Journal of Medical Ethics 39 (12):743-747 (2013)

Authors
Marie-Chantal Fortin
UNIVERSITE DE MONTREAL
Abstract
Living kidney transplantation offers the best results for patients with end-stage renal disease (ESRD). This form of transplantation is no longer restricted to genetically or emotionally related donors, as shown by the acceptance of non-directed living anonymous donors, and the development of exchange programmes (EPs). EPs make it possible to perform living kidney transplantation among incompatible pairs, but while such programmes can help increase living organ donation, they can also create a degree of unfairness. Kidney transplant recipients in the O blood group are at a disadvantage when it comes to EPs because they can only receive organs from O donors, whereas O donors are universal donors. This poses a major challenge in terms of distributive justice and equity. A way to remedy this situation is through altruistic unbalanced paired kidney exchange (AUPKE), in which a compatible pair consisting of an O blood group donor and a non-O recipient is invited to participate in an EP. Although the AUPKE approach appears fairer for O recipients, it still raises ethical questions. How does this type of exchange affect the donor/recipient gift relationship? Should recipients in compatible pairs receive a ‘better organ’ than the one they would otherwise have received from their intended donor? Finally, what is the role of transplant teams in AUPKE? This article will examine the organisational and ethical challenges associated with EPs and AUPKE, and compare different EP policies in countries where such programmes exist
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1136/medethics-2012-101129
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 69,078
Through your library

References found in this work BETA

Add more references

Citations of this work BETA

Add more citations

Similar books and articles

On Ethical, Social and Environmental Management Systems.Antonio Argandoña - 2004 - Journal of Business Ethics 51 (1):41-52.
The King of Pain.Ward E. Jones - 2009 - The Philosophers' Magazine 47 (47):79-84.
The Ethics of Talent Management.Stephen Swailes - 2013 - Business Ethics, the Environment and Responsibility 22 (1):32-46.
Moral Education Programmes: A Curriculum Perspective.Oded E. Schremer - 1992 - Journal of Moral Education 21 (2):151-160.
You Are Simple.David Barnett - 2010 - In Robert C. Koons & George Bealer (eds.), The Waning of Materialism. Oxford University Press. pp. 161--174.

Analytics

Added to PP index
2013-01-25

Total views
20 ( #554,969 of 2,498,790 )

Recent downloads (6 months)
11 ( #67,603 of 2,498,790 )

How can I increase my downloads?

Downloads

My notes