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.
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Despite its increasingly routine nature - or perhaps because of it - transplantation offers enormous ethical challenges. This title explores a variety of questions that vex the transplantation community, offering solutions in many cases. It offers an account of the ethical and policy controversies surrounding organ transplants.
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Preface 1. Introduction: Religious and Cultural Perspective 2. An Ethical Framework: General Theories of Ethics Part One: Defining Death3. 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 Organs9. 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 Organs16. 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
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The book on transplantation ethics. Choice
Without question, the best and most important book on this topic. -- James F. Childress, University of Virginia A comprehensive, knowledgable and thoughtful treatise on the critical ethical issues those of us in the transplant field wrestle with each day. Nice job! -- Jimmy A. Light, MD, Director of Transplantation Services, Washington Hospital Center
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Produktdetaljer

ISBN
9780878408122
Publisert
2002-01-04
Utgiver
Vendor
Georgetown University Press
Vekt
934 gr
Høyde
254 mm
Bredde
178 mm
Aldersnivå
05, 06, UU, UP, P
Språk
Product language
Engelsk
Format
Product format
Heftet
Antall sider
448

Forfatter

Biographical note

Robert M. Veatch is professor of medical ethics at Georgetown University's Kennedy Institute of Ethics. He has served on the board of the Washington Regional Transplant Consortium since 1988 and on the United Network for Organ Sharing's Ethics Committee from 1989 to 1995, experience that has exposed him to cutting-edge debate on moral and policy issues as they emerge on the national scene. Veatch's books include Source Book in Bioethics, edited with Albert R. Jonsen and LeRoy Walters (Georgetown University Press, 1998), which was named an Outstanding Academic Book by Choice magazine.