a Monash University.
Am J Bioeth. 2014;14(10):7-18. doi: 10.1080/15265161.2014.947041.
Advocates of paid living kidney donation frequently argue that kidney sellers would benefit from paid donation under a properly regulated kidney market. The poor outcomes experienced by participants in existing markets are often entirely attributed to harmful black-market practices. This article reviews the medical and anthropological literature on the physical, psychological, social, and financial harms experienced by vendors under Iran's regulated system of donor compensation and black markets throughout the world and argues that this body of research not only documents significant harms to vendors, but also provides reasons to believe that such harms would persist under a regulated system. This does not settle the question of whether or not a regulated market should be introduced, but it does strengthen the case against markets in kidneys while suggesting that those advocating such a system cannot appeal to the purported benefits to vendors to support their case.
支付活体肾脏捐献的倡导者经常认为，在一个有适当监管的肾脏市场下，肾脏出售者将从支付捐献中受益。现有市场参与者所经历的不良结果往往完全归因于黑市的有害做法。本文回顾了关于伊朗受监管的捐赠者补偿制度和世界各地黑市下出售者所经历的身体、心理、社会和经济伤害的医学和人类学文献，并认为这一研究领域不仅记录了对出售者的重大伤害，还提供了理由相信，在有监管的制度下，这种伤害仍会持续存在。这并没有解决是否应该引入监管市场的问题，但它确实加强了反对肾脏市场的理由，同时表明，那些倡导此类系统的人不能以声称对出售者有利来支持他们的观点。
