The Commodification of the Human Body: The Ethical Dilemma of Marketing and Incentives within Organ Transplantation

An increasingly urgent issue in healthcare is the scarcity of available organs for transplant procedures—both live and cadaveric. Recent proposals have pushed for fiscal incentives and a monetary scheme to encourage live donation, specifically for kidney and liver donations. Such propositions are inherently unethical, contradicting the three guiding principles of organ donation: utility, justice, and respect for persons. Furthermore, these additional economic elements will perpetuate the exploitation of vulnerable communities. The intersecting low socioeconomic quintile populations are threatened the most by a monetary scheme; their need to better their financial status allows them to be taken advantage of easily by third parties. This instigates a cycle in which the vulnerable individuals who volunteer to donate for compensation are actually pushed deeper into poverty. In advocating for monetization, it would permit the public sale of human organs—the commodification of the human body. Alternative solutions must be considered in which the donors and recipients are treated not as a means, but as an end in themselves.