Ethics, Justice and the Sale of Kidneys for Transplantation Purposes

Authors

DOI:

https://doi.org/10.17159/1727-3781/2010/v13i2a2641

Keywords:

kidney donors, transplantations, medical ethics, bio-ethical, judgments, beneficence.

Abstract

Living kidney donor transplantations are complex; add to that financial compensation to the donor and one enters an ethical maze.  Debates on whether the buying and selling of kidneys should be allowed are mainly between utilitarians, deontologists and virtue ethicists as legal transplants are more common in the Western world.  The pros and cons of each theory in relation to the sale of human organs are analysed, after which the foundational principles for all bio-ethical judgments; beneficence, non-maleficence, autonomy and justice are also scrutinised in seeking to justify the sale of human kidneys for transplantation purposes in a country with a human rights culture.

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References

Bibliography

Abelson and Nielsen "History of Ethics"

Abelson R and Nielsen K "History of Ethics" in Edwards P (ed) The Encyclopaedia of Philosophy Volume 3 (Macmillan New York 1967) 81–117

Aristotle "The Aim of Human Activity: The Nicomachean Ethics"

Aristotle "The Aim of Human Activity: The Nicomachean Ethics" 8th ed (1901) (translated from the original by F H Peters) in Katz J, Nochlin P and Stover R (eds) Writers on Ethics: Classical and Contemporary (Van Nostrand Princeton 1962) 160-237

Arras and Steinbock Ethical Issues

Arras JD and Steinbock B Ethical Issues in Modern Medicine 4th ed (Mountain View Mayfield Publishing 1995)

Beauchamp and Childress Principles

Beauchamp TL and Childress JF Principles of Biomedical Ethics 5th ed (Oxford University Press New York 2001)

Berman Jerusalem Post

Berman R Jerusalem Post 10 August 2005 15

Bourke "Thomas Aquinas St"

Bourke VJ "St Thomas Aquinas" in Edwards P (ed) The Encyclopaedia of Philosophy Volume 8 (Macmillan New York 1967) 105-116

Bryant, Baggott la Velle and Searle Introduction

Bryant J, Baggott la Velle L and Searle J Introduction to Bioethics (Wiley Chichester 2005)

Campbell, Gillet and Jones Medical Ethics

Campbell A, Gillet G and Jones G Medical Ethics 4th ed (Oxford University Press Melbourne 2005)

Cherry Kidney

Cherry MJ Kidney for Sale by Owner: Human Organs, Transplantation and the Market (Georgetown University Press Washington 2005)

Engelhardt Foundations

Engelhardt HT The Foundations of Bioethics (Oxford University Press New York 1986)

Freeman "Taking the Body Seriously?"

Freeman M "Taking the Body Seriously?" in Stern K and Walsh P (eds) Property Rights in the Human Body (King's College London 1997)

Friedlaender Lancet

Friedlaender MM "The right to sell or buy a kidney: are we failing our patients?" 2002 Lancet 971–973

Friedman and Friedman Kidney International

Friedman EA and Friedman AL "Payment for donor kidneys: Pros and cons" 2006 Kidney International (69) 960–962

Garrison Introduction

Garrison FH History of Medicine (WB Saunders London 1966)

Garwood-Gowers Living Donor

Garwood-Gowers A Living Donor Organ Transplantation: Key Legal and Ethical Issues (Ashgate Publishing Aldershot 1999)

Gill and Sade KIEJ

Gill MB and Sade RM "Paying for kidneys: The case against prohibition" 2002 KIEJ 12(1)17–45

Gutmann and Land Langenbeck’s Arch Surg

Gutmann T and Land W "Ethics regarding living-donor organ transplantation" 1999 Langenbeck’s Arch Surg 515–522

Harris "Clones, Genes and Immortality: Ethics and the Genetic Revolution"

Harris J "Clones, Genes and Immortality: Ethics and the Genetic Revolution" in Kennedy I and Grubb A (eds) Medical Law 3rd ed (Butterworths London 2000) 1772-1774

Jones Hippocrates

Jones WHS (ed) Hippocrates Collected Works Volume I (translated from the original by WHS Jones) (Harvard University Press Cambridge 1868)

Kant Fundamental Principles

Kant I Fundamental Principles of the Metaphysics of Ethics 10th ed (translated from the original German by TK Abbott) (Bobbs-Merrill Indianapolis 1949)

Kerferd "Aristotle"

Kerferd GB "Aristotle" in Edwards P (ed) The Encyclopaedia of Philosophy Volume 1 (Macmillan New York 1967) 151-162

Kuhse H and Singer P "What is Bioethics? A Historical Introduction" in Kuhse H and Singer P (eds) A Companion to Bioethics (Blackwell Oxford 1998) 3–11

Levinsky Ethics

Levinsky NG Ethics and the Kidney (Oxford University Press New York 2001)

MacIntyre After Virtue

MacIntyre AC After Virtue: A Study in Moral Theory (Duckworth London 1985)

