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Morality and the Market in Blood

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... In any case, even though the impression might be that Titmuss's idea of freedom refers to a more "profound", important, and value-related conception of freedom -the freedom to give, almost meant as a sort of positive freedom, if not a "privilege" (Lomasky 1983;Stewart 1984) -I agree with those who have claimed that Titmuss's work has nothing to do with the problem of freedom (Archard 2002: 90-91;Scott, Seglow 2007: 108-109). ...
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Can taxation and the redistribution of wealth through the welfare state be conceived as a modern system of circulation of the gift? But once such a gift is institutionalized, regulated and sanctioned through legal mechanisms, does it not risk being perverted or corrupted, and/or not leaving room for genuinely altruistic motives? What is more: if the market's utilitarian logic can corrupt or 'crowd out' altruistic feelings or motivations , what makes us think that the welfare state cannot also be a source of corruption? To explain the standard answers to the abovementioned questions as well as their implications I will first reexamine two opposing positions assumed here as paradigmatic examples of other similar positions: on the one hand, Titmuss's work and the never-ending debate about it; on the other, Godbout's position, in-so-far as it shows how Titmuss's arguments can easily be turned upside down. I will then introduce and reinterpret Einaudi's "critical point" theory as a more complex and richer anthropological explanation of the problems and answers considered herein. Through the analysis of these paradigmatic positions I will develop two interrelated arguments. 1) The way these problems are posed as well as the standard answers to them are: a) subject to fallacies: the dichotomy fallacy and the fallacy of composition; b) too reductive and simplistic: we should at least try to clarify what kind of ‘gift’ or ‘corruption’ we are thinking about, and who or what the ‘giver’, the ‘corrupter’, the ‘receiver’ and/or the ‘corrupted’ party are. 2) The answers to these problems cannot be found by merely following a theoretical approach, nor can they be merely based on empirical evidence; instead, they need to take into account the forever troublesome, ambiguous and unpredictable matter of human freedom.
... Even though the impression might be that Titmuss's idea of freedom refers to a more "profound", important, and value-related conception of freedom -the freedom to give, almost meant as a sort of positive freedom, if not a "privilege" (Lomasky 1983;Stewart 1984) -I agree with those who have claimed that Titmuss's work has nothing to do with the problem of freedom (Archard 2002: 90-91;Scott, Seglow 2007: 108-109). ...
Article
Full-text available
Can taxation and the redistribution of wealth through the welfare state be conceived as a modern system of circulation of the gift? But once such a gift is institutionalized, regulated and sanctioned through legal mechanisms, does it not risk being perverted or corrupted, and/or not leaving room for genuinely altruistic motives? In this paper I will develop two interrelated arguments. 1) The way these problems are posed as well as the standard answers to them are: a) subject to fallacies: the dichotomy fallacy and the fallacy of composition; b) too reductive and simplistic: we should at least try to clarify what kind of 'gift' or 'corruption' we are thinking about, and who or what the 'giver', the 'corrupter', the 'receiver' and/or the 'corrupted' party are. 2) The answers to these problems cannot be found by merely following a theoretical approach, nor can they be merely based on empirical evidence; instead, they need to take into account the forever troublesome, ambiguous and unpredictable matter of human freedom. To explain the standard answers to the abovementioned questions as well as their implications I will first reexamine two opposing positions assumed here as paradigmatic examples of other similar positions: on the one hand, Titmuss' work and the never-ending debate about it; on the other, Godbout's position, in-so-far as it shows how Titmuss' arguments can easily be turned upside down. I will then introduce and reinterpret Einaudi's "critical point" theory as a more complex and richer anthropological explanation of the problems and answers considered herein.
... Anche se si può avere l'impressione che l'idea di libertà di Titmuss rinvii a una concezione più "profonda", importante e valoriale della libertàla libertà di donare, intesa quasi come una sorta di libertà positiva se non un "privilegio" (Lomasky 1983;Stewart 1984), sono d'accordo con chi ha sostenuto che il lavoro di Titmuss non abbia nulla a che fare con il problema della libertà (Archard 2002: 90-91;Scott, Seglow 2007: 108-109). ...
... Following Richard M Titmuss's pioneering work, the pros and cons of paying blood donors have been subject to an occasionally heated debate. [1][2][3][4][5][6] The parallel issue of transplantation organs from living donors, in particular kidneys, has been the subject of controversies, and so have practices of paying sperm and oocyte donors. [7][8][9][10][11][12][13][14][15] In addition, there are ongoing debates regarding the commodification and commercialisation of stem cells; cell lines developed from tumour cells; tissues stored in biobanks, and information extracted from sequencing human DNA. ...
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