PHI FPX 3200 Assessment 4
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Robbing the Dead: Is Organ Conscription Ethical?
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Capella University
PHI3200
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Robbing the Dead: Is Organ Conscription Ethical?
“The worldwide scarcity of donor organs poses profound ethical predicaments in terms of autonomy, justice, and consent. Typical moral issues concerning dignity and freedom are raised through organ conscription, which is the automatic harvest of organs of deceased people without prior consent (Walton et al., 2023). Such policies do not respect the balance between the good of society and the individual, although their purpose is to save human lives. Ethical healthcare should have the utilitarian objective of preserving life over respect. The paper analyses the ethical issues and considerations of morality, justice, relevance of consent, and other ethical methods to the donation of organs.
Moral Concerns Related to Organ Conscription
“Organ conscription does not consider autonomy and informed consent, which are fundamental healthcare ethical principles. Seizing the possession of the body of a dead person is more of treating people as a means to an end instead of people of moral value. This practice will reduce confidence in health care organizations and may lead to opposition among the population (Raza and Neuberger, 2022). In addition, it substitutes the voluntary spirit of giving through giving with coercive obedience. In this way, even though it sounds utilitarian, organ conscription does not match the ethical obligation, which means the obligation to adhere to autonomy and human dignity.
Human dignity is also at risk because of the existence of policies that can enable the extraction of organs without consent. Opteron and opt-out arrangements offer a more moral compromise in retaining the choice of an individual. The opt-in model allows consent to be maintained by a voluntary registration procedure, whereas the opt-out system encourages more people to donate without destroying the freedom of choice (Saunders, 2023). Even though the two focus on the reduction of shortages, only those that focus on the informed consent remain morally legitimate. Organ conscription, on the other hand, leaves no control to individuals; hence, it cannot be ethically justified even though it may be efficient.
Questions about Fairness and Justness
“Healthcare ethics should be based on fairness and justice, which should be the policies in organ donation. Conscription might seem equal in the sense that it puts the burden on everyone equally; however, it does not address liberty and autonomy. The justice that Rawls suggests is true, and it respects both equality and the rights of individuals (Hackmann et al., 2022). Vulnerable populations can also perceive such policies as either forceful or discriminatory and lower their trust in the healthcare systems. Thus, organ conscription cannot be discussed as fair and just because it does not follow the principle of morality but concentrates on its efficiency and neglects the principle of moral equality and respect of choice.
Also, the issue of equity in the allocation of organs is doubtful in the case of the conscription system. Access can be based on factors such as income, geography, or influence, and this creates inequity. Distributive justice is weakened by the fact that the policy does not always benefit those whose organs are collected (Hackmann et al., 2022). Fairness in ethics needs clear and equal allocation procedures that embrace social responsibilities and individual rights. Therefore, organ conscription does not guarantee justice and equality and undermines its moral basis in healthcare ethics.
Strategies to Foster Public Acceptance
“The education, transparency, and involvement of the community are the key to making ethical organ donation policies acceptable to the population. Misconceptions, the moral significance of consent, and trust should be established by a public awareness campaign to explain to people the importance of organ recovery (Olawade et al., 2024). Involvement of leaders in the community and religion can also promote participation by matching the donations to cultural and religious beliefs. Altruism may also be encouraged by recognizing the donors and encouraging stories of the saved lives. Finally, culturally competent education and open discussion will be important in improving voluntary donation of organs, and also within the boundaries of ethics.
Significance of Consent Regarding Organ Donation
“Consent is a core value that maintains freedom, integrity, and fidelity in medical practice. Informed consent, in organ donation, helps people to maintain authority over their bodies even after death (Gardiner et al., 2021). The voluntary consent will be a moral act of kindness and not an act of pressure. Disregard of consent undermines transparency and confidence in the healthcare systems. Consent maintenance, therefore, enhances ethical integrity and builds on the credibility of the populace in organ donation policies.
