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Biographical lives and organ conscription
1INTEGRIS Health, Oklahoma City, OK, USA. djpemberton@gmail.com.
Abstract:
According to 2021 data, the United States' opt-in system of posthumous organ donation results in seventeen Americans dying each day waiting for vital organs, while many good undonated organs go to the grave with the corpse. One of the most aggressive, and compelling, proposals to resolve this tragedy is postmortem organ conscription, also called routine salvaging or organ draft. This proposal entails postmortem retrieval of needed organs, regardless of the prior authorization or refusal of the deceased or his family. The argument of most proponents of conscription relies heavily upon a denial of the possibility of posthumous harms. While I also deny the possibility of posthumous harms, I argue this denial fails to acknowledge other serious wrongs that could be done to the deceased person and his corpse. While the person can no longer be harmed, his life, in a roughly biographical sense, can be damaged. Humans highly value life in this sense, often more than biological life. Respect for this sense of life also informs appropriate treatment of particular human corpses, which already have special value beyond mere resource. I will argue that conscription proponents fail to appropriately value lives and human corpses. This failure can lead to multiple wrongs, among them a wrongful exploitation of the vulnerability of a person's life and corpse and a disrespect of persons. While it is possible that some biographical lives could be made better, or at least less bad, by conscription, the judgments such decisions would require make conscription bad policy.
Insights
Postmortem organ conscription, or organ draft, could save lives but risks disrespecting the deceased. This policy may exploit vulnerable lives and corpses, making it ethically problematic despite potential benefits.
Area of Science:
- Bioethics
- Public Health Policy
- Medical Ethics
Background:
- The current opt-in organ donation system in the US leads to daily deaths among those awaiting transplants.
- A significant number of viable organs are not donated and are buried with the deceased.
Purpose of the Study:
- To critically evaluate the ethical implications of postmortem organ conscription (organ draft).
- To explore whether denying posthumous harm justifies organ conscription.
- To argue against organ conscription based on respect for the deceased's life and corpse.
Main Methods:
- Philosophical analysis of posthumous harm and respect for persons.
- Ethical examination of organ conscription policy proposals.
- Argumentation based on the biographical sense of life and the value of human corpses.
Main Results:
- Denying posthumous harm does not negate other potential wrongs to the deceased or their corpse.
- Organ conscription risks exploiting the vulnerability of a person's life and corpse.
- The policy fails to appropriately value lives and human corpses, leading to disrespect.
Conclusions:
- Organ conscription, despite potentially saving lives, constitutes bad policy due to ethical violations.
- Respect for the biographical sense of life and the inherent value of human corpses must guide organ donation policies.
- Ethical considerations of exploitation and disrespect outweigh the potential benefits of mandatory organ retrieval.
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