A Philosophical Defense of Deceased Donor Kidney Donation Over Living Donation in Tanzania

ABSTRACT: Chronic Kidney Disease (CKD) is an increasing concern in Tanzania, as well as a significant concern worldwide, due to the fact that transplantations rely on living donors. While living kidney donation may be ethically acceptable, there are many concerns with regard to the harm caused to living kidney donors, the potential for coercion of these donors, and the lack of equitable access to this form of donation. The purpose of this paper is to demonstrate that deceased kidney donations are the morally superior alternative to live kidney donations. The rationale behind this argument is based on a moral principle known as Utilitarianism. That is to say, the primary goal of all decisions made with regard to transplantation should be to maximize benefits to the largest number of people. In addition to the moral principle of utilitarianism, this paper will also draw upon three additional moral principles of Non-Maleficence, Justice, and Respect for Autonomy to demonstrate how deceased donor kidney transplantation can avoid the harm associated with live kidney donation, increase the number of available kidneys for transplantation, and create a system whereby kidneys are allocated fairly.

Key Terms : Deceased Donation, Kidney Donation, Living Donation, Utilitarianism, Non-maleficence, Justice, Autonomy, Ethics, CKD.