A Commercial Market for Organs? Why Not?
Bioethics. 1987 Oct; 1(4): 321-338.
Manga examines the issues surrounding controversial proposals to commercialize organ procurement as a means of reducing the shortage of organs for transplantation. He begins by attempting to define the term "commercialization." Then he discusses the ethical issues of a market approach to organ procurement: the exploitation of the poor, especially in the Third World; the potential negative effect on voluntary donation; the right to dispose of a body or its parts as private property; the question of justice in access to organs; the quality of purchased organs; and the overall social implications of a policy that allows or even encourages the buying and selling of a desperately-needed medical resource. Manga next considers alternative solutions to increasing the supply of organs, and recommends a strategy that could alleviate the organ shortage without resorting to commercialization. (KIE abstract)
Alternatives; Altruism; Body Parts and Fluids; Cadavers; Coercion; Competence; Costs and Benefits; Consent; Death; Determination of Death; Donors; Incentives; Indigents; Informed Consent; International Aspects; Justice; Kidneys; Organ Donation; Organ Donors; Organ Transplantation; Organ Procurement; Presumed Consent; Property Rights; Public Policy; Property; Remuneration; Resource Allocation; Rights; Risks and Benefits; Scarcity; Socioeconomic Factors; Tissue Donation; Transplantation; Voluntary Programs;