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

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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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Editorial Reviews

Library Journal
Renowned bioethicist Caplan (Ctr. for Bioethics, Univ. of Pennsylvania) and medical writer Coelho have selected 35 articles that are representative of the ethical issues surrounding organ transplantation. Scarcity of organs and the high costs involved in these procedures force difficult legal, philosophical, scientific, and economic choices. What are the sources of organs used in transplantation? How can we make the procurement system more efficient? Should we pay for organs? Should someone who has already received one transplant be allowed a second? Should alcoholics be given liver transplants? Are transplants really worth the tremendous costs? These are just a few of the questions discussed here. In many cases, the editors have selected companion articles that illustrate contrasting viewpoints on a particular issue. Although some articles are slightly dated, the issues are still relevant. This well-balanced, reasonably priced compilation is recommended for all libraries.--Tina Neville, Univ. of South Florida at St. Petersburg Lib.
In 34 mostly recent articles, bioethicists, medical, legal, and cultural analysts confront the difficult issues engulfing organ sources, policies, commodification, and values: defining death, the use of fetal tissue, living donors, xenografting, selling and allocating organs. The bibliography includes web sites. No index. Annotation c. by Book News, Inc., Portland, Or.
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Product Details

  • ISBN-13: 9781573922241
  • Publisher: Prometheus Books
  • Publication date: 3/28/1999
  • Series: Contemporary Issues Series
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 320
  • Lexile: 1570L (what's this?)
  • Product dimensions: 5.41 (w) x 8.32 (h) x 0.78 (d)

Table of Contents

Introduction 9
Pt. 1 Sources
1 Defining and Redefining Death 16
2 Is It Time to Abandon Brain Death? 24
3 Ethical Issues in Living Related Donor Liver Transplantation 41
4 Kidney Transplantation from Unrelated Living Donors: Time to Reclaim a Discarded Opportunity 48
5 Rights, Symbolism, and Public Policy in Fetal Tissue Transplants 54
6 Are There Really Alternatives to the Use of Fetal Tissue from Elective Abortions in Transplantation Research? 72
7 The Use of Anencephalic Neonates as Organ Donors 80
8 The Use of Anencephalic Infants as Organ Sources: A Critique 92
9 Should Organs from Patients in Permanent Vegetative State Be Used for Transplantation? 116
10 Is Xenografting Morally Wrong? 121
11 Transplantation Through a Glass Darkly 133
Pt. 2 Policy
12 Ethical and Policy Issues in the Procurement of Cadaver Organs for Transplantation 142
13 Mandated Choice for Organ Donation: Time to Give It a Try 147
14 Who Are the Donors in Organ Donation? The Family's Perspective in Mandated Choice 154
15 Presumed Consent: The Solution to the Critical Organ Donor Shortage? 161
16 The Myth of Presumed Consent: Ethical Problems in New Organ Procurement Strategies 173
17 Join the Club: A Modest Proposal to Increase Availability of Donor Organs 183
Pt. 3 Commodification
18 Life or Death: The Issue of Payment in Cadaveric Organ Donation 196
19 Families' Self-Interest and the Cadaver's Organs: What Price Consent? 205
20 Improving Organ Donation: Compensation versus Markets 208
21 Financial Compensation for Cadaver Organ Donation: Good Idea or Anathema? 219
22 The Case for Allowing Kidney Sales 224
23 Paying for Organs from Living Donors 229
24 Money Matters: Should Ability to Pay Ever Be a Consideration in Gaining Access to Transplantation? 231
25 Comment: Ability to Pay and Access to Transplantation 242
Pt. 4 Allocation and Rationing
26 Prioritization and Organ Distribution for Liver Transplantation 250
27 Rationing Failure: The Ethical Lessons of the Retransplantation of Scarce Vital Organs 260
28 Should Alcoholics Compete Equally for Liver Transplantation? 275
29 Alcoholics and Liver Transplantation 286
30 Should a Criminal Receive a Heart Transplant? Medical Justice vs. Societal Justice 294
Pt. 5 Value
31 Racial Equity in Renal Transplantation: The Disparate Impact of HLA-Based Allocation 308
32 Dealing with Limited Resources: The Oregon Decision to Curtail Funding for Organ Transplantation 321
33 Leaving the Field 327
34 What Transplantation Can Teach Us about Health Care Reform 341
Bibliography 347
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