Join the Lone Kidney Club: incentivising live organ donation.


:Given the dramatic shortage of transplantable organs, demand cannot be met by established and envisioned organ procurement policies targeting postmortem donation. Live organ donation (LOD) is a medically attractive option, and ethically permissible if informed consent is given and donor beneficence balances recipient non-maleficence. Only a few legal and regulatory frameworks incentivise LOD, with the key exception of Israel's Organ Transplant Law, which has produced significant improvements in organ donation rates. Therefore, I propose an organ procurement system that incentivises LOD by allocating additional priority points to the living donor on any transplant waiting list. I outline benefits and challenges for potential recipients, donors and society at large, and suggest measures to ensure medical protection of marginalised patient groups.


J Med Ethics


Glas A




Has Abstract


2020-02-14 00:00:00








  • Treatment-resistant depression and physician-assisted death.

    abstract::In a recent article, Udo Schuklenk and Suzanne van de Vathorst argued in favour of a legal option of physician-assisted death for patients with 'treatment-resistant' depression. In this commentary, I contend that their argument neglects the important consideration of the professional integrity of physicians. In light ...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章


    authors: MIller FG

    更新日期:2015-11-01 00:00:00

  • Terrible choices in the septic child: a response to the PALOH trial round table authors.

    abstract::In this response article, we challenge a core assumption that lies at the centre of a round table discussion regarding the Pharmacogenetics to Avoid Loss of Hearing trial. The round table regards a genetic test for a variant (mt.1555A>G) that increases the risk of deafness if a carrier is given the antibiotic gentamic...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Parker J,Wright D

    更新日期:2021-02-01 00:00:00

  • Participants' responsibilities in clinical research.

    abstract::Discussions on the ethics and regulation of clinical research have a great deal to say about the responsibilities of investigators, sponsors, research institutions and institutional review boards, but very little about the responsibilities of research participants. In this article, we discuss the responsibilities of p...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Resnik DB,Ness E

    更新日期:2012-12-01 00:00:00

  • Need for ethics support in healthcare institutions: views of Dutch board members and ethics support staff.

    abstract:OBJECTIVE:The purpose of this article is to investigate the need for ethics support in Dutch healthcare institutions in order to understand why ethics support is often not used in practice and which factors are relevant in this context. METHODS:This study had a mixed methods design integrating quantitative and qualita...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,多中心研究


    authors: Dauwerse L,Abma T,Molewijk B,Widdershoven G

    更新日期:2011-08-01 00:00:00

  • Ethical considerations in international HIV vaccine trials: summary of a consultative process conducted by the Joint United Nations Programme on HIV/AIDS (UNAIDS).

    abstract::Research that is initiated, designed or funded by sponsor agencies based in countries with relatively high social and economic development, and conducted in countries that are relatively less developed, gives rise to many important ethical challenges. Although clinical trials of HIV vaccines began ten years ago in the...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Guenter D,Esparza J,Macklin R

    更新日期:2000-02-01 00:00:00

  • The ethics of clinical trials.

    abstract::In summary, the discussion by Professors Helmchen and Müller-Oerlinghausen of the morality of clinical trials has emphasized a point that is frequently overlooked. It is an essential to consider those situations in which it might be unethical not to conduct a trial as it is to be concerned about the ways in which tria...

    journal_title:Journal of medical ethics

    pub_type: 临床试验,杂志文章


    authors: Wing JK

    更新日期:1975-12-01 00:00:00

  • Erring on the side of life: the case of Terri Schiavo.

    abstract::In debates over life and death it is often said that one should err on the side of caution--that is, on the side of life. In the light of the recent case of Terri Schiavo, it is explained how the "err-on-the-side-of-life" argument proceeds, and an objection to it is offered. ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Merrell DA

    更新日期:2009-05-01 00:00:00

  • Weakening the ethical distinction between euthanasia, palliative opioid use and palliative sedation.

    abstract::Opioid and sedative use are common 'active' practices in the provision of mainstream palliative care services, and are typically distinguished from euthanasia on the basis that they do not shorten survival time. Even supposing that they did, it is often argued that they are justified and distinguished from euthanasia ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Riisfeldt TD

    更新日期:2019-02-01 00:00:00

  • Family planning in Brazil: why not tubal sterilisation during childbirth?

    abstract::Sterilisation is the most desired method of contraception worldwide. In 1996, the Brazilian Congress approved a family planning law that legitimised female and male sterilisation, but forbade sterilisation during childbirth. As a result of this law, procedures currently occur in a clandestine nature upon payment. Desp...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Soares LC,Brollo JL

    更新日期:2013-11-01 00:00:00

  • Taboos and clinical research in West Africa.

    abstract::Moral principles or the rules of conduct are based in the society. If the purpose of ethics in research is to take into consideration the needs and the rights of the experimental subject, his social milieu must then largely determine the ethical considerations of a projected study. The inability to comprehend such rig...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Ajayi OO

    更新日期:1980-06-01 00:00:00

  • Lesbian couples: should help extend to AID?

    abstract::A considerable amount of publicity has recently centred on a few Lesbian couples who have successfully obtained artificial insemination by donor (AID) in order to have a child. Advice was orginally sought on a private basis from the Journal on the following case: now the issue is public knowledge, the doctor presentin...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章



    更新日期:1978-06-01 00:00:00

  • Patients' rights--why the Australian courts have rejected 'Bolam'.

    abstract::This point of view compares the issue of informed patient consent primarily as it operates in Australia and the United Kingdom. It affords an overview, also, of the applicable law in the United States and Canada. It particularly focuses on the legal test to be applied to patient consent as established in the Bolam cas...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Kirby M

    更新日期:1995-02-01 00:00:00

  • Low risk research using routinely collected identifiable health information without informed consent: encounters with the Patient Information Advisory Group.

    abstract::Current UK legislation is impacting upon the feasibility and cost-effectiveness of medical record-based research aimed at benefiting the NHS and the public heath. Whereas previous commentators have focused on the Data Protection Act 1998, the Health and Social Care Act 2001 is the key legislation for public health res...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Metcalfe C,Martin RM,Noble S,Lane JA,Hamdy FC,Neal DE,Donovan JL

    更新日期:2008-01-01 00:00:00

  • Experiment on identical siblings separated at birth: ethical implications for researchers, universities, and archives today.

    abstract::Several films, including Three Identical Strangers, examined ethical problems in an experiment that involved identical siblings who were adopted as infants and separated into different families to examine the effects of nature versus nurture. The study was primarily designed and directed by Dr Peter Neubauer. The expe...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Klitzman RL,Kelmenson AM

    更新日期:2020-05-04 00:00:00

  • Should physicians fake diagnoses to help their patients?

    abstract::Are fake diagnoses and false or misleading certificates permissible means of helping patients? This question is examined in relation to four examples from Swedish health care: the sterilisation case, the asylum case, the virginity case, and the adoption case. We argue that both consequentialist and deontological ethic...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Helgesson G,Lynöe N

    更新日期:2008-03-01 00:00:00

  • Paediatric xenotransplantation clinical trials and the right to withdraw.

    abstract::Clinical trials of xenotransplantation (XTx) may begin early in the next decade, with kidneys from genetically modified pigs transplanted into adult humans. If successful, transplanting pig hearts into children with advanced heart failure may be the next step. Typically, clinical trials have a specified end date, and ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Hurst DJ,Padilla LA,Walters W,Hunter JM,Cooper DKC,Eckhoff DM,Cleveland D,Paris W

    更新日期:2020-05-01 00:00:00

  • The multiple self objection to the prudential lifespan account.

    abstract::Multiple self approaches purport that to have equal concern about all stages of one's life is not a requirement of rationality. This poses a challenge to the prudential lifespan account which Norman Daniels advocates in Just health: meeting health needs fairly. Daniels has criticised the multiple self approach in earl...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Schefczyk M

    更新日期:2009-01-01 00:00:00

  • Herpes genitalis and the philosopher's stance.

    abstract::For many people, living with genital herpes generates not just episodic physical discomfort but recurrent emotional distress, centred on concerns about how to live and love safely without passing infection to others. This article considers the evidence on herpes transmission, levels of sexual risk, when the law has in...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Dunphy K

    更新日期:2014-12-01 00:00:00

  • Attitudes toward euthanasia and physician-assisted suicide: a study of the multivariate effects of healthcare training, patient characteristics, religion and locus of control.

    abstract::Public and healthcare professionals differ in their attitudes towards euthanasia and physician-assisted suicide (PAS), the legal status of which is currently in the spotlight in the UK. In addition to medical training and experience, religiosity, locus of control and patient characteristics (eg, patient age, pain leve...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Hains CA,Hulbert-Williams NJ

    更新日期:2013-11-01 00:00:00

  • Killing or letting die? Proposal of a (somewhat) new answer to a perennial question.

    abstract::There is as yet no widely agreed-upon solution to the standard textbook problem whether actively shutting off a life-sustaining medical device, e.g. a respirator, and thus bringing about a patient's death amounts to active killing or just to an omission of further treatment. Apart from a range of astutely contrived ca...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Merkel R

