fairness, or equality in access to organs for transplantation. Instead, it engages a higher-order question: the justice of coercively and globally imposing any particular contentfull view of justice, fairness, and/or equality under circumstances that would violate peaceable, consensual choice. It is argued that state coercion, as in the prohibition of the sale of organs or the coercive imposition of equal access to transplantations or health care, is unjust (...)
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