David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Ethics 28 (2):89 (2002)
Refusal of organ donation is common, and becoming more frequent. In Australia refusal by families occurred in 56% of cases in 1995 in New South Wales, and had risen to 82% in 1999, becoming the most important determinant of the country's very low organ donation rate .Leading causes of refusal, identified in many studies, include the lack of understanding by families of brain death and its implications, and subsequent reluctance to relegate the body to purely instrumental status. It is an interesting paradox that surveys of the public continue to show considerable support for organ donation programmes—in theory we will, in practice we won't .In this paper we propose that the Australian community may, for good reason, distrust the concept of and criteria for “whole brain death”, and the equation of this new concept with death of the human being. We suggest that irreversible loss of circulation should be reinstated as the major defining characteristic of death, but that brain-dead, heart-beating entities remain suitable organ donors despite being alive by this criterion. This presents a major challenge to the “dead donor rule”, and would require review of current transplantation legislation. Brain dead entities are suitable donors because of irreversible loss of personhood, accurately and robustly defined by the current brain stem criteria."Even the dead are not terminally ill any more."
|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
Kristin Zeiler (2009). Deadly Pluralism? Why Death-Concept, Death-Definition, Death-Criterion and Death-Test Pluralism Should Be Allowed, Even Though It Creates Some Problems. Bioethics 23 (8):450-459.
G. Khushf (2010). A Matter of Respect: A Defense of the Dead Donor Rule and of a "Whole-Brain" Criterion for Determination of Death. Journal of Medicine and Philosophy 35 (3):330-364.
Steven D. Edwards & Kevin Forbes (2003). Nursing Practice and the Definition of Human Death. Nursing Inquiry 10 (4):229-235.
Similar books and articles
Mike Collins (2010). Reevaluating the Dead Donor Rule. Journal of Medicine and Philosophy 35 (2):1-26.
Dominic Wilkinson & Julian Savulescu (2012). Should We Allow Organ Donation Euthanasia? Alternatives for Maximizing the Number and Quality of Organs for Transplantation. Bioethics 26 (1):32-48.
Mary Jiang Bresnahan & Kevin Mahler (2010). Ethical Debate Over Organ Donation in the Context of Brain Death. Bioethics 24 (2):54-60.
Ari R. Joffe (2007). The Ethics of Donation and Transplantation: Are Definitions of Death Being Distorted for Organ Transplantation? Philosophy, Ethics, and Humanities in Medicine 2 (1):28.
Claudia Wiesemann (2010). Teaching Ethics in Organ Transplantation and Tissue Donation. Cases and Movies. In Cooperation with Anmon Carmi, Unesco Chair in Bioethics. