Bloody Bioethics: Why Prohibiting Plasma Compensation Harms Patients and Wrongs Donors

Cover
Half Title
Series
Title
Copyright
Dedication
Contents
Acknowledgments
Preface
Introduction
	The Focus of This Volume: Financial Compensation for Plasma Donation
	Should Donors Be Compensated? A Focus on Ethics
1 Compensating Plasma Donors Is Safe and Effective
	Introduction
	Safety and Compensated Plasma Collection
	The Effectiveness of Compensated Plasma Collection
	Plasma Donation and Donor Health
	Conclusion
2 Donor Compensation and Informed Consent
	Introduction
	Informed Consent and the Requirement to Disclose
		Informed Consent in Autonomy Theory and Bioethics
		Information Relevant to Informed Consent
	Crowding Out and Compensated Donation
	Compensated Donation, Crowding Out, and Informed Consent
		Why Informed Consent Requires Donor Compensation
		Compensation, Signaling, and Charitable Donations
		The Irrelevance of Economic Value for Some Donors
	Objections and Responses
		The First Objection
		The Second Objection
	Well-Being, Autonomy, and Donor Compensation
	Conclusion
3 Coercion, Force, Autonomy, and Consent
	Introduction
	The Outline of This Chapter
	The Argument From Coercion
		Coercion and Autonomy
		The Argument From Coercion Fails
	The Argument From Force
		The Argument From Force and the Objective Value of Autonomy
		The Argument From Force and Donor Autonomy
	The Argument From Abdicated Control
	Two-Tier Consent
		Two-Tier Consent and the Narrowing Bounds of Permissible Exchange
	Back to Donor Compensation
	Conclusion
4 Exploitation
	Introduction
	An Analysis of Exploitation
	Defending This Account of Exploitation
	Conclusion
5 Donor Exploitation
	Introduction
	Exploitation and Plasma Donation
	Current Commercial Plasma Centers Do Not Exploit Their Donors
	Do Plasma Centers That Are Prohibited From Compensating Their Donors Exploit Them?
		The First Class of Vulnerable Donors: Those Who Would Donate Whether or Not Compensation Is Offered, but Who Would Prefer to Receive Compensation
		The Second Class of Vulnerable Donors: Those Who Would Only Donate if They Believed That There Will Be a Shortage of Plasma as a Result of the Prohibition of Donor Compensation
		Donor Exploitation
	Sauce for the Goose, Sauce for the Gander
	Stacking the Deck? Donor Compensation and Alternative Analyses of Exploitation
		Neo-Lockean Exploitation
		Marxian Exploitation
	Which Analysis of Exploitation Should We Accept?
	Blame and Exploitation
	Conclusion
6 Social Cohesion and Donor Approbation
	Introduction
	Social Cohesion and the Avoidance of Hypocrisy
	Approbation or Compensation?
		Two Tenets of Market Faith
		Altruism and Approbation
		The Myth of Stigmatized Compensated Donation
	Conclusion
7 Contamination, Cohesion, and Imagined Community
	Introduction
	The Tottering Domino of Social Cohesion
	The Gift of Blood and the Imagined Community
		Problems With This View
	A Better Alternative
	Conclusion
Conclusion
	From Where Should Plasma Be Secured?
	Plasma as a Strategic Resource
	Moving Beyond Plasma: How Far Can the Arguments Extend?
	Finis
Bibliography
Index