不断变化的伦理观念：关于器官移植中激励问题的辩论
Shifting ethics: debating the incentive question in organ transplantation.
作者信息
Joralemon D
机构信息
Department of Anthropology, Smith College, Northampton, Massachusetts, USA.
出版信息
J Med Ethics. 2001 Feb;27(1):30-5. doi: 10.1136/jme.27.1.30.
The paper reviews the discussion within transplantation medicine about the organ supply and demand problem. The focus is on the evolution of attitudes toward compensation plans from the early 1980s to the present. A vehement rejection on ethical grounds of anything but uncompensated donation--once the professional norm--has slowly been replaced by an open debate of plans that offer financial rewards to persons willing to have their organs, or the organs of deceased kin, taken for transplantation. The paper asks how this shift has occurred and what it tells us about the dynamics of bioethical debates, both within professional circles and in wider public arenas.
本文回顾了移植医学领域关于器官供需问题的讨论。重点是从20世纪80年代初至今人们对补偿计划态度的演变。曾经作为专业规范的、基于伦理理由对除无偿捐赠之外的任何方式的强烈拒绝，已逐渐被对向愿意捐献自身器官或已故亲属器官用于移植的人提供经济奖励的计划的公开辩论所取代。本文探讨了这种转变是如何发生的，以及它在专业圈子和更广泛的公共领域中对生物伦理辩论的动态变化告诉了我们什么。
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