Division of Nephrology, College of Medicine, Pennsylvania State University, Hershey, PA 17033, USA.
Adv Chronic Kidney Dis. 2012 Jul;19(4):262-8. doi: 10.1053/j.ackd.2012.05.002.
Paying for kidney or other organ donation has lead to heated debates about donor and recipient welfare. Many have argued that paying for donation leads to coercion and exploitation of the poor, and, in the end, produces more harm than good. Others have said that payment helps the poor, and we should all have sovereignty over our bodies and, thus, should be allowed to donate for remuneration. Although World Health Organizations and governments in many countries have now banned the process of paying for donation, there is still ongoing payment legally and illegally. Thus, this timely set of three articles from Iran, Pakistan, and the Philippines, where paid donation has been extensively performed, will allow the reader to decide for themselves whether the benefits and/or harms of this practice are now clear.
支付肾脏或其他器官捐赠费用引发了关于捐赠者和接受者福利的激烈争论。许多人认为,支付捐赠费用会导致对穷人的强制和剥削,最终弊大于利。也有人表示,支付报酬有助于穷人,我们都应该对自己的身体拥有主权,因此应该允许我们为获得报酬而捐献。尽管世界卫生组织和许多国家的政府现在已经禁止支付捐赠费用的过程,但仍有合法和非法的支付行为在继续。因此,来自伊朗、巴基斯坦和菲律宾的这三组文章及时发表,这三个国家广泛开展了有偿捐赠,读者可以自行判断这种做法的利弊是否已经清晰。