Bioethics Beyond Altruism Donating and Transforming Human Biological Materials

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24 R.M. Shaw


Notes


  1. The European Union Tissue and Cells Directive ( 2004 : L102/49(18))
    states that tissue and cell procurement, ‘should be founded on the phi-
    losophy of voluntary and unpaid donation, anonymity of both donor
    and recipient, altruism of the donor and solidarity between donor and
    recipient’. In the USA, the 1968 Uniform Anatomical Gift Act and the
    1984 National Organ Transplant Act both call for altruistic donation,
    referring to the donation of bodily materials and parts as gifts. In line
    with these documents, the current practice of the Australian and New
    Zealand Intensive Care Society (ANZICS) Statement on Death and
    Organ Donation ( 2013 : 14), ‘is based on the donation of organs and tis-
    sues being an unconditional altruistic, non-commercial act’.

  2. See Diprose ( 2002 ) and Shildrick ( 2012 ) for discussions of corporeal
    generosity and tissue exchange in relation to Derrida’s work.

  3. See Busby et al. ( 2014 ) for an alternative perspective, based on altera-
    tions to the blood economy over the course of the last 50 years.

  4. Despite concerns that payment will degrade the basis of altruistic dona-
    tion, major international organisations such as the World Medical
    Association and Council of Europe distinguish between the commer-
    cialisation of human tissue and organs and recompense for live donation.
    This has been the position of the International Transplantation Society
    since 1985 and was recently endorsed by the UK Nuffield Council of
    Bioethics ( 2011 ) report. The Nuffield Report defines non-altruistically
    focused financial incentives to reward living donors and their families
    from altruistically focused recompense.


References

Ahmed, S. (2004). Affective economies. Social Text, 22 (2), 117–139.
Almeling, R. (2009). Gender and the value of bodily goods; commodification
in egg and sperm donation. Law and Contemporary Problems, 72 (3), 37–58.
Almeling, R. (2011). Sex cells: The medical market in eggs and sperm. Berkeley,
CA: University of California Press.
Appadurai, A. (1986). Introduction: Commodities and the politics of value. In
A. Appadurai (Ed.), The social life of things: Commodities in cultural perspec-
tive (pp. 3–63). Cambridge: Cambridge University Press.


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