Journal of Medicine and Philosophy Advance Access originally published online on October 30, 2009
Journal of Medicine and Philosophy 2009 34(6):552-572; doi:10.1093/jmp/jhp045
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A Litmus Test for Exploitation: James Stacey Taylor's Stakes and Kidneys
The University of Edinburgh, Edinburgh, UK
Address correspondence to: J. R. Kuntz, MA, Philosophy in PPLS, University of Edinburgh, Dugald Stewart Building, 3 Charles Street, Rm 1.06, Edinburgh EH8 9AD, UK. E-mail: j.r.kuntz{at}sms.ed.ac.uk
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James Stacy Taylor advances a thorough argument for the legalization of markets in current (live) human kidneys. The market is seemly the most abhorrent type of market, a market where the least well-off sell part of their body to the most well off. Though rigorously defended overall, his arguments concerning exploitation are thin. I examine a number of prominent bioethicists account of exploitation: most importantly, Ruth Sample's exploitation as degradation. I do so in the context of Taylor's argument, with the aim of buttressing Taylor's position that a regulated kidney market is morally allowable. I argue that Sample fails to provide normative grounds consistent with her claim that exploitation is wrong. I then reformulate her account for consistency and plausibility. Still, this seemingly more plausible view does not show that Taylor's regulated kidney market is prohibitively exploitative of impoverished persons. I tack into place one more piece of support for Taylor's conclusion. (wc. 148)
Keywords: commodification, ethics, J. S. Taylor, kidneys, organ markets
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