David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 23 (1):31 – 49 (1998)
Many believe that it is morally wrong to give lower priority for a liver transplant to alcoholics with end-stage liver disease than to patients whose disease is not alcohol-related. Presumably, alcoholism is a disease that results from factors beyond one's control and therefore one cannot be causally or morally responsible for alcoholism or the liver failure that results from it. Moreover, giving lower priority to alcoholics unfairly singles them out for the moral vice of heavy drinking. I argue that the etiology of alcoholism may involve enough control for the alcoholic to be responsible for his condition and accordingly have a weaker claim to receive a new liver than someone who acquires the disease through no fault of his own. In addition, I show why it is more plausible to reframe the question of priority in terms of control and responsibility rather than virtue and vice. Given that medical resources like livers are scarce, some people may justifiably be given lower priority than others in receiving these resources.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Paul C. Snelling (2012). Saying Something Interesting About Responsibility for Health. Nursing Philosophy 13 (3):161-178.
Dien Ho (2008). When Good Organs Go to Bad People. Bioethics 22 (2):77-83.
Esmeralda Luciolli, Olivier Soubrane & Didier Houssin (2002). Organisation de la greffe hépatique en France : aspects éthiques et réglementaires. Médecine et Droit 2002 (54):19-27.
Similar books and articles
V. Thornton (2009). Who Gets the Liver Transplant? The Use of Responsibility as the Tie Breaker. Journal of Medical Ethics 35 (12):739-742.
Michael Moore (1989). Book Review:Heavy Drinking: The Myth of Alcoholism as a Disease. Herbert Fingarette. [REVIEW] Ethics 99 (3):660-.
M. Walter (2004). Willingness to Donate: An Interview Study Before Liver Transplantation. Journal of Medical Ethics 30 (6):544-550.
Robert Friedman (1988). Heavy Drinking: The Myth of Alcoholism as a Disease. International Journal of Applied Philosophy 4 (2):91-93.
James F. Blumstein, Arthur Caplan, Kazumasa Hoshino, Mark Siegler & John D. Lantos (1992). Commentary: Liver-Donors Liver Transplants. Cambridge Quarterly of Healthcare Ethics 1 (04):307-.
Walter Glannon (2008). Responsibility and Priority in Liver Transplantation. Cambridge Quarterly of Healthcare Ethics 18 (01):23-.
Peter A. Singer, Mark Siegler, John D. Lantos, Jean C. Emond, Peter F. Whitington, J. Richard Thistlethwaite & Christoph E. Broelsch (1990). The Ethical Assessment of Innovative Therapies: Liver Transplantation Using Living Donors. Theoretical Medicine and Bioethics 11 (2).
Juha Räikkä (1996). The Social Concept of Disease. Theoretical Medicine and Bioethics 17 (4).
Ron Berghmans, Johan de Jong, Aad Tibben & Guido de Wert (2009). On the Biomedicalization of Alcoholism. Theoretical Medicine and Bioethics 30 (4):311-321.
J. Angelo Corlett (1990). Fingarette on the Disease Concept of Alcoholism. Theoretical Medicine and Bioethics 11 (3).
Added to index2009-01-28
Total downloads47 ( #72,817 of 1,727,171 )
Recent downloads (6 months)1 ( #354,178 of 1,727,171 )
How can I increase my downloads?