Transplantation ethics:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Washington, D.C.
Georgetown Univ. Press
2000
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVII, 427 S. |
| ISBN: | 0878408118 0878408126 9780878408122 |
Internformat
MARC
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| 300 | |a XVII, 427 S. | ||
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| 337 | |b n |2 rdamedia | ||
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| 650 | 4 | |a Greffe (Chirurgie) - Aspect moral | |
| 650 | 7 | |a Medische ethiek |2 gtt | |
| 650 | 7 | |a Transplantatie |2 gtt | |
| 650 | 4 | |a Ethik | |
| 650 | 4 | |a Ethics, Medical | |
| 650 | 4 | |a Transplantation | |
| 650 | 4 | |a Transplantation of organs, tissues, etc. |x Moral and ethical aspects | |
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Datensatz im Suchindex
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| adam_text | ? Contents
Acknowledgments ix
Preface xi
One Introduction: Religious and Cultural Perspectives on
Organ Transplantation 1
Defining Death and Desecrating the Corpse:
Two Preliminary Issues 2
The Two Central Ethical Issues 12
Conclusion 19
Two An Ethical Framework 28
General Theories of Ethics 28
Conclusion 37
Part One I Defining Death
Three Brain Death: Welcome Definition or Dangerous Judgment? 43
Candidates for Death 45
Moral, Not Technical 46
The Origins of the Confusion in the Tucker Case 47
Determining Who Should Have Made the Decision 49
Determining If This Was Really a Definition of Death Case 49
Determining If Tucker Was Neurologically Dead 51
Four The Definition of Death: Problems for Public Policy 53
The Public Policy Question 54
Preliminary Issues to Public Policy Discussion 59
The Issues of the Debate Proper 64
Some Remaining Issues 72
Conclusion 77
Five The Whole Brain Oriented Concept of Death: An Outmoded
Philosophical Formulation 85
Preliminary Philosophical Assumptions 86
The Difficult Case for a Brain Oriented Concept of Death 88
The Essentially Significant to the Nature of the Human 91
Problems with the Whole Brain Oriented Criteria of Death 95
Conclusion 101
Six The Impending Collapse of the Whole Brain Definition of Death 103
Doubts about the Whole Brain Oriented Definition 104
The Higher Brain Oriented Alternative 105
vi I Contents
Criticisms of the Higher Brain Formulations 107
Conscience Clauses 111
Seven The Conscience Clause: How Much Individual
Choice Can Society Tolerate in Defining Death? 114
The Present State of the Law 115
Concepts, Criteria, and the Role of Value Pluralism 116
The Problem of Order: Objections to a Conscience Clause 123
Implementing a Conscience Clause 130
Conclusion 131
Eight Crafting a New Definition of Death Law 136
Incorporating the Higher Brain Notion 136
The Conscience Clause 137
A Proposed New Definition of Death for Public
Policy Purposes 138
Conclusion 139
Part Two I Procuring Organs
Nine Gift or Salvage: The Two Models of Organ Procurement 143
Two Models for Justifying Organ Procurement 144
The Foundation of the Duty to Respect the Wishes
of the Deceased 146
Surrogate Permission 147
Variants on the Two Models of Organ Procurement 149
Ten The Myth of Presumed Consent: Ethical Problems in
New Organ Procurement Strategies 167
The Difference between Presumed Consent and Salvaging 167
The State of the Law 168
Why Consent Cannot Validly Be Presumed 169
What Is at Stake 171
Eleven Required Response: An Alternative to Presumed Consent 175
The Inadequacy of Alternative Proposals 176
Required Response of Competent Persons 178
Twelve Live Donor Transplant: Including the Permanently
Unconscious and Paired and Live Donor/Cadaver Exchanges 182
The Dead Donor Rule 183
New Living Donor Cases 184
Two Approaches to the Ethics of Live Donation 189
Paired Exchanges 198
Live Donor Cadaver Exchanges 199
The Right of Persons to Become Donors 200
Conclusion 202
Thirteen Non Heart Beating Cadaver Donors 207
The Rights and Welfare of the Caregivers 208
viii I Contents
Conclusion 05
Twenty Voluntary Risks and Allocation: Does the Alcoholic
Deserve a New Liver? 311
The Theory of Voluntary Health Risky Behavior 311
Alcohol and Liver Transplants 316
Other Voluntary Behaviors 321
Twenty One Multiorgan, Split Organ, and Repeat Transplants 325
Multiorgan Transplants 326
Repeat Transplants 329
Splitting Organs 332
Twenty Two The Role of Age in Allocation 336
The Moral Norms for Allocation 336
A Formula for Taking Age into Account 343
Over a Lifetime Need versus Present Need 345
Twenty Three The Role of Status: Did Mickey Mantle Get
Special Treatment? 352
Mickey Mantle: The Real Facts 352
Governor Casey s Case 355
Social Worth versus Social Status 357
Twenty Four Urgency versus Geography: The Controversy
between UNOS and Donna Shalala 363
The Role of Geography in Allocation 363
The Reasons for the Local Priority 365
The Demand for a National List 370
The Ethics of the Conflict over Geography 377
Determining Whether the UNOS Response Is Adequate 381
Twenty Five Directed Donation of Organs for Transplant:
Egalitarian and Maximin Approaches 388
The Problem in Theory 389
Directed Donation: A New Example 391
The Inadequate Case for the Maximin 394
Egalitarian Justice as a Prima Facie Principle 397
The True Egalitarian Alternative 401
Conclusion 401
Appendix to Chapter 25: Does the Maximin Apply
