Consent and Exploitation in Bioethics: Individual Ethics and Legal Regulation

In Eduardo Rivera-López & Martin Hevia (eds.), Controversies in Latin American Bioethics. Springer Verlag. pp. 83-95 (2019)
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Abstract

In this paper, I discuss exploitative transactions in bioethics. Examples of this kind of transactions allegedly include, among others, commercial surrogacy, organ selling, and research with human subjects in developing countries. The most problematic kind of exploitation is what Allan Wertheimer calls “mutually advantageous exploitation:” the weak party’s consent for the transaction is an effective and rational consent. Moreover, W does not suffer any harm by the transaction; on the contrary, the transaction benefits W. My aim in this paper is twofold. From the perspective of individual ethics, I offer a model to understand the nature of the wrongfulness of the strong party’s action. And from the perspective of legal ethics, I suggest some reasons to believe that the prohibition of beneficial exploitative contracts is problematic and can only be justified in very exceptional cases.

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Eduardo Rivera-López
Johannes Gutenberg Universität, Mainz

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