Sells R A
Renal Transplant Unit, Royal Liverpool University Hospital, United Kingdom.
Transplant Proc. 1992 Dec;24(6):2401-3.
The debate on incentive payments and related issues will continue so long as dialysis and cadaver donation remain out of the reach of physicians in developing countries. This article (from a Western doctor) steps outside the usual debate on these issues by making a practical suggestion which aims at easing the ethical tension of incentive donation rather than insisting on its abolition. "Donors' trusts" may help the situation in India, but should not be applied in any country where effective dialysis is generally available. Nor would I be happy for such a model to be developed in any country where the aim to introduce cadaveric organ donation was not being energetically pursued.
只要透析和尸体捐赠在发展中国家仍无法由医生操作，关于激励性报酬及相关问题的争论就会持续下去。本文（出自一位西方医生）跳出了关于这些问题的常见争论，提出了一个切实可行的建议，旨在缓解激励性捐赠的伦理紧张关系，而非坚持废除它。“捐赠者信托”可能有助于印度的情况，但在任何普遍可获得有效透析的国家都不应应用。而且，在任何没有大力推行尸体器官捐赠目标的国家，我也不乐见这样一种模式被发展起来。
