The Ethics of Organ Transplants: The Current Debate / Edition 1

The Ethics of Organ Transplants: The Current Debate / Edition 1

by Arthur L. Caplan
     
 

ISBN-10: 1573922242

ISBN-13: 9781573922241

Pub. Date: 03/28/1999

Publisher: Prometheus Books

No one argues the need for transplants. The debate centers on how to satisfy the great need for healthy organs. Advances in medical technology and science have made organ procurement, or the search and transfer of organs and tissue from one body to another, a very important issue. Since the demand for healthy organs far exceeds the supply, many questions enter this

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Overview

No one argues the need for transplants. The debate centers on how to satisfy the great need for healthy organs. Advances in medical technology and science have made organ procurement, or the search and transfer of organs and tissue from one body to another, a very important issue. Since the demand for healthy organs far exceeds the supply, many questions enter this debate, blending medicine with politics, ethics, research, religion, and other concerns. How are we to meet the need? Can we do so and still respect personal ethics and religious convictions? Can organs be obtained without turning medical emergencies into free-market enterprise? Should people be permitted to sell their organs? Should animals be sacrificed to save the lives of humans? Could cloning be considered as a future source of organs?

With more than thirty of the most important, influential, and up-to-date articles from leaders in ethics, medicine, philosophy, law, and politics, The Ethics of Organ Transplants examines the numerous and tangled issues that surround organ procurement and distribution.

Co-edited by Dr. Arthur L. Caplan, a world recognized scholar in bioethics and health policy, this volume divides the issue into five related areas: (1) sources of organs for transplantation and various methods of transplants, including living donations, fetal tissue use, defining brain death, and nonhuman organ transfer; (2) policy, including presumed consent, required requests, and mandated choice to relieve the shortage problem; (3) the ethics of selling organs, the effect on supply and use of organs, making organ procurement a global effort; (4) case histories and questions on who should (not) receive transplants; and (5) the value

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Product Details

ISBN-13:
9781573922241
Publisher:
Prometheus Books
Publication date:
03/28/1999
Series:
Contemporary Issues Series
Edition description:
New Edition
Pages:
320
Product dimensions:
5.41(w) x 8.32(h) x 0.78(d)
Lexile:
1570L (what's this?)

Table of Contents

Introduction9
Pt. 1Sources
1Defining and Redefining Death16
2Is It Time to Abandon Brain Death?24
3Ethical Issues in Living Related Donor Liver Transplantation41
4Kidney Transplantation from Unrelated Living Donors: Time to Reclaim a Discarded Opportunity48
5Rights, Symbolism, and Public Policy in Fetal Tissue Transplants54
6Are There Really Alternatives to the Use of Fetal Tissue from Elective Abortions in Transplantation Research?72
7The Use of Anencephalic Neonates as Organ Donors80
8The Use of Anencephalic Infants as Organ Sources: A Critique92
9Should Organs from Patients in Permanent Vegetative State Be Used for Transplantation?116
10Is Xenografting Morally Wrong?121
11Transplantation Through a Glass Darkly133
Pt. 2Policy
12Ethical and Policy Issues in the Procurement of Cadaver Organs for Transplantation142
13Mandated Choice for Organ Donation: Time to Give It a Try147
14Who Are the Donors in Organ Donation? The Family's Perspective in Mandated Choice154
15Presumed Consent: The Solution to the Critical Organ Donor Shortage?161
16The Myth of Presumed Consent: Ethical Problems in New Organ Procurement Strategies173
17Join the Club: A Modest Proposal to Increase Availability of Donor Organs183
Pt. 3Commodification
18Life or Death: The Issue of Payment in Cadaveric Organ Donation196
19Families' Self-Interest and the Cadaver's Organs: What Price Consent?205
20Improving Organ Donation: Compensation versus Markets208
21Financial Compensation for Cadaver Organ Donation: Good Idea or Anathema?219
22The Case for Allowing Kidney Sales224
23Paying for Organs from Living Donors229
24Money Matters: Should Ability to Pay Ever Be a Consideration in Gaining Access to Transplantation?231
25Comment: Ability to Pay and Access to Transplantation242
Pt. 4Allocation and Rationing
26Prioritization and Organ Distribution for Liver Transplantation250
27Rationing Failure: The Ethical Lessons of the Retransplantation of Scarce Vital Organs260
28Should Alcoholics Compete Equally for Liver Transplantation?275
29Alcoholics and Liver Transplantation286
30Should a Criminal Receive a Heart Transplant? Medical Justice vs. Societal Justice294
Pt. 5Value
31Racial Equity in Renal Transplantation: The Disparate Impact of HLA-Based Allocation308
32Dealing with Limited Resources: The Oregon Decision to Curtail Funding for Organ Transplantation321
33Leaving the Field327
34What Transplantation Can Teach Us about Health Care Reform341
Bibliography347

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