Ethics of organ transplantation


In bioethics, ethics of organ transplantation refers to the ethical concerns on organ transplantation procedures. Both the source and method of obtaining the organ to transplant are major ethical issues to consider, as well as the notion of distributive justice.

Distribution

Scarcity of replacement organs, currently only from living or dead organ donors rather than factories, and insufficient for demand, results in a growing waiting list of patients and ethical issues in allocation. In 1994, E. H. Kluge objects to the equal access principle based on his argument that people whose need are uncontrollable should be preferred over people who choose a poor lifestyle. Donor matching intended to optimize life-years gained is also subject to debate, as people value their organ and the remainder of their lives differently. In practice, organ and tissue banks often choose patients in ways that secure their revenue, whereas “altruistic” clinics may not have the income necessary to fund their own needs, let alone to support research and development to improve quality and availability of care