Ethically Acceptable Compensation for Living Donations of Organs, Tissues, and Cells: An Unexploited Potential?

Research output: Contribution to journalJournal articleResearchpeer-review

31 Downloads (Pure)

Abstract

The number of living donations of human organs, tissues, and cells falls far short of the need. Market-like arrangements to increase donation rates have been proposed, but they are broadly considered unacceptable due to ethical concerns and are therefore not policy relevant in most countries. The purpose of this paper is to explore a different approach to increasing living donations, namely through the use of ethically acceptable compensation of donors. We review the compensation practices in Europe and find a lack of reimbursement of incurred costs and lack of compensation for non-monetary losses, which create disincentives for donation. We draw on a well-known philosophical theory to explain why donors are rarely fully compensated and why many existing proposals to raise donation rates are seen as controversial or even unethical. We present and discuss three categories of compensation with the potential to increase donation rates in an ethically acceptable way.
Original languageEnglish
JournalApplied Health Economics and Health Policy
Volume17
Issue number1
Pages (from-to)1-14
Number of pages14
ISSN1175-5652
DOIs
Publication statusPublished - Feb 2019

Bibliographical note

Published online: 25 August 2018.

Cite this

@article{5cb4d514b0da47ed895866f6df6a677c,
title = "Ethically Acceptable Compensation for Living Donations of Organs, Tissues, and Cells: An Unexploited Potential?",
abstract = "The number of living donations of human organs, tissues, and cells falls far short of the need. Market-like arrangements to increase donation rates have been proposed, but they are broadly considered unacceptable due to ethical concerns and are therefore not policy relevant in most countries. The purpose of this paper is to explore a different approach to increasing living donations, namely through the use of ethically acceptable compensation of donors. We review the compensation practices in Europe and find a lack of reimbursement of incurred costs and lack of compensation for non-monetary losses, which create disincentives for donation. We draw on a well-known philosophical theory to explain why donors are rarely fully compensated and why many existing proposals to raise donation rates are seen as controversial or even unethical. We present and discuss three categories of compensation with the potential to increase donation rates in an ethically acceptable way.",
author = "Platz, {Trine Torn{\o}e} and Nikolaj Siersb{\ae}k and {\O}sterdal, {Lars Peter}",
note = "Published online: 25 August 2018.",
year = "2019",
month = "2",
doi = "10.1007/s40258-018-0421-7",
language = "English",
volume = "17",
pages = "1--14",
journal = "Applied Health Economics and Health Policy",
issn = "1175-5652",
publisher = "Adis International Ltd.",
number = "1",

}

Ethically Acceptable Compensation for Living Donations of Organs, Tissues, and Cells : An Unexploited Potential? / Platz, Trine Tornøe; Siersbæk, Nikolaj; Østerdal, Lars Peter.

In: Applied Health Economics and Health Policy, Vol. 17, No. 1, 02.2019, p. 1-14.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Ethically Acceptable Compensation for Living Donations of Organs, Tissues, and Cells

T2 - An Unexploited Potential?

AU - Platz, Trine Tornøe

AU - Siersbæk, Nikolaj

AU - Østerdal, Lars Peter

N1 - Published online: 25 August 2018.

PY - 2019/2

Y1 - 2019/2

N2 - The number of living donations of human organs, tissues, and cells falls far short of the need. Market-like arrangements to increase donation rates have been proposed, but they are broadly considered unacceptable due to ethical concerns and are therefore not policy relevant in most countries. The purpose of this paper is to explore a different approach to increasing living donations, namely through the use of ethically acceptable compensation of donors. We review the compensation practices in Europe and find a lack of reimbursement of incurred costs and lack of compensation for non-monetary losses, which create disincentives for donation. We draw on a well-known philosophical theory to explain why donors are rarely fully compensated and why many existing proposals to raise donation rates are seen as controversial or even unethical. We present and discuss three categories of compensation with the potential to increase donation rates in an ethically acceptable way.

AB - The number of living donations of human organs, tissues, and cells falls far short of the need. Market-like arrangements to increase donation rates have been proposed, but they are broadly considered unacceptable due to ethical concerns and are therefore not policy relevant in most countries. The purpose of this paper is to explore a different approach to increasing living donations, namely through the use of ethically acceptable compensation of donors. We review the compensation practices in Europe and find a lack of reimbursement of incurred costs and lack of compensation for non-monetary losses, which create disincentives for donation. We draw on a well-known philosophical theory to explain why donors are rarely fully compensated and why many existing proposals to raise donation rates are seen as controversial or even unethical. We present and discuss three categories of compensation with the potential to increase donation rates in an ethically acceptable way.

U2 - 10.1007/s40258-018-0421-7

DO - 10.1007/s40258-018-0421-7

M3 - Journal article

VL - 17

SP - 1

EP - 14

JO - Applied Health Economics and Health Policy

JF - Applied Health Economics and Health Policy

SN - 1175-5652

IS - 1

ER -