David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
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Ethical Theory and Moral Practice 8 (1-2):197 - 215 (2005)
Arguments against directed altruistic living organ donation are too weak to justify a ban. Potential donors who want to specify the non-related person or group of persons to receive their donated kidney should be accepted. The arguments against, based on considerations of motivation, fairness and (non-)anonymity (e.g. those recently cited by an advisory report of the Dutch Health Council), are presented and discussed, as well as the Dutch Governments response. Whereas the Government argues that individuals have authority with regard to the allocation of their organs, partial considerations have not been sufficiently explored. In addition, it is argued that partial relationships govern human life, are significant and should be valued highly. These relationships are at the core of accepted living kidney donation between relatives (family members, partners, friends). Respecting the particular act of living donation goes beyond respect for autonomy; it touches upon our personal and social identity. Donation, e.g. of a kidney, is not undertaken strictly for the benefit of the recipient, but also to meet the moral standards we wish to set for ourselves. This consideration, rooted in a view of moral identity, provides the basis for many forms of directed donation that are both partial and justified. If the importance of this is not recognized, social policies can be neither adequate nor effective.
|Keywords||altruism discrimination equality kidney donation moral identity motivation special relations partiality|
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Citations of this work BETA
Neelke Doorn (2010). A Procedural Approach to Distributing Responsibilities in R&D Networks. Poiesis and Praxis 7 (3):169-188.
Govert den Hartogh (2012). The Role of the Relatives in Opt-in Systems of Postmortal Organ Procurement. Medicine, Health Care and Philosophy 15 (2):195-205.
Medard T. Hilhorst, Leonieke W. Kranenburg & Jan J. V. Busschbach (2007). Should Health Care Professionals Encourage Living Kidney Donation? Medicine, Health Care and Philosophy 10 (1):81-90.
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