Department of Philosophy, University of Roskilde, Roskilde 4000, Denmark.
J Med Ethics. 2012 Aug;38(8):451-7. doi: 10.1136/medethics-2011-100163. Epub 2011 Dec 17.
Five arguments are presented in favour of the proposal that people who opt in as organ donors should receive a tax break. These arguments appeal to welfare, autonomy, fairness, distributive justice and self-ownership, respectively. Eight worries about the proposal are considered in this paper. These objections focus upon no-effect and counter-productiveness, the Titmuss concern about social meaning, exploitation of the poor, commodification, inequality and unequal status, the notion that there are better alternatives, unacceptable expense, and concerns about the veto of relatives. The paper argues that none of the objections to the proposal is very telling.
本文提出了五个支持选择成为器官捐赠者的人应该享受税收减免的论点。这些论点分别诉诸福利、自主性、公平、分配正义和自我所有权。本文考虑了对该提案的八个担忧。这些反对意见主要集中在无效和适得其反、提姆斯对社会意义的关注、对穷人的剥削、商品化、不平等和不平等地位、存在更好选择的观点、无法承受的费用以及对亲属否决权的担忧。本文认为,对该提案的反对意见都没有太大的说服力。