Can Living Donation Be Justified?
This commentary aims to examine Aulisio and Deming’s discussion of justification of living donation. First, this commentary compares living donor organ transplantation trends in the U.S. and Japan. In the second section, the authors examine Aulisio and Deming’s discussion on ethical concerns specific to each paradigm of living organ donation, giving reference to the situation and cases in Japan. In the last section, the authors address the ethical challenges posed by living donor organ transplantation itself. The authors then conclude that justification of living organ donation will remain an ethical challenge as long as living organ donation constitutes “prima facie harm” to donors, even if the donation system is improved in an ideal way.
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