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Dnp capstone projects cheap write for me capstone commercial real estate group inc compare and contrast worksheets 9th grade well thank you very much sometimes legal prohibition of an activity is morally desirable even though that activity may be morally acceptable in some circumstances I think we've had plenty of examples of why in some circumstances it might be morally acceptable but our argument is that legal prohibition of selling one's organs is just such a case it shouldn't be accepted even though there are some examples where it would be now the proposers have argued forcefully in summary if I may that legalizing sales of one's organs will fulfill the utilitarian objective of maximizing welfare there then we've had a good run on that while also and not quite as much enthusiasm for this as I was expecting from all of them but some of your proposes we're arguing that that it will basically respect the contemporary concern for respecting people's autonomy our opposing view has been that first legalizing the sale of body parts will not maximize welfare despite the passionate advocacy of the last speaker on the country we argue that more harm than good will come of it and second that while respecting people's autonomy is generally a good thing it isn't and shouldn't be regarded as a moral trump card I'm an enormous enthusiast for respect for autonomy I've called it first among equals in the context of medical ethics but among equals qualifies first and sometimes respect for autonomy must give way to other moral concerns just as a prime minister must give way to his cabinet colleagues from time to time we argue that this is just one of those times in the context of transplantation the most obvious example of justifiably overriding autonomy is the legal prohibition on living donors selling their own hearts while they're still alive at least for the time being we can imagine cases and indeed we've had some indication of those cases where it might be morally justifiable they're devoted but poor parent raising funds to save the life of a sick child for example and we've had examples not quite so dramatic along the same lines nonetheless I guess that there are only very few fanatically libertarian anti paternal lists here tonight who would wish to legalize suicidal selling of organs a similar though less dramatic paternalistic concern requires people to wear motorcycle helmets our law protects people here whether they like it or not of course the law also is based on a further moral concern they need to avoid wasting taxpayers money on NHS treatment of unnecessary head injuries I'll come back to that in a minute but they're just a couple of examples of white sometimes justifiable to override respect for autonomy they're rather of course gun laws are another obvious example in this country though not of course of the USA we legally override people's autonomy their god-given right to buy a gun whyever whenever they want to by requiring them to obtain a gun license why to protect others from harm similarly we legally forbid people from driving on the roads without a minder unless they pass the driving test preventing harm to self and harm to others can sometimes justify overriding respect for individual autonomy another moral concern which you've heard about is justice and fairness and that too can override respect for autonomy I mentioned the opportunity cost argument in the context of motorcycle illness well another justice and fairness argument which we've heard explains why in the NHS rich people cannot however autonomously buy their way to the top of the transplant queue why not because it would be unfair unjust so even if the utilitarian argument of the proposals were belied think I just answered that question but I'll try and do it again that sometimes even though in individual cases it may be justifiable nonetheless the resulting overall effects would be dangerous harmful and therefore it's justifiable to prevent you that's my response you may not agree but this is the argument that we have been offering so even if the utilitarian arguments of the proposal were valid those competing moral concerns harm to self harm to others and justice would nonetheless justify the legal prohibition of sale of organs but we've also argued that legalizing organ sales far from maximizing welfare would actually cause more harm than good more harm to the recipients more harm to the donors and more harm to society overall as you heard organs are self that are sold are more likely to be damaged in one way or another and especially to be infected with nasty and not necessarily detectable viruses furthermore if organs are sold there's likely to be a reduction in donated organs as potential donors have cut off at the thought that they're genuine generosity we mistaken for money-grabbing commercialism that's the quality and safety of the organs to be transplanted is likely to go down what about the donors or rather the sellers as we should probably call them here we focus on live organ sales as we've heard there's a definite risk to the organ providers health and even to his or her life yes healthy donors can usually do without a kidney at least for the time being we don't know for how long that's will be the case they can do without a chunk of their liver just as they can do without some of their blood but even a few of the healthy organ donor will suffer ill health as a result and the very few of them will actually die as a result either from the anesthetic or the surgery required for their organs to be removed more importantly the organ sellers are likely to be found in poor and malnourished populations whose baseline health is therefore more likely to be poor and whose risks from such surgery therefore likely to be higher sorry I've timed this and I want to stay in time forgive me moreover in many poor parts of the world from which a large proportion of the paid providers of organs are likely to come health services to deal with the ill health resulting from their surgery are unlikely to be free and finally the poor in many parts of the world are likely to be at greater risk of corrosion and undue pressure to sell their organs and at risk of gross exploitation by commercial middlemen both in terms of the payment they receive for their organs and the care that they're subsequently entitled to and as you've heard the inequality gap between the rich and the poor committed to increase as a result of legalizing the sale of organs so no society's welfare won't be maximized by legalizing the sale of organs it'll actually be diminished but we entirely agree that better structures for providing organs for volunteering to provide organs are necessary and some of us at any rate will say that we also ought to go towards the assumption the Spanish way or the Welsh way now the assumption that organs should be considered to be donated unless people have actually argued against though I would add a little plea here for some some kindness and compassion on the part of the Welsh so that if the relatives find themselves ready agonized by the prospect of this donation then that should be accepted so no to the sale of organs but yes to a presumption a that people would unless they rather wise said so should be assumed to prefer that after they die they're useful organs will be given to live people who can benefit rather than given to the worms or the flames ladies and gentlemen we ask you to vote against this motion you write for me qld capstone test Borough of Manhattan Community College, Tribeca.