Organ markets, distributive justice and the limits of the best option argument

In debates over organ markets, the so-called best option argument is often invoked to oppose prohibition. The argument stresses that for some individuals, selling a kidney would be their best available option. In earlier work, I argued that this argument does comparatively little justificatory work under conditions of distributive injustice, because the option is best only through a narrow comparison that leaves out even better options required by justice. Hendricks has recently criticised this view, claiming that organ markets are always part of the best option, even once justice-satisfying measures are in place. In this reply, I argue that Hendricks's objection rests on a misunderstanding of the target and scope of my original argument. The disagreement is not about whether organ markets could coexist with justice, but about the justificatory significance of the best option argument under unjust background conditions.

Authors

Institutions

Publication Details

Journal
Journal of Medical Ethics
Published
2026-02-03
DOI
https://doi.org/10.1136/jme-2026-111783
Primary Topic
Organ Donation and Transplantation
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Organ markets, distributive justice and the limits of the best option argument

Andreas Albertsen
Journal of Medical Ethics
Organ Donation and Transplantation
article

Organ markets, distributive justice and the limits of the best option argument

Andreas Albertsen
article en

Abstract

In debates over organ markets, the so-called best option argument is often invoked to oppose prohibition. The argument stresses that for some individuals, selling a kidney would be their best available option. In earlier work, I argued that this argument does comparatively little justificatory work under conditions of distributive injustice, because the option is best only through a narrow comparison that leaves out even better options required by justice. Hendricks has recently criticised this view, claiming that organ markets are always part of the best option, even once justice-satisfying measures are in place. In this reply, I argue that Hendricks's objection rests on a misunderstanding of the target and scope of my original argument. The disagreement is not about whether organ markets could coexist with justice, but about the justificatory significance of the best option argument under unjust background conditions.

Journal of Medical Ethics
Aarhus University (DK), Aarhus Business College (DK)
Peace, Justice and strong institutions
Openalex Percentile: Top 69%
Organ Donation and Transplantation
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.