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Ethics of organ transplantation : ウィキペディア英語版
Ethics of organ transplantation
In bioethics, ethics of organ transplantation refers to the ethical concerns on organ transplantation procedures . Both the source and method of obtaining the organ to transplant are major ethical issues to consider, as well as the notion of distributive justice.
== Sources ==
Organ harvesting from live people is one of the most frequently discussed debate topic in organ transplantation. The World Health Organization argues that transplantation promote health, but the notion of “transplantation tourism” has the potential to violate human rights or exploit the poor, to have unintended health consequences, and to provide unequal access to services, all of which ultimately may cause harm. Thus WHO called to ban compensated organ transplanting and asked member states to protect the most vulnerable from transplant tourism and organ trade.
There is also a powerful opposing view, that trade in organs, if properly and effectively regulated to ensure that the seller is fully informed of all the consequences of donation, is a mutually beneficial transaction between two consenting adults, and that prohibiting it would itself be a violation of Articles 3 and 29 of the Universal Declaration of Human Rights.
Even within developed countries there is concern that enthusiasm for increasing the supply of organs may trample on respect for the right to life. The question is made even more complicated by the fact that the "irreversibly" criterion for legal death cannot be adequately defined and can easily change with changing technology. As controversies on the boundary of life and death grow, the debate on when to end end-of-life care and start organ harvesting ensures.
Controversies also raise on how to assume consent of organ donation for dead people. In practice most countries, have legislation allowing for implied consent, asking people to opt out of organ donation instead of opt in, but allow family refusals.〔Keeping kidneys, Bulletin of the World Health Organization, Volume 90, Number 10, October 2012, 713-792 ()〕
There are fewer debates on animal sources, as historically laboratory animals have been used to develop organ transplantation technologies for prolonging human life, such as using animal organs in xenotransplantation on human. Nevertheless, animal rights activists have objections on what they see as animal abuse such as organ harvesting in bear farms, and religious groups object what they see as consumption of dirty animals.
Organs from artificial origin like stem cells, is a prospect that researchers hope to use one day. However many of such researches are crictised based on the use of human embryo.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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