Gifts of Blood and Organs : the Market and “Fictitious” Commodities
Philippe Steiner
Richard M. Titmuss’ study of blood donation is still a reference on the subject of giving
for medical purposes. This article reviews Titmuss’ main arguments, together with economists’ reactions to his affirmation that a system based on giving and altruism is superior to
one organized around the market and self-interested action. It then shows that the gift/market opposition is a reductive one, in that it does not take into account the industrial aspect of
medical donation. Lastly, on the basis of empirical information about organ donation, the
article brings to light the work of social construction without which, as Titmuss clearly understood, modern forms of giving could not have been established.
• Giving vs the market ?
— Titmuss’main points and the reactions of two economists
— Donation, the market, and industry
• The social construction of the gift
— Organ donation and the problem of collection
— Institutionalizing the “right to give”
• Self-interested behavior, unpaid voluntary action, and the spread of the economic vision of the social world
• RÉFÉRENCES