对全身妊娠捐赠的批评。

IF 1.1 3区 哲学 Q3 ETHICS Theoretical Medicine and Bioethics Pub Date : 2023-08-01 Epub Date: 2023-07-28 DOI:10.1007/s11017-023-09637-z
Richard B Gibson
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引用次数: 1

摘要

Anna Smajdor在她备受争议的论文中提出,脑死亡者可以被用作无法或不愿亲自进行她所称的全身妊娠捐赠(WBGD)的准父母的妊娠单位。她探讨了这种想法的伦理问题,并将其与传统的器官捐赠进行了比较,她断言,这种已故的代孕可能是一种将怀孕伤害外包给无法受其影响的民众的方式。她认为,如果前景不可接受,这可能会揭示传统尸体器官捐献的一些潜在问题。然而,Smajdor的分析忽略了WBGD引起的几个问题。本文对这些问题进行了描述,并认为WBGD除了在内心上令人不快之外,在道德上也是不可行的。论文首先介绍了WBGD,然后承认其在传统媒体和社交媒体中的负面反应。在认为这种草率和本能的反应不足以彻底拒绝这一提议后,本文提出了关于Smajdor遗漏的WBGD的三个问题:(i)选择拯救生命的器官进行繁殖,(ii)使用尸体器官拯救生命与创造生命之间的差异,以及(三)女权主义对生殖身体商品化问题的普遍关注。该论文的结论是,暂时同意Smajdor的观点,即考虑WBGD可能有助于揭示有关器官捐赠和代孕的脆弱假设,但提出的重大伦理问题可能被证明是无法克服的,并使干预思维实验或其他方面站不住脚。
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A critique of whole body gestational donation.

In her controversial paper, Anna Smajdor proposes that brain-dead people could be used as gestation units for prospective parents unable or unwilling to undertake the act themselves-what she terms whole body gestational donation (WBGD). She explores the ethical issues of such an idea and, comparing it with traditional organ donation, asserts that such deceased surrogacy could be a way of outsourcing pregnancy's harms to a populace unable to be affected by them. She argues that if the prospect is unacceptable, this may reveal some underlying problems with traditional cadaveric organ donation. Smajdor's analysis, however, overlooks several problems arising from WBGD. This paper provides an account of those issues and argues that, in addition to WBGD being viscerally unpleasant, it is also ethically unviable. The paper starts by providing an account of WBGD before acknowledging its negative response within traditional and social media. After arguing that such cursory and gut reactions are insufficient to reject the proposal outright, this paper then provides three concerns regarding WBGD omitted by Smajdor: (i) the co-opting of life-saving organs for reproduction, (ii) the discrepancy between using cadaveric organs to save a life versus creating one, and (iii) the universalization of feminist concerns regarding reproductive body commodification. The paper concludes by tentatively agreeing with Smajdor that considering WBGD may help reveal vulnerable assumptions regarding organ donation and surrogacy, but that the significant ethical issues raised may prove insurmountable and make the intervention-thought experiment or otherwise-untenable.

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来源期刊
CiteScore
1.80
自引率
14.30%
发文量
43
期刊介绍: AIMS & SCOPE Theoretical Medicine and Bioethics examines clinical judgment and reasoning, medical concepts such as health and disease, the philosophical basis of medical science, and the philosophical ethics of health care and biomedical research Theoretical Medicine and Bioethics is an international forum for interdisciplinary studies in the ethics of health care and in the philosophy and methodology of medical practice and biomedical research. Coverage in the philosophy of medicine includes the theoretical examination of clinical judgment and decision making; theories of health promotion and preventive care; the problems of medical language and knowledge acquisition; theory formation in medicine; analysis of the structure and dynamics of medical hypotheses and theories; discussion and clarification of basic medical concepts and issues; medical application of advanced methods in the philosophy of science, and the interplay between medicine and other scientific or social institutions. Coverage of ethics includes both clinical and research ethics, with an emphasis on underlying ethical theory rather than institutional or governmental policy analysis. All philosophical methods and orientations receive equal consideration. The journal pays particular attention to developing new methods and tools for analysis and understanding of the conceptual and ethical presuppositions of the medical sciences and health care processes. Theoretical Medicine and Bioethics publishes original scholarly articles, occasional special issues on important topics, and book reviews. Related subjects » Applied Ethics & Social Responsibility – Bioethics – Ethics – Epistemology & Philosophy of Science – Medical Ethics – Medicine – Philosophy – Philosophy of Medicine – Surgery
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