University of Liverpool, UK.
Nurs Ethics. 2019 Mar;26(2):587-597. doi: 10.1177/0969733017710985. Epub 2017 Jul 26.
In 2015, Wales introduced a deemed consent: soft opt-out system for organ procurement in order to address the chronic shortage of organs for transplant. Early statistical evidence suggests that this has had a positive impact on cadaveric organ donation. Such a system for procurement has previously been dismissed by the Organ Donation Taskforce, who suggested that opting out could potentially undermine the concept of donated organs as gifts and this could then negatively impact the number of organs offered for transplant. Considerable weight was placed upon the need to retain the altruistic gift element associated with an opt-in system. This article will consider the role of altruism in an organ procurement policy. A broad utilitarian approach will be taken when putting forward the arguments in favour of adopting a weak altruism position in a soft opt-out system for procurement with a combined registry.
2015 年，威尔士引入了一种推定同意：软性选择退出器官采购系统，以解决长期存在的器官移植短缺问题。早期的统计证据表明，这对尸体器官捐赠产生了积极影响。此前，器官捐赠特别工作组拒绝了这种采购系统，他们认为选择退出可能会破坏捐赠器官作为礼物的概念，这可能会对可供移植的器官数量产生负面影响。特别工作组非常重视保留与选择加入系统相关的利他主义礼物元素的必要性。本文将考虑利他主义在器官采购政策中的作用。在提出支持在采用组合登记系统的软性选择退出采购系统中采取弱利他主义立场的论点时，将采用广泛的功利主义方法。
