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The Organ Shortage Crisis in America
Incentives, Civic Duty, and Closing the Gap
Georgetown University Press

Nearly 120,000 people are in need of healthy organs in the United States. Every ten minutes a new name is added to the list, while on average twenty people die each day waiting for an organ to become available. Worse, our traditional reliance on cadaveric organ donation is becoming increasingly insufficient, and in recent years there has been a decline in the number of living donors as well as in the percentage of living donors relative to overall kidney donors. Some transplant surgeons and policy advocates have responded to this shortage by arguing for the legalization of the sale of organs among living donors. Andrew Flescher objects to this approach by going beyond concerns traditionally cited about social justice, commodification, and patient safety, and moving squarely onto the terrain of discussing what motivates major and costly acts of human selflessness.    

What is the most efficacious means of attracting prospective living kidney donors?  Flescher, drawing on literature in the fields of moral psychology and economics, as well as on scores of interviews with living donors, suggests that inculcating a sense of altruism and civic duty is a more effective means of increasing donor participation than the resort to financial incentives. He encourages individuals to spend time with patients on dialysis in order to become acquainted with their plight and, as an alternative to lump-sum payments, consider innovative solutions that positively impact living donor participation that do not undermine the spirit of the National Organ Transplant Act of 1984. This book not only re-examines the important debate over whether to allow the sale of organs; it is also the first volume in the field to take a close look at alternative solutions to the organ shortage crisis. 

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Women in Combat
Civic Duty or Military Liability?
Lorry M. Fenner and Marie E. deYoung
Georgetown University Press, 2001

Women have been actively involved the United States military for more than fifty years, but the ban on their participation in combat remains a hotly debated issue. In this provocative book Lorry M. Fenner, an active-duty Air Force intelligence officer, calls for opening all aspects of military service to women. Marie deYoung, a former Army chaplain, argues that keeping women out of combat is in the best interests of both sexes and crucial to the effectiveness of the military as a whole.

Fenner bases her argument for inclusion of women on the idea that democracies require all citizens to compete in public endeavor and share in civic obligation. She contends that, historically, reasons for banning women from combat have been culturally biased. She argues that membership in a combat force should be based on capability judged against appropriate standards. Moreover, she maintains that excluding women hampers the diversity and adaptability that by necessity will characterize the armed forces in the twenty-first century.

In contrast, deYoung declares that the different physical fitness standards for men and women would, in combat, lower morale for both sexes and put women at risk of casualty. Further, she contends that women have neither the physical or emotional strength to endure the overall brutality of the combat experience. She also asserts that calls for lifting the combat ban are politically motivated and are inconsistent with the principles of American democracy and the mission of national defense.

With each author responding to the views of the other, their exchange offers a valuable synthesis of the issues surrounding a longstanding debate among policymakers, military personnel, and scholars of both military history and women’s studies.

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