Transplantation Ethics

Transplantation Ethics

by Robert Veatch
     
 

ISBN-10: 0878408126

ISBN-13: 9780878408122

Pub. Date: 10/11/2000

Publisher: Georgetown University Press

Three decades after the first heart transplant surgery stunned the world, organs including eyes, lungs, livers, kidneys, and hearts are transplanted every day. But despite its increasingly routine nature-or perhaps because of it-transplantation offers enormous ethical challenges. A medical ethicist who has been involved in the organ transplant debate for many years

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Overview

Three decades after the first heart transplant surgery stunned the world, organs including eyes, lungs, livers, kidneys, and hearts are transplanted every day. But despite its increasingly routine nature-or perhaps because of it-transplantation offers enormous ethical challenges. A medical ethicist who has been involved in the organ transplant debate for many years, Robert M. Veatch explores a variety of questions that continue to vex the transplantation community, offering his own solutions in many cases.

Ranging from the most fundamental questions to recently emerging issues, Transplantation Ethics is the first complete and systematic account of the ethical and policy controversies surrounding organ transplants. Veatch structures his discussion around three major topics: the definition of death, the procurement of organs, and the allocation of organs. He lobbies for an allocation system-administered by nonphysicians-that considers both efficiency and equity, that takes into consideration the patient's age and previous transplant history, and that operates on a national rather than a regional level.

Rich with case studies and written in an accessible style, this comprehensive reference is intended for a broad cross section of people interested in the ethics of transplantation from either the medical or public policy perspective: patients and their relatives, transplantation professionals, other health care professionals and administrators, social workers, members of organ procurement organizations, and government officials involved in the regulation of transplants.

Georgetown University Press

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Product Details

ISBN-13:
9780878408122
Publisher:
Georgetown University Press
Publication date:
10/11/2000
Edition description:
Reprint
Pages:
448
Product dimensions:
0.91(w) x 7.00(h) x 10.00(d)

Table of Contents

Preface

1. Introduction: Religious and Cultural Perspective

2. An Ethical Framework: General Theories of Ethics

Part One: Defining Death

3. The Dead Donor Rule and the Concept of Death

4. The Whole-Brain Concept of Death

5. The Circulatory, or Somatic, Concept of Death

6. The Higher-Brain Concept of Death

7. The Conscience Clause: How Much Individual Choice Can Our Society Tolerate in Defining Death?

8. Crafting a New Definition-of-Death Law

Part Two: Procuring Organs

9. The Donation Model

10. Routine Salvaging and Presumed Consent

11. Markets for Organs

12. Live-Donor Transplants

13. High-Risk Donors

14. Xenotransplants: Using Organs from Animals

15. The Media's Impact on Transplants and Directed Donation

Part Three: Allocating Organs

16. The Roles of the Clinician and the Public

17. A General Moral Theory of Organ Allocation

18. Voluntary Risks and Allocations: Does the Alcoholic Deserve a New Liver?

19. Multi-Organ, Split-Organ, and Repeat Transplants

20. The Role of Age in Allocation

21. The Role of Status: The Case of Mickey Mantle, Robert Casey, Steve Jobs, and Dick Cheney

22. Geography and Other Causes of Allocation Disparities

23. Socially Directed Donation: Restricting Donation by Social Group

24. Elective Organ Transplantation

25. Vascularized Composite Allografts: Hand, Face, and Uterine Transplants

Index

Georgetown University Press

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