White Lucie
School of Philosophy, RSSS, CASS, Australian National University, Canberra, ACT, 0200, Australia.
HEC Forum. 2015 Dec;27(4):387-400. doi: 10.1007/s10730-014-9261-5.
In accordance with a recent statement released by the World Health Organization, the Canadian province of Ontario is moving to ban payment for plasma donation. This is partially based on contentions that remuneration for blood and blood products undermines autonomy and personal dignity. This paper is dedicated to evaluating this claim. I suggest that traditional autonomy-based arguments against commodification of human body parts and substances are less compelling in the context of plasma donation in Canada, but that there is another autonomy-based objection to paid plasma donation that has not received sufficient attention. Namely, the stigma that surrounds exchanging plasma for payment makes it difficult to make an autonomous decision to engage in this activity. I suggest that this problem can be overcome in one of two ways; by banning payment for plasma, or by reducing the stigma surrounding this practice. I provide an indication of how we might work to achieve the latter, contending that this possibility should be taken seriously, due to the difficulties in achieving a sufficient supply of plasma without remuneration.
根据世界卫生组织最近发布的一份声明，加拿大安大略省正在采取行动禁止为血浆捐赠支付报酬。部分原因是有人认为对血液和血液制品进行报酬支付会损害自主性和个人尊严。本文致力于评估这一说法。我认为，在加拿大血浆捐赠的背景下，传统的基于自主性的反对人体器官和物质商品化的论点说服力较弱，但对于有偿血浆捐赠还有另一个基于自主性的反对意见尚未得到充分关注。也就是说，围绕用血浆换取报酬的污名使得人们很难自主决定参与这项活动。我认为这个问题可以通过以下两种方式之一来克服：禁止为血浆支付报酬，或者减少围绕这种做法的污名。我指出了我们如何努力实现后者，并认为由于在没有报酬的情况下难以获得足够的血浆供应，这种可能性应该得到认真对待。
