ABSTRACT

This conclusion presents some closing thoughts on the key concepts discussed in the preceding chapters of this book. The book shows that if one hold personal autonomy and/or human well-being to be morally valuable then one should morally favour the use of a regulated current market to procure human kidneys for transplantation. One might hold that while there is nothing morally objectionable about using a market for procurement or distribution, such a market should not be legalized because it would be so prone to abuse that its benefits would be outweighed by its disadvantages. The book argues that proponents of the pro-market argument from analogy had to show that the unpleasant activities that they compared to kidney selling were themselves morally permissible for this argument to be sound. The widely held values in contemporary bioethics, respect for personal autonomy and concern for human wellbeing, both support the view that a regulated, current market in human kidneys is morally permissible.