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器官旅游的伦理:角色道德与器官移植

The Ethics of Organ Tourism: Role Morality and Organ Transplantation.

作者信息

Adams Marcus P

机构信息

University at Albany, State University of New York, Albany, New York, USA.

出版信息

J Med Philos. 2017 Nov 15;42(6):670-689. doi: 10.1093/jmp/jhx021.

Abstract

Organ tourism occurs when individuals in countries with existing organ transplant procedures, such as the United States, are unable to procure an organ by using those transplant procedures in enough time to save their life. In this paper, I am concerned with the following question: When organ tourists return to the United States and need another transplant, do US transplant physicians have an obligation to place them on a transplant list? I argue that transplant physicians have a duty not to relist organ tourists. Specifically, I contend that we should locate physicians' duties in these cases within the new role of "transplant physician." This role results from transplant physicians' participation in a system that depends on organ donors' voluntary act of donation.

摘要

当美国等已开展器官移植手术的国家的个人,无法通过这些移植程序及时获得器官以挽救生命时,就会出现器官旅游现象。在本文中,我关注以下问题:当器官旅游者返回美国并需要再次进行移植时,美国的移植医生是否有义务将他们列入移植名单?我认为移植医生有责任不将器官旅游者重新列入名单。具体而言,我主张我们应将这些情况下医生的职责定位在“移植医生”这一新角色中。这一角色源于移植医生参与了一个依赖器官捐赠者自愿捐赠行为的系统。

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