at this Level of Specificity? 402
Two Reasons to Believe the Maximin Applies 402
Three More Egalitarian Interpretations of Rawls 403
Index 413
Contents I vii
The Organ Source Must Really Be Dead 209
The Organs Must Really Be Donated 211
Ways around Absence of Explicit Consent 214
Determining If Planned Donation Hastens Death Unethically 217
Fourteen Report of the Anencephaly Task Force of the
Washington Regional Transplant Consortium 223
The Need for and Availability of Organs and Tissues 224
Present Requirements that Organ Sources Be Dead 226
Possible Changes in Public Policy 228
Criteria for the Humane Treatment of Living
Anencephalic Infants 230
Conclusion 231
Addendum: Events Related to Anencephalic Organ
Procurement since the Writing of the WRTC Report 232
Fifteen The Role of Age in Procurement: Minors and the Elderly
as Organ Sources 236
Donation from Minors 236
Donation from Older Persons 239
Sixteen Tainted Organs: HIV Positive and Other
Controversial Donors 245
Types of Tainted Organs 246
HIV Positive Recipients and Transplant 250
An Assessment 251
A Proposal for a Policy Change 255
Seventeen The Ethics of Xenografts 259
The Natural Law Problem 261
The Animal Rights Problem 261
The Nontherapeutic Interventions Problem 262
The Resource Allocation Problem 264
The Virus Problem 267
Conclusion 271
Part Three I Allocating Organs
Eighteen Who Empowers Medical Doctors to Make Allocative
Decisions for Dialysis and Organ Transplantation? 277
The Reality of Allocation 277
Allocation as a Moral Rather Than a Technical Matter 279
The U.S. Kidney Allocation Formdla: An Example 284
Conclusion 285
Nineteen A General Theory of Allocation 287
Utility 288
Justice 294
Respect for Persons 301
viii I Contents
Conclusion 305
Twenty Voluntary Risks and Allocation: Does the Alcoholic
Deserve a New Liver? 311
The Theory of Voluntary Health Risky Behavior 311
Alcohol and Liver Transplants 316
Other Voluntary Behaviors 321
Twenty One Multiorgan, Split Organ, and Repeat Transplants 325
Multiorgan Transplants 326
Repeat Transplants 329
Splitting Organs 332
Twenty Two The Role of Age in Allocation 336
The Moral Norms for Allocation 336
A Formula for Taking Age into Account 343
Over a Lifetime Need versus Present Need 345
Twenty Three The Role of Status: Did Mickey Mantle Get
Special Treatment? 352
Mickey Mantle: The Real Facts 352
Governor Casey s Case 355
Social Worth versus Social Status 357
Twenty Four Urgency versus Geography: The Controversy
between UNOS and Donna Shalala 363
The Role of Geography in Allocation 363
The Reasons for the Local Priority 365
The Demand for a National List 370
The Ethics of the Conflict over Geography 377
Determining Whether the UNOS Response Is Adequate 381
Twenty Five Directed Donation of Organs for Transplant:
Egalitarian and Maximin Approaches 388
The Problem in Theory 389
Directed Donation: A New Example 391
The Inadequate Case for the Maximin 394
Egalitarian Justice as a Prima Facie Principle 397
The True Egalitarian Alternative 401
Conclusion 401
Appendix to Chapter 25: Does the Maximin Apply
at this Level of Specificity? 402
Two Reasons to Believe the Maximin Applies 402
Three More Egalitarian Interpretations of Rawls 403
Index 413
|
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| language | English |
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| physical | XVII, 427 S. |
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| spelling | Veatch, Robert M. 1939- Verfasser (DE-588)137967195 aut Transplantation ethics Robert M. Veatch Washington, D.C. Georgetown Univ. Press 2000 XVII, 427 S. txt rdacontent n rdamedia nc rdacarrier Greffe (Chirurgie) - Aspect moral Medische ethiek gtt Transplantatie gtt Ethik Ethics, Medical Transplantation Transplantation of organs, tissues, etc. Moral and ethical aspects Transplantation (DE-588)4060675-2 gnd rswk-swf Ethik (DE-588)4015602-3 gnd rswk-swf Transplantation (DE-588)4060675-2 s Ethik (DE-588)4015602-3 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009218877&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Veatch, Robert M. 1939- Transplantation ethics Greffe (Chirurgie) - Aspect moral Medische ethiek gtt Transplantatie gtt Ethik Ethics, Medical Transplantation Transplantation of organs, tissues, etc. Moral and ethical aspects Transplantation (DE-588)4060675-2 gnd Ethik (DE-588)4015602-3 gnd |
| subject_GND | (DE-588)4060675-2 (DE-588)4015602-3 |
| title | Transplantation ethics |
| title_auth | Transplantation ethics |
| title_exact_search | Transplantation ethics |
| title_full | Transplantation ethics Robert M. Veatch |
| title_fullStr | Transplantation ethics Robert M. Veatch |
| title_full_unstemmed | Transplantation ethics Robert M. Veatch |
| title_short | Transplantation ethics |
| title_sort | transplantation ethics |
| topic | Greffe (Chirurgie) - Aspect moral Medische ethiek gtt Transplantatie gtt Ethik Ethics, Medical Transplantation Transplantation of organs, tissues, etc. Moral and ethical aspects Transplantation (DE-588)4060675-2 gnd Ethik (DE-588)4015602-3 gnd |
| topic_facet | Greffe (Chirurgie) - Aspect moral Medische ethiek Transplantatie Ethik Ethics, Medical Transplantation Transplantation of organs, tissues, etc. Moral and ethical aspects |
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