Mill Utilitarianism

Mill JS Utilitarianism (Parker, Son and Bourn London 1863)

Moellendorf SAJHR

Moellendorf D "Reasoning about Resources: Soobramoney and the Future of Socio-economic Rights Claims" 1998 SAJHR 327–333

Morgan Medical Law

Morgan D Issues in Medical Law and Ethics (Cavendish Publishing London 2001)

Munson "Organ Transplantation"

Munson R "Organ Transplantation" in Steinbock B (ed) The Oxford Handbook of Bioethics (Oxford University Press Oxford 2007) 211–239

Oakley "A Virtue Ethics Approach"

Oakley J "A Virtue Ethics Approach" in Kuhse H and Singer P (eds) A Companion to Bioethics (Blackwell Oxford 1998) 86–97

Oosthuizen and Verschoor SA Fam Pract

Oosthuizen H and Verschoor T "Ethical principles becoming statutory requirements" 2008 SA Fam Pract 50(5) 36–40

Rachels "Ethical Theory and Bioethics"

Rachels J "Ethical Theory and Bioethics" in Kuhse H and Singer P (eds) A Companion to Bioethics (Blackwell Oxford 1998) 15–23

Radcliffe Richards "From Him that Hath Not"

Radcliffe Richards J "From Him that Hath Not" in Land W and Dossetor JB (eds) Organ Replacement Therapy: Ethics, Justice and Commerce (Springer Berlin 1991) 190–196

Rhodes "Organ Transplantation"

Rhodes R "Organ Transplantation" in Kuhse H and Singer P (eds) A Companion to Bioethics (Blackwell Oxford 1998) 329–340

Schreiber "Legal Implications of the Principle Primum Nihil Nocere as it Applies to Live Donors"

Schreiber HL "Legal Implications of the Principle Primum Nihil Nocere as it Applies to Live Donors" in Land W and Dossetor JB (eds) Organ Replacement Therapy: Ethics, Justice and Commerce (Springer Berlin 1991) 13–17

Slabbert Handeldryf

Slabbert M Handeldryf met Menslike Organe en Weefsel vir Oorplantingsdoeleindes (LLD thesis UFS 2002)

Slabbert and Oosthuizen Obiter a

Slabbert M and Oosthuizen H "Establishing a market for human organs in South Africa, Part I: A proposal" 2007 Obiter 28(1) 44–64

Slabbert and Oosthuizen Obiter b

Slabbert M and Oosthuizen H "Establishing a market for human organs in South Africa, Part 2: Shortcomings in legislation and the current system of organ procurement" 2007 Obiter 28(2) 307–311

Strauss S Afr J Cont Med Educ

Strauss SA "Ethics and the law in South Africa" 1987 S Afr J Cont Med Educ 5(4) 21–26

Trzepacz and DiMartini Transplant Patient

Trzepacz PT and DiMartini AF (eds) The Transplant Patient: Biological, Psychiatric and Ethical Issues in Organ Transplantation (Cambridge University Press Cambridge 2000)

Van Oosten De Jure 1995

Van Oosten FFW "Castell v De Greef and the Doctrine of Informed Consent: Medical Paternalism Ousted in Favour of Patient Autonomy"1995 De Jure 164–179

Van Oosten De Jure 1999

Van Oosten FFW "Financial Resources and the Patient's Right to Health Care: Myth and Reality" 1999 De Jure 1–18

Van Zyl S Afr J Philos

Van Zyl "Virtue theory and applied ethics" 2002 S Afr J Philos 133–143

Veatch Medical Ethics

Veatch RM (ed) Medical Ethics (Jones and Bartlett Publishers Boston 1989)

Young "Informed Consent and Patient Autonomy"

Young R "Informed Consent and Patient Autonomy" in Kuhse H and Singer P (eds) A Companion to Bioethics (Blackwell Oxford 1998) 530–540

Register of legislation

Human Tissue Act 65 of 1983

National Health Act 61 of 2003

National Organ Transplant Act of 1984 of the USA

Register of court cases

Castell v De Greef 1994 4 SA 408 (C)

Soobramoney v Minister of Health (KwaZulu-Natal) 1997 12 BCLR 1696 (CC)

Register of internet resources

Strong and Cook www.manipal.edu

Strong WF and Cook JA 2007 Reviving the dead Greek guys Indian ed Global Media Journal July http://www.manipal.edu/gmj/issues/jul07/strong.php [date of use 20 May 2009]

Tyson P www.pbs.org

Tyson P sa The Hippocratic Oath today http://www.pbs.org/wgbh/nova/doctors/oath.html [date of use 21 May 2009]

Published

15-06-2017

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Section

Articles

How to Cite

Slabbert, M. (2017). Ethics, Justice and the Sale of Kidneys for Transplantation Purposes. Potchefstroom Electronic Law Journal, 13(2), 76-105. https://doi.org/10.17159/1727-3781/2010/v13i2a2641

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