Guttmann A, Guttmann R D
McGill University, Canada.
J Med Ethics. 1993 Sep;19(3):148-53. doi: 10.1136/jme.19.3.148.
We conducted a survey of attitudes towards the sale of kidneys for transplantation within and without the medical community. Half of those polled received a case of a young man in India whose only chance for survival was to purchase a kidney, the other half a case of a Canadian man who was suffering side-effects from dialysis and had been on the transplant waiting list for three years. We found the percentage of responses allowing the patients to purchase a kidney was similar for the two cases (40 per cent in the Canadian case and 49 per cent in the Indian case). The medical groups had much lower rates of approval of this practice than the public. In all groups those allowing the practice showed similar concerns about regulation. This survey indicates public opinion to be contrary to public policy.
我们针对医学界内外对出售肾脏用于移植的态度进行了一项调查。接受调查的人中，一半收到的案例是印度一名年轻男子，其唯一的生存机会是购买一个肾脏；另一半收到的案例是一名加拿大男子，他因透析产生副作用，且已在移植等候名单上等待了三年。我们发现，对于这两个案例，允许患者购买肾脏的回应比例相近（加拿大案例中为40%，印度案例中为49%）。与公众相比，医疗群体对这种做法的认可率要低得多。在所有群体中，允许这种做法的人对监管表现出类似的担忧。这项调查表明公众舆论与公共政策背道而驰。
