Show

Bodies For Sale

Week of: 
Sunday, December 7, 2008
What is it: 

I can sell my house, the things I make, and the services I provide.  So why can't I sell one of my kidneys?  What is the philosophical basis for the taboo against selling parts of our bodies?  There is an (illegal) market in body parts; shouldn't we trust the wisdom of the market and make it legitimate?  Or would doing so undermine the very dignity of persons and human life?  Ken and John dissect the issues with Stanford Philosopher Debra Satz, author of Why Some Things Should Not Be for Sale: On The Limits of Markets.

Listening Notes: 

John and Ken start out by listing some dizzying statistics – in 2006, 6000 people in the US died awaiting organ transplant and only about half of those who could donate, did.  They review a brief list of reasons for and against selling organs: aiding the financially-needy (who are willing to sell organs for money) and the organ-needy one the one hand, violating donor’s personhood and exploiting the poor on the other.

Debra Satz joins Ken and John, and they begin their conversation by considering why the organ market should be run by anything other than principles of efficiency. Are those considerations so strong as to suggest that there should not be a market at all? While emphasizing the moral reasons against having an organ market, Debra notes that there is not much reliable data on how organ markets actually work in the real world, since they have almost never been legalized.

Ken and John then ask Debra about some of apparent inconsistencies of outlawing an organ market. If people may donate blood, then why not organs? Given that there are many individual cases in which organ donation is noble, why does it become smarmy when the market gets involved? Debra recaps some of the best arguments for an organ market, but also draws some bottom lines: in particular, the percentage of donors who regretted selling their organs, after the fact, when there was a legalized organ market in India.

John, Ken, and Debra end by exploring  what the best possible version of an organ market could be, if there was such a market. In the US, individuals must ‘opt-in’ to have their organs donated upon their death; in Europe, individuals must opt-out. Why shouldn’t we have the latter? Debra suggests an in-kind futures market, whereby individuals or their families are paid by future in-kind donations, rather than monetarily. Ken and John discuss a single-buyer and distributor system. They end by emphasizing the complexity – and intrigue – of the problem.

  • Roving Philosophical Reporter (seek to 5:50): Julie Napolin interviews David Magnus, director of Stanford Center for Biomedical Ethics, who talks to her about the dynamics of the organ donation game. He discusses the rules for solicitation, directed donation, and finding real friends.
  • 60-second Philosopher (seek to 49:20): Ian Schoales uncovers frightening – but mostly false – stories about organ scandals and thefts.

Debra Satz, Marta Sutton Weeks Professor of Ethics in Society, Stanford University

Related Resources: 

Online Resources

Books

Get Philosophy Talk

Radio

Sunday at 10am, PST, KALW, 91.7 FM, Local Public Radio, San Francisco

Podcast

Individual Downloads  via CdBaby or Itunes.  Multipacks and The Complete Philosophy Talk via Iamplify

John Perry and Ken Taylor

Continue the Conversation

Sidebar Menu

Upcoming Shows

  • July 27 : The New Surveillance Society - Big Brother Grows Up
    Recent revelations confirm what many already suspected: not only is Big Brother watching you, he is also potentially reading your emails, listening...
  • August 3 : Summer Reading List 2014
    What philosophers, philosophies, or philosophical issues would you like to read up on over the summer? John and Ken discuss one of this year's most...
  • August 10 : Captivity
    Whether it's people incarcerated in prisons, or animals confined in zoos, aquariums, laboratories, farms, and in our own homes, millions of upon...
  • August 17 : Remixing Reality: Art and Literature for the 21st Century
    For decades, literary critics have been questioning the relevance of the novel as a literary form, with some going so far as to declare its death....
  • August 24 : What Might Have Been
    When we make claims about things that could have been—what philosophers call counterfactual statements—we are, in some sense, sliding between...

Support Philosophy Talk

DONATE TODAY

Philosophy Talk relies on the support of listeners like you to stay on the air and online. Any contribution, large or small, helps us produce intelligent, reflective radio that questions everything, including our most deeply-held beliefs about science, morality, culture, and the human condition. Make your tax-deductible contribution now through Stanford University's secure online donation page. Thank you for your support, and thank you for thinking!