[Fair distribution in transplantation medicine]

Organ allocation according to medical criteria is unjust, incoherent and violates the autonomy of donors. Those who are not willing to donate do not act unjustly. However, those who allocate an organ to a person who is not willing to donate, while a person who has been willing to serve as a donor is left untreated, act unjustly. Respecting the autonomy of a potential donor to such an extent that organs may not be explanted even though this may cause the death of another person implies that the wish not to donate to those refusing to donate themselves, should be respected as well.