Journal of Medical Ethics 35 (9):558-564 (2009)

Abstract
Background: It is often claimed that a regulated kidney market would significantly reduce the kidney shortage, thus saving or improving many lives. Data are lacking, however, on how many people would consider selling a kidney in such a market. Methods: A survey instrument, developed to assess behavioural dispositions to and attitudes about a hypothetical regulated kidney market, was given to Swiss third-year medical students. Results: Respondents’ median age was 23 years. Their socioeconomic status was high or middle. 48 considered selling a kidney in a regulated kidney market, of whom 31 would sell only to overcome a particularly difficult financial situation. High social status and male gender was the strongest predictor of a disposition to sell. 32 of all respondents supported legalising a regulated kidney market. This attitude was not associated with a disposition to sell a kidney. 5 respondents endorsed a market and considered providing a kidney to a stranger if and only if paid. 4 of those 5 would sell only under financial duress. Conclusions: Current understanding of a regulated kidney market is insufficient. It is unclear whether a regulated market would result in a net gain of kidneys. Most possible kidney vendors would only sell in a particularly difficult financial situation, raising concerns about the validity of consent and inequities in the provision of organs. Further empirical and normative analysis of these issues is required. Any calls to implement and evaluate a regulated kidney market in pilot studies are therefore premature.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1136/jme.2008.026856
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: 51,591
Through your library

References found in this work BETA

No references found.

Add more references

Citations of this work BETA

Reassessing the Likely Harms to Kidney Vendors in Regulated Organ Markets.Luke Semrau - 2017 - Journal of Medicine and Philosophy 42 (6):634-652.
Kidney Sales and Market Regulation: A Reply to Semrau.J. Koplin Julian - 2017 - Journal of Medicine and Philosophy 42 (6):653-669.

View all 7 citations / Add more citations

Similar books and articles

A Litmus Test for Exploitation: James Stacey Taylor's Stakes and Kidneys.J. R. Kuntz - 2009 - Journal of Medicine and Philosophy 34 (6):552-572.
A Legal Market in Organs: The Problem of Exploitation.K. Greasley - 2014 - Journal of Medical Ethics 40 (1):51-56.
Paying for Kidneys: The Case Against Prohibition.Michael B. Gill & Robert M. Sade - 2002 - Kennedy Institute of Ethics Journal 12 (1):17-45.
In Defense of a Regulated Market in Kidneys From Living Vendors.Benjamin E. Hippen - 2005 - Journal of Medicine and Philosophy 30 (6):593 – 626.
Constraint, Consent, and Well-Being in Human Kidney Sales.P. M. Hughes - 2009 - Journal of Medicine and Philosophy 34 (6):606-631.
Noxious Markets Versus Noxious Gift Relationships.Hallie Liberto - 2013 - Social Theory and Practice 39 (2):265-287.
Live Kidney Donations and the Ethic of Care.Francis Kane, Grace Clement & Mary Kane - 2008 - Journal of Medical Humanities 29 (3):173-188.
Kidney Sales and the Analogy with Dangerous Employment.Erik Malmqvist - 2015 - Health Care Analysis 23 (2):107-121.
Distributive Justice in Kidney Allocation.T. Schmidt - 2001 - Analyse & Kritik 23 (2):286-298.

Analytics

Added to PP index
2009-09-03

Total views
42 ( #224,903 of 2,331,151 )

Recent downloads (6 months)
1 ( #589,978 of 2,331,151 )

How can I increase my downloads?

Downloads

My notes