caa a22 4500 475841816 CHVBK 20180406123903.0 cr unu---uuuuu 170329e20000901xx s 000 0 eng 10.1023/A:1009412523248 doi (NATIONALLICENCE)springer-10.1023/A:1009412523248 Loewy Erich University of California, Davis, CA, USA aut Presuming Consent, Presuming Refusal: Organ Donation and Communal Structure [Elektronische Daten] [Erich Loewy] Donating, distributing and ultimately transplantingorgans each has distinct ethical problems. In thispaper I suggest that the first ethical question is notwhat should be done but what is a fair way in whicheach of these problems can be addressed. Experts -whether these be transplant surgeons, policy analysts,political scientists or ethicists - can help guidebut cannot by themselves make such decisions. Inmaking these decisions the difference betweenidentified and non-identified lives is crucial. Isuggest that an approach in which reason is temperedby compassion ('s'scompassionate rationality'') whendealing with identified lives and in whichcompassion is controlled by reason ('s'srationalcompassion'') in dealing with unidentified lives mustserve us well. Ultimately decisions of this sort areprone to sturdy democratic process which is possibleonly when the preconditions of person, economic andeducational democracy are met. Kluwer Academic Publishers, 2000 presumed consent nationallicence presumed refusal nationallicence identified lives nationallicence unidentified lives nationallicence rational compassion nationallicence compassionate rationality nationallicence democracy nationallicence preconditions of democracy nationallicence Health Care Analysis Kluwer Academic Publishers 8/3(2000-09-01), 297-308 1065-3058 8:3<297 2000 8 10728 https://doi.org/10.1023/A:1009412523248 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1009412523248 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Loewy Erich University of California, Davis, CA, USA aut NATIONALLICENCE 773 0- Health Care Analysis Kluwer Academic Publishers 8/3(2000-09-01), 297-308 1065-3058 8:3<297 2000 8 10728 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer