Camosy Charles C, Vukov Joseph
Fordham University, New York, NY, USA.
Department of Philosophy, Loyola University Chicago, IL, USA.
Linacre Q. 2021 May;88(2):149-162. doi: 10.1177/0024363921989477. Epub 2021 Feb 8.
Double Effect Donation claims it is permissible for a person meeting brain death criteria to donate vital organs, even though such a person may be alive. The reason this act is permissible is that it does not aim at one's own death but rather at saving the lives of others and because saving the lives of others constitutes a proportionately serious reason for engaging in a behavior in which one foresees one's death as the outcome. Double Effect Donation, we argue, opens a novel position in debates surrounding brain death and organ donation and does so without compromising the sacredness and fundamental equality of human life.
Recent cases and discussion have raised questions about whether brain death criteria successfully capture natural death. These questions are especially troubling since vital organs are often retrieved from individuals declared dead by brain death criteria. We therefore seem to be left with a choice: either salvage brain death criteria or else abandon current organ donation practices. In this article, we present a different way forward. In particular, we defend a view we call Double Effect Donation, according to which it is permissible for a person meeting brain death criteria to donate vital organs, even though such a person may be alive. Double Effect Donation, we argue, is not merely compatible with but grows out of a view that acknowledges the sacredness and fundamental equality of human life.
“双重效果捐赠”主张,符合脑死亡标准的人捐赠重要器官是允许的,即便此人可能仍活着。这一行为之所以被允许,是因为它并非以自身死亡为目的,而是旨在拯救他人生命,且拯救他人生命构成了从事一种可预见自身死亡为结果的行为的相称严重理由。我们认为,“双重效果捐赠”在围绕脑死亡和器官捐赠的辩论中开辟了一个新立场,且这样做并未损害人类生命的神圣性和基本平等。
近期的案例和讨论引发了关于脑死亡标准是否成功界定自然死亡的问题。这些问题尤其令人困扰,因为重要器官常常从被判定为脑死亡的个体身上获取。因此,我们似乎面临一个选择:要么挽救脑死亡标准,要么放弃当前的器官捐赠做法。在本文中,我们提出了一条不同的前进道路。具体而言,我们捍卫一种我们称之为“双重效果捐赠”的观点,据此,符合脑死亡标准的人捐赠重要器官是允许的,即便此人可能仍活着。我们认为,“双重效果捐赠”不仅与承认人类生命的神圣性和基本平等的观点相容,而且源自该观点。