Living Organ Donation and Organ Shortages: Another Perspective
In their article, Mark Aulisio and Nicole Deming raise concern for the perils inherent in “straining” the ethically justifiable paradigm of living related organ donation. However, in emphasizing the need for higher standards for donor informed consent as a safeguard, they frame their arguments within the dominant “Western” paradigm of individual rights and autonomous choices. This ignores the reality that organ donation decisions have complex, multifaceted cultural, religious, and socioeconomic dimensions which cannot be encompassed by philosophical principles alone. The author’s commentary, based on ethnographic research on living kidney donation in Pakistan, highlights an alternative moral world of extended kinship systems in which major decisions in life are perceived to lie in the collective domain.
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