    更新日期:2016-06-01 00:00:00

  • Scientific evidence and best patient care practices should guide the ethics of Lyme disease activism.

    abstract::Johnson and Stricker published an opinion piece in the Journal of Medical Ethics presenting their perspective on the 2008 agreement between the Infectious Diseases Society of America (IDSA) and the Connecticut Attorney General with regard to the 2006 IDSA treatment guideline for Lyme disease. Their writings indicate t...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Auwaerter PG,Bakken JS,Dattwyler RJ,Dumler JS,Halperin JJ,McSweegan E,Nadelman RB,O'Connell S,Sood SK,Weinstein A,Wormser GP

    更新日期:2011-02-01 00:00:00

  • Are therapeutic motivation and having one's own doctor as researcher sources of therapeutic misconception?

    abstract:BACKGROUND:Desire for improvement in one's illness and having one's own doctor functioning as a researcher are thought to promote therapeutic misconception (TM), a phenomenon in which research subjects are said to conflate research with treatment. PURPOSE:To examine whether subjects' therapeutic motivation and own doc...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Kim SY,De Vries R,Parnami S,Wilson R,Kim HM,Frank S,Holloway RG,Kieburtz K

    更新日期:2015-05-01 00:00:00

  • Assessing risk/benefit for trials using preclinical evidence: a proposal.

    abstract::Moral evaluation of risk/benefit in early phase studies requires assessing the clinical promise of a candidate intervention using preclinical evidence. Yet, there is little to guide ethics committees, investigators, sponsors or other stakeholders morally charged with making these assessments ('evaluators'). In what fo...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Kimmelman J,Henderson V

    更新日期:2016-01-01 00:00:00

  • Do strong value-based attitudes influence estimations of future events?

    abstract::The purpose of the present study was to examine whether or not strong values might influence physicians' estimations of future events. In an empirical study about physicians' attitudes towards physician assisted suicide (PAS) we asked about the physicians' main reasons for being pro, doubtful or contra PAS and also as...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Juth N,Lynöe N

    更新日期:2010-04-01 00:00:00

  • Covert video surveillance: the Staffordshire Protocol--a response to Dr Shinebourne.

    abstract::This paper is a response to Dr Shinebourne's response to my recent paper assessing the relative merits of the Staffordshire Protocol on covert video surveillance. Dr Shinebourne does not take the opportunity to rebut the criticisms made of the text of the protocol. It is further suggested that judicial oversight of th...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章


    authors: Thomas T

    更新日期:1996-12-01 00:00:00

  • Is there an objective way to compare research risks?

    abstract::Determining whether a research risk meets or exceeds a regulatory standard of risk acceptability is difficult. Recently a framework called the systematic evaluation of research risks (SERR) has been proposed as a method of comparing research risks with predetermined standards of acceptability. SERR purports to offer a...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Rossi J,Nelson RM

    更新日期:2012-07-01 00:00:00

  • A proposed draft protocol for the European Convention on Biomedicine relating to research on the human embryo and fetus.

    abstract::The objective of this paper is to stimulate academic debate on embryo and fetal research from the perspective of the drafting of a protocol to the European Convention on Biomedicine. The Steering Committee on Bioethics of the Council of Europe was mandated to draw up such a protocol and for this purpose organised an i...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Byk JC

    更新日期:1997-02-01 00:00:00

  • 'I just need an opiate refill to get me through the weekend'.

    abstract::In this article, we discuss the ethical dimensions for the prescribing behaviours of opioids for a chronic pain patient, a scenario commonly witnessed by many physicians. The opioid epidemic in the USA and Canada is well known, existing since the late 1990s, and individuals are suffering and dying as a result of the e...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Yan E,Kuo DJ

    更新日期:2019-04-01 00:00:00

  • Antimicrobial stewardship programmes: bedside rationing by another name?

    abstract::Antimicrobial therapy is a cornerstone of therapy in critically ill patients; however, the wide use of antibiotics has resulted in increased antimicrobial resistance and outbreaks of resistant disease. To counter this, many hospitals have instituted antimicrobial stewardship programmes as a way to reduce the inappropr...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Oczkowski S

    更新日期:2017-10-01 00:00:00

  • Terminal sedation and the "imminence condition".

    abstract::"Terminal sedation" refers to the use of sedation as palliation in dying patients with a terminal diagnosis. Although terminal sedation has received widespread legal and ethical justification, the practice remains ethically contentious, particularly as some hold that it foreseeably hastens death. It has been proposed ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章


    authors: Cellarius V

    更新日期:2008-02-01 00:00:00