I have a new paper, forthcoming in the Journal of Medical Ethics.
I made a word cloud, to illustrate the main ideas:
You can also view this word cloud here. If you prefer the more traditional abstract, here it is:
"It has traditionally been assumed that organ donation must be
altruistic, though the necessity of altruistic motivations has recently
been questioned. Few, however, have questioned whether altruism is
always a good motive. This paper considers the possibility that
excessive altruism, or self-abnegation, may be intrinsically bad. How
this may be so is illustrated with reference to Tom Hurka’s account of
the value of attitudes, which suggests that disproportionate love of
one’s own good—either excessive or deficient—is intrinsically bad.
Whether or not we accept the details of this account, recognising that
altruistic motivations may be intrinsically bad has important
implications for organ procurement. One possible response is to say that
we should take further measures to ensure that donors have good
motives—that they are altruistic is no longer enough. An alternative is
to say that, since altruistic donation need not be intrinsically good,
we have less reason to object to other motivations."
Those with access to the journal can access the full paper, ahead of its print publication.