Ethical, medical and legal problems of organ transplantation

Vol. 21 Iss. 1 pp. 121129 | St. Petersburg State Institute of Psychology and Social Work | ISSN: 1993-8101


Debate on organ transplantation in bioethics raise question of criteria for determining death. Modern medicine defi nes death as the loss of specifi c function or set of functions. This is a functional approach to the defi nition of death. However, attempts to determine death from the functional perspective ignore the moral aspect of the problem of death. Development of transplantation raised sharp issue on the possibility of using xenotransplantation. The admissibility of xenotransplantation suggests a distinction in issues of individual and social acceptability of this practice. Ethical problem of xenotransplantation refers to the problem of determining the moral status of animal experimentation. According to the process philosophy, we have more obligations to entities, possessing more signifi cant experience. Thus, the main objective is to fairly prioritize in relation to the living. Therefore, the process philosophy gives priority to human needs even when it comes to issues of (xeno) transplantation.


«Dead donor rule», functional approach to the defi nition of death, xenotransplantation, individual and social acceptability of xenotransplantation, religious objection to xenotransplantation, medical objection to xenotransplantation, moral status of animals, process philosophy


Citation — Harvard Notation


  1. Andryushchenko P. Protivniki ksenotransplantatsii otvoyevyvayut novye territorii [Opponents of xenotransplantation concur new territories] (in Russian). Available at: = com_content&task = vie w&id = 316&Itemid = 95 (accessed 02.04.2014).
  2. Barbuor I. Ethics in an age of technology. The Gifford Lectures, 1989 – 1991. Vol. 2. San Francisco: Harper Collins Publ., 1998. (Rus. ed.: Etika v vek tekhnologii. Moscow: Biblical Institute of Theology of St. Apostle Andrew, 2001. 380 p.)
  3. Bremzen A. V Rossii nuzhno sozdat rynok chelovecheskikh pochek [We need to create the market for human kidneys in Russia] (in Russian). Available at: (accessed 02.04.2014).
  4. Galkovskaya T. Dvesti tysyach za pochku! Kto bolshe? [Two hundred thousand dollars for a kidney! Who gives more?]. Zerkalo nedeli — Mirror of the Week, 2003, no. 1 (426) (in Russian). Available at: = com_content&task = blogsection&id (accessed 01.05.2014).
  5. Zakon o donorstve organov i ikh transplantatsii mozhet vstupit v silu s leta 2015 goda [Law on organ donation and transplantation can come into force in Summer 2015] (in Russian). Available at: (accessed 02.04.2014).
  6. Krylov D. Chelovek na prodazhu [Human for sale] (in Russian). Available at: (accessed 02.04.2014).
  7. Letov O. V. Bioetika i sovremennaya meditsina [Bioethics and modern medicine]. Moscow: Institute for Scientifi c Information on Social Sciences of Russian Academy of Sciences Publ., 2009. 253 p. (In Russian).
  8. Rynok chelovecheskikh organov vtorgayetsya v Yevropu [Market for human organs invades Europe] (in Russian). Available at: (accessed 02.04.2014).
  9. Sgreccia E., Tambone V. Manuale di bioetics. Bucarest: EARCB Publ., 2001 (Rus. ed.: Bioetika [Bioethics]. Moscow: Biblical Institute of Theology of St. Apostle Andrew, 2002. 417 p.)
  10. Shaposhnikov D. A. Moralnye i metafi zicheskiye osobennosti svetskoy bioetiki [Moral and metaphysical features of secular bioethics]. Khristianskoye chteniye — Christian reading, 2014, no. 1. pp. 197 – 214 (in Russian).
  11. Shumakov V., Tonevitskiy A. Ksenotransplantatsiya: nauchnye i eticheskiye problemi [Xenotransplantation: scientifi c and ethical issues] (in Russian). Available at: (accessed 01.05.2014).
  12. Browne A. Defi ning death. Applied philosophy: morals and metaphysics in con temporary debate. Almond B., (ed.). London: Routledge Publ., 1991. 320 p.
  13. Savulescu J. Is the sale of body parts wrong? Journal of Medical Ethics, 2003, vol. 29. pp. 138 – 139.