Transplantation surgeries contribute to conceptions of the body as a collection of replaceable parts and of the self as distinct from all but its neural locus. There remains substantial cultural resistance to these conceptions, which leads the medical community to attempt to link the surgeries to social values that are sufficiently powerful to minimize the sense of a disjuncture between traditional concepts of personhood and those consistent with transplantation. The controversy over how to increase the supply of transplantable organs reveals two diametrically opposed sets of values invoked by advocates of transplantation: altruism and individual rights. The article analyzes these as the ideological equivalents of immunosuppressant drugs, designed to inhibit cultural rejection of transplantation and its view of the body.

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The paper reviews the discussion within transplantation medicine about the organ supply and demand problem.

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