title: Pecuniary and non-pecuniary incentives to increase the rate of organ donations from the living: a moral exploration.
abstract: This paper examines the morality of schemes of payment to live donors/sellers of organs for transplantation. Following empirical and historical evidence, it is argued that consent to sell organs is substantially different from consent to ordinary business transactions and that legalization of exchanges of organs with financial benefits deviates significantly from the scope of liberal toleration and liberal conceptions of human rights. Although altruistic giving is commendable, it is immoral for society to benefit from them without conferring to the donors benefits such as health and nursing insurance for life. Non-alienable and non-fungible benefits of this kind are moral as incentives to organ donation/giving.
authors.affiliation: Department of Medical Education, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Michael Y
authors.initials: MY
authors.lastname: Barilan
keywords: Organ transplantation; altruistic donation; financial incentives/rewards; live donors; market in organs
references.citation: Natl Cathol Bioeth Q. 2002 Autumn;2(3):381-9
references.pmid: 12854595
references.citation: N Engl J Med. 2003 Aug 14;349(7):667-74
references.pmid: 12917304
references.citation: Curr Opin Organ Transplant. 2009 Apr;14(2):140-6
references.pmid: 19307965
references.citation: Hastings Cent Rep. 2009 May-Jun;39(3):29-44
references.pmid: 19537621