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A Living Unrelated Donor Case of Church Associates
from Part V - The Unspeakable/Unassailable
Published online by Cambridge University Press: 17 May 2025
In this chapter of Complex Ethics Consultations: Cases that Haunt Us, the author describes a 31-year-old living unrelated donor candidate who wants to direct her kidney donation to a church acquaintance. Her motivation was, first and foremost, based on her religious commitments to altruism but also mentioned the possibility of a romantic relationship with the recipient, without any expectation that this occur in exchange for her donation. The recipient’s mother would be her caregiver after surgery. The ethics consultant recommended delaying transplant to further explore her motivation and the possibility of coercion (a desire to please her religious community, for example). The author, also a Christian clergyman, is haunted by the notion that donation is "the will of God" and the potential influence of the donor’s loneliness.
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