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The Future of BioethicsInternational Dialogues$
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Akira Akabayashi

Print publication date: 2014

Print ISBN-13: 9780199682676

Published to Oxford Scholarship Online: January 2014

DOI: 10.1093/acprof:oso/9780199682676.001.0001

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Organ Donation and Social Amelioration: A Two-Pronged Approach to Organ Trafficking

(p.435) 12.5 Commentary
The Future of Bioethics

Leonardo D. de Castro

Peter A. Sy

Oxford University Press

This paper explores a model for reciprocating the contribution of organ donors to a health care system characterized by inadequate resources and faced with the challenge of trying innovative ways of providing much needed health care. The conceptual exploration recognizes the soft altruism manifested in the contributions made by people who donate in the context of a social amelioration scheme. In order to bring out some of the model’s characteristic features, a comparison is made with a presumed consent regime, which, while focused on cadaver organs, would appear to take advantage of the vulnerabilities of the poor when implemented in economically disadvantaged countries. The model examines whether it would be possible for poor organ donors to donate organs as part of such a scheme and emerge in an improved socio-economic situation, better health, without loss of dignity.

Keywords:   Organ transplant, organ donation, donors, organ selling, soft altruism

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