著者
今井 竜也
出版者
日本医学哲学・倫理学会
雑誌
医学哲学 医学倫理 (ISSN:02896427)
巻号頁・発行日
vol.23, pp.125-130, 2005-10-26 (Released:2018-02-01)

Article 3 of Japan's Organ Transplant Law requires the national and local governments to work to foster public understanding of transplantation medicine. This requirement, however, has not been adequately fulfilled. Consequently, public awareness and understanding of organ transplantation are not necessarily widespread. As a result of this context, organ transplants from living donors are rapidly increasing in Japan. Kidney transplants from living donors performed in Japan to date number more than 1,500, and these, along with liver transplants from living donors, are becoming common. At the same time, developments such as debate over the nominative donations to relatives and organ-swap transplants are stimulating reconsideration of existing concepts of organ transplantation. This article examines the current organ donation environment in Japan and proposes a direction for Japan to take in future.
著者
今井 竜也
出版者
日本法哲学会
雑誌
法哲学年報 (ISSN:03872890)
巻号頁・発行日
vol.2003, pp.185-192,227, 2004-10-20 (Released:2008-11-17)
参考文献数
14

“Organ donation for transplant should be done on a voluntary basis without payment in any case” - this is considered a global theory in the current transplant medicine, which is also written in recommendations and statements by WHO and World Medical Association. Most of the countries with organ transplant laws have set rules based on this principle. But slower increase of donated organs now hinders further dissemination and growth of organ transplant medicine, as everyone knows, and the principle of voluntary donation by individuals seems to have run into a blind alley in terms of its effectiveness. In recent years, primarily in the United States, there has been a debate over the introduction of financial incentive, that is, reward at the time of donation for motivating people to donate organs, and some states have already employed it as a policy. Advocates of incentive policy claim that payments to donors can increase donated organs as well as people whose lives are saved through organ transplant. This paper will compare legal and ethical arguments of paid and unpaid organ donations, examine distinctions between them, and discuss the potential of paid donation as an alternative in modern society.
著者
今井 竜也
出版者
日本生命倫理学会
雑誌
生命倫理 (ISSN:13434063)
巻号頁・発行日
vol.23, no.1, pp.38-45, 2013-09-26 (Released:2017-04-27)

海外に渡航して医療を受ける、いわゆる「医療ツーリズム」は、自国の医療水準では十分な治療を受ける機会を得られない人が先端医療を受けるため、先進国に渡航するという構図がこれまで一般的であった。だが今日では、単に機会格差を解消するためだけでなく、規制格差や経済格差を利用する形で、医療技術の発展した発展途上国に渡航し、自国よりも格安に、あるいは自国では受けられない、受けにくい治療を受けるために渡航するケースが増えている。とりわけ第三者生殖医療、臓器移植のように、人間の身体を医療資源として利用する医療ツーリズムは、医療技術の性質に付随する様々な問題や、規制格差・経済格差利用の問題が色濃く反映され、医療ツーリズム全体の規制の方向性を考える上でも、色々と参考になる論点が多い。本論文では、規制の方向性が固まりつつある渡航移植・移植ツーリズムとの比較から、第三者生殖ツーリズム規制の方向性を提唱する。