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There are several ethical problems in the novel My Sister’s Keeper by Jodie Piccoult. The initial ethical issue is that the parents conceived a child for the sole purpose of trying to get a tissue match for the daughter who was dying of cancer. Another ethical issue arrises when the "donor" daughter gets old enough to choose whether she is willing or not to be used as a donor, they do not give her that choice. It is only when the sick sister encourages her to do what is right for herself, that the "donor daughter" is given any support.