David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Bioethics 26 (7):376-381 (2012)
Proposals for increasing organ donation are often rejected as incompatible with altruistic motivation on the part of donors. This paper questions, on conceptual grounds, whether most organ donors really are altruistic. If we distinguish between altruism and solidarity – a more restricted form of other-concern, limited to members of a particular group – then most organ donors exhibit solidarity, rather than altruism. If organ donation really must be altruistic, then we have reasons to worry about the motives of existing donors. However, I argue that altruism is not necessary, because organ donation supplies important goods, whatever the motivation, and we can reject certain dubious motivations, such as financial profit, without insisting on altruism.Once solidaristic donation is accepted, certain reforms for increasing donation rates seem permissible. This paper considers two proposals. Firstly, it has been suggested that registered donors should receive priority for transplants. While this proposal appears based on a solidaristic norm of reciprocity, it is argued that such a scheme would be undesirable, since non-donors may contribute to society in other ways. The second proposal is that donors should be able to direct their organs towards recipients that they feel solidarity with. This is often held to be inconsistent with altruistic motivation, but most donation is not entirely undirected in the first place (for instance, donor organs usually go to co-nationals). While allowing directed donation would create a number of practical problems, such as preventing discrimination, there appears to be no reason in principle to reject it
|Keywords||incentives directed donation organ donation altruism organ procurement solidarity|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Greg Moorlock (2015). Directed Altruistic Living Donation: What is Wrong with the Beauty Contest? Journal of Medical Ethics 41 (11):875-879.
Solveig Lena Hansen & Sabine Wöhlke (2015). „Wir wissen es alle, nur sprechen wir es nie aus.““We all know it; we just never say it”. Ethik in der Medizin 27 (1):23-34.
Similar books and articles
Nikola Biller-Andorno (2002). Gender Imbalance in Living Organ Donation. Medicine, Health Care and Philosophy 5 (2):199-203.
André Krom (2005). Earning Points for Moral Behavior. International Journal of Applied Philosophy 19 (1):73-83.
Clifford Earle Bartz (2003). Operation Blue, ULTRA: DION--The Donation Inmate Organ Network. Kennedy Institute of Ethics Journal 13 (1):37-43.
Mike Collins (2010). Reevaluating the Dead Donor Rule. Journal of Medicine and Philosophy 35 (2):1-26.
Adam J. Kolber (2003). A Matter of Priority: Transplanting Organs Preferentially to Registered Donors. Rutgers Law Review 55 (3):671-739.
Medard T. Hilhorst (2005). Directed Altruistic Living Organ Donation: Partial but Not Unfair. [REVIEW] Ethical Theory and Moral Practice 8 (1-2):197 - 215.
Walter Glannon & Lainie Friedman Ross (2005). Response to “Intrafamilial Organ Donation Is Often an Altruistic Act” by Aaron Spital and “Donor Benefit Is the Key to Justified Living Organ Donation,” by Aaron Spital : Motivation, Risk, and Benefit in Living Organ Donation: A Reply to Aaron Spital. [REVIEW] Cambridge Quarterly of Healthcare Ethics 14 (2):191-194.
Paul E. Morrissey (2012). The Case for Kidney Donation Before End-of-Life Care. American Journal of Bioethics 12 (6):1-8.
Alireza Bagheri (2006). Compensated Kidney Donation: An Ethical Review of the Iranian Model. Kennedy Institute of Ethics Journal 16 (3):269-282.
Dena S. Davis (1992). Organ Transplants, Foreign Nationals, and the Free Rider Problem. Theoretical Medicine and Bioethics 13 (4).
Havi Carel & Greg Tuck (2010). Film as Philosophy. The Philosophers' Magazine 50 (50):30-31.
Andrew Millis, Matthew Devitt & Mary Simmerling, Assessing Moral Arguments Against Living Organ Donation by Prisoners.
David Rodríguez-Arias, Maxwell J. Smith & Neil M. Lazar (2011). Donation After Circulatory Death: Burying the Dead Donor Rule. American Journal of Bioethics 11 (8):36-43.
Ann Mongoven (2003). Sharing Our Body and Blood: Organ Donation and Feminist Critiques of Sacrifice. Journal of Medicine and Philosophy 28 (1):89 – 114.
Added to index2012-07-26
Total downloads46 ( #94,034 of 1,911,489 )
Recent downloads (6 months)18 ( #34,605 of 1,911,489 )
How can I increase my downloads?