The respect for consent helps to promote fairness and altruism in society as well. Individuals feel inclined to attend as they feel that their decisions are respected. The systems that are based on consent are more welcoming to voluntary involvement and lead to a decrease in ethical issues concerning bodily integrity. Healthcare systems are facilitated in accountability and moral certainty by ensuring a clear line of communication and adherence to the desires of people (Fukami, 2024). Therefore, to strike the right balance between the requirements of the community and those of the population at risk and the responsibility to uphold the business ethics and human rights, consent is necessary.”
Alternative Policies for the Availability of Donor Organs
Alternatives that are ethically acceptable can enhance the availability of organs as well as maintain autonomy. An assumed consent or opt-out system means an individual is able to donate unless they decline to do so and encourages donation without the sacrifice of freedom (Saunders, 2023). Voluntary registration can also be promoted through education and awareness campaigns to overcome the myths of organ donation. Ethical recognition of the contribution can also be used as an incentive-based program to motivate donors. These methods promote trust, transparency, and consent and assist in bridging the gap between the donors and the beneficiaries.
Such alternatives should be implemented to make organ donation a voluntary and respected activity. Ethical approaches must focus on cooperation, sound decision-making, and fairness. Healthcare systems can enhance the pool of donors ethically by educating them, obtaining their consent, and ensuring social responsibility (Gardiner et al., 2021). These are ethical techniques that support the moral values and deal with the shortage of organs. Thus, the voluntary and transparent systems are a more sustainable and ethically available solution than organ conscription.
Conclusion
The dilemma of organ conscription is an ethical issue that is a conflict between life-saving and moral choices. Although the policy can enhance the availability of organs, it compromises autonomy, consent, and equity. Ultimate justice in healthcare considers personal freedom equally to societal good. Other models, like presumed consent, education, and incentives, support ethics and encourage donation. Therefore, organ conscription is not ethically right, because it goes against the principles of autonomy, dignity, and ethical responsibility.
Related assessments for this class: PHI FPX 3200 Assessment 1 and PHI FPX 3200 Assessment 2
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PHI FPX 3200 Assessment 4
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References for
PHI FPX 3200 Assessment 4
You can use these references on PHI FPX 3200 Assessment 4 Robbing the Dead: Is Organ Conscription Ethical? The Mr. Martinez Case:
Fukami, T. (2024). Enhancing healthcare accountability for administrators: Fostering transparency for patient safety and quality enhancement. Cureus, 16(8), 1–6. https://doi.org/10.7759/cureus.66007
Gardiner, D., McGee, A., & Shaw, D. (2021). Two fundamental ethical and legal rules for deceased organ donation. British Journal of Anaesthesia Education, 21(8). https://doi.org/10.1016/j.bjae.2021.03.003
Hackmann, M., English, R. A., & Kizer, K. W. (2022). Foundations for a trustworthy deceased donor organ transplantation system. In www.ncbi.nlm.nih.gov. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK580026/
Olawade, D. B., Marinze, S., Qureshi, N., Weerasinghe, K., & Teke, J. (2024). Transforming organ donation and transplantation: Strategies for increasing donor participation and system efficiency. European Journal of Internal Medicine, 133. https://doi.org/10.1016/j.ejim.2024.11.010
Raza, F., & Neuberger, J. (2022). Consent in organ transplantation: putting legal obligations and guidelines into practice. BioMed Central Medical Ethics, 23(1). https://doi.org/10.1186/s12910-022-00791-y
Saunders, B. (2023). Opt‐out, mandated choice, and informed consent. Bioethics, 37(9), 862–868. https://doi.org/10.1111/bioe.13228
Walton, P., Blanco, P. A., Beed, S., Glazier, A., Ferreira, D., Kingdon, J., Jordison, K., & Weiss, M. J. (2023). Organ and tissue donation consent model and intent to donate registries: Recommendations from an international consensus forum. Transplantation Direct, 9(5). https://doi.org/10.1097/txd.0000000000001416
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