American Journal of Bioethics 12 (2):32-39 (2012)

Authors
Arthur L. Caplan
New York University
Abstract
Richard Thaler and Cass Sunstein (2008) contend that mandated choice is the most practical nudge for increasing organ donation. We argue that they are wrong, and their mistake results from failing to appreciate how perceptions of meaning can influence people's responses to nudges. We favor a policy of default to donation that is subject to immediate family veto power, includes options for people to opt out (and be educated on how to do so), and emphasizes the role of organ procurement organizations and in-house transplant donation coordinators creating better environments for increasing the supply of organs and tissues obtained from cadavers. This policy will provide better opportunities for offering nudges in contexts where in-house coordinators work with families. We conclude by arguing that nudges can be introduced ethically and effectively into these contexts only if nudge designers collaborate with in-house coordinators and stakeholders.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1080/15265161.2011.634484
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 70,039
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

The Ethics of Nudge.Luc Bovens - 2008 - In Mats J. Hansson & Till Grüne-Yanoff (eds.), Preference Change: Approaches from Philosophy, Economics and Psychology. Berlin: Springer, Theory and Decision Library A. pp. 207-20.
Debate: To Nudge or Not to Nudge.Daniel M. Hausman & Brynn Welch - 2010 - Journal of Political Philosophy 18 (1):123-136.
The Failure to Give: Reducing Barriers to Organ Donation.James F. Childress - 2001 - Kennedy Institute of Ethics Journal 11 (1):1-16.
Competence and Trust in Choice Architecture.Evan Selinger & Kyle Powys Whyte - 2010 - Knowledge, Technology & Policy 23 (3-4):461-482.

View all 11 references / Add more references

Citations of this work BETA

Organ Donation, Brain Death and the Family: Valid Informed Consent.Ana S. Iltis - 2015 - Journal of Law, Medicine and Ethics 43 (2):369-382.
Should We Be “Nudging” for Cadaveric Organ Donations?Pelle Guldborg Hansen - 2012 - American Journal of Bioethics 12 (2):46-48.

View all 11 citations / Add more citations

Similar books and articles

Nudges and Cultural Variance: a Note on Selinger and Whyte.Luc Bovens - 2010 - Knowledge, Technology & Policy 23 (3):483-486.
Competence and Trust in Choice Architecture.Evan Selinger & Kyle Powys Whyte - 2010 - Knowledge, Technology & Policy 23 (3-4):461-482.
Comment on “Nudges and Cultural Variance”.Trevor Pinch - 2010 - Knowledge, Technology & Policy 23 (3):487-490.
Nudging Utopia.Soren Riis, Evan Selinger & Kyle Powys Whyte - 2010 - Future Orientation, Copenhagen Institute for Future Studies Magazine 1:29-33.
Three Views of Organ Procurement Policy: Moving Ahead or Giving Up?Jeffrey P. Kahn - 2003 - Kennedy Institute of Ethics Journal 13 (1):45-50.
Debate: To Nudge or Not to Nudge.Daniel M. Hausman & Brynn Welch - 2010 - Journal of Political Philosophy 18 (1):123-136.
When a Nudge Becomes a Shove.Michael Potts, Joseph L. Verheijde & Mohamed Y. Rady - 2012 - American Journal of Bioethics 12 (2):40-42.
Habits, Nudges, and Consent.Ezio Di Nucci - 2013 - American Journal of Bioethics 13 (6):27 - 29.
The Morality of a Free Market for Transplant Organs.Mark T. Nelson - 1991 - Public Affairs Quarterly 5 (1):63-79.
The Failure to Give: Reducing Barriers to Organ Donation.James F. Childress - 2001 - Kennedy Institute of Ethics Journal 11 (1):1-16.
Analogical Reasoning and Easy Rescue Cases.Thomas Young - 1993 - Journal of Philosophical Research 18:327-339.

Analytics

Added to PP index
2012-02-04

Total views
35 ( #325,015 of 2,505,653 )

Recent downloads (6 months)
1 ( #416,705 of 2,505,653 )

How can I increase my downloads?

Downloads

My notes