Removal of unpaired vital organs from a living donor need not involve the intention to kill. What people intend is an empirical question about individual psychology: on this, Lawrence Masek
However, I have argued, with Helen Watt, that some human acts involve ‘unintended morally determinative aspects’ where intentions alone are morally inconclusive.
Masek suggests that strict adherence to the dead donor rule in relation to organ harvesting may also exclude other practices such…