
Contents
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Well‐being and the Duty to do no Harm Well‐being and the Duty to do no Harm
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Living Donation and Personal Sovereignty Living Donation and Personal Sovereignty
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Suspect motivations Suspect motivations
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Social pressure Social pressure
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Coercion and desperation Coercion and desperation
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Personal Sovereignty Versus Well‐being Personal Sovereignty Versus Well‐being
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The Role of the Transplant Team The Role of the Transplant Team
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Children as Organ Donors Children as Organ Donors
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Competent children Competent children
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Incompetent children Incompetent children
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Incompetent Donors Incompetent Donors
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Conclusion Conclusion
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8 Living Donor Organ Transplantation
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Published:November 2011
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Abstract
This chapter is about living donor organ transplantation. Living donation is of major and growing importance in organ transplantation. Although living donation from adults is no longer especially controversial, the issues it raises are not only important but also raised by the much more controversial sale of organs. Living donation creates what appears to be a conflict between the duty for doctors to do no harm and the duty to respect the autonomous wish to donate. However, on closer inspection of harm and autonomy, the conflict is much less stark. Where a conflict does exist, the chapter argues that people should be allowed to sacrifice autonomously their well‐being to some degree. The chapter then considers whether organs may be taken from children and other incompetents or marginally competent people. The chapter argues that competent children should be allowed to donate, subject to the same caveats as apply to adults, and it shows how the correct view of harm supports organ retrieval from the incompetent in certain cases.
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