David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Kennedy Institute of Ethics Journal 13 (1):19-36 (2003)
: Free-market libertarians have long supported incentives to increase organ procurement, but those oriented to justice traditionally have opposed them. This paper presents the reasons why those worried about justice should reconsider financial incentives and tolerate them as a lesser moral evil. After considering concerns about discrimination and coercion and setting them aside, it is suggested that the real moral concern should be manipulation of the neediest. The one offering the incentive (the government) has the resources to eliminate the basic needs that pressure the poor into a willingness to sell. It is unethically manipulative to withhold those resources and then offer payment for organs. Nevertheless, the poor have been left without basic necessities for 20 years since the passage of the prohibition on incentives. As long as the government continues to withhold a decent minimum of welfare, liberals should, with shame, cease opposing financial incentives for organ procurement.
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Citations of this work BETA
Julian Koplin (2014). Assessing the Likely Harms to Kidney Vendors in Regulated Organ Markets. American Journal of Bioethics 14 (10):7-18.
David Steinberg (2004). An "Opting in" Paradigm for Kidney Transplantation. American Journal of Bioethics 4 (4):4 – 14.
Emma C. Bullock (2015). A Normatively Neutral Definition of Paternalism. Philosophical Quarterly 65 (258):1-21.
Patricia Marshall & Barbara Koenig (2004). Accounting for Culture in Globalized Bioethics. Journal of Law, Medicine & Ethics 32 (2):252-266.
M. J. Cherry (2009). Why Should We Compensate Organ Donors When We Can Continue to Take Organs for Free? A Response to Some of My Critics. Journal of Medicine and Philosophy 34 (6):649-673.
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