I hvilket omfang må staten puffe os til at donere vores organer?
DOI:
https://doi.org/10.7146/politica.v50i2.131202Abstract
Organtransplantation redder liv og forøger livskvalitet. Der er imidlertid alt for få organer til rådighed. Der er for få donorer. Hvad kan vi gøre for at få flere donorer? Et nyere løsningsforslag er at nudge eller ”puffe” folk til at træffe en beslutning. En vigtig fordel ved puffepolitikker er, at den ønskede adfærdsændring frembringes uden anvendelse af tvang. Imidlertid er politikkerne ikke uproblematiske. Selvom de ikke begrænser vores valgfrihed, kan de hævdes at krænke vores selvbestemmelsesret. De rejser altså et klassisk dilemma mellem et hensyn til borgernes velfærd (i dette tilfælde folk på venteliste til en organdonation) og borgernes selvbestemmelsesret (i dette tilfælde til selv at bestemme, hvad der skal ske med deres organer efter deres død). En politik, hvor borgerne som udgangspunkt står som organdonorer, kan dog retfærdiggøres. Den vil alt andet lige fremme udbuddet af organer væsentligt, og i lyset heraf er dens delvise krænkelse af folks ret til selvbestemmelse en acceptabel omkostning.
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