Directorate of Nursing, University of Liverpool, 1st Floor, Whelan Building, The Quadrangle, Brownlow Hill, Liverpool L69 3GB, UK.
J Med Ethics. 2009 Dec;35(12):739-42. doi: 10.1136/jme.2009.029967.
Is it possible to invoke the use of moral responsibility as part of the selection criteria in the allocation of livers for transplant? Criticism has been applied to the difficulties inherent in including such a criterion and also the effect that employing such a judgement might have upon the relationship between the physician and patient. However, these criticisms rely on speculation and conjecture and do not relate to all the arguments put forward in favour of applying moral responsibility. None of the present arguments against using moral responsibility in the allocation of livers for transplant are good enough to warrant its dismissal.
是否可以将道德责任的行使作为分配肝脏进行移植的选择标准之一？人们对这一标准的固有困难提出了批评，也对使用这种判断可能对医生和患者之间的关系产生的影响提出了批评。然而，这些批评意见都是基于猜测，而且与支持将道德责任应用于肝脏分配的所有论点都不相关。目前反对在肝脏分配中使用道德责任的论据都不够充分，不足以将其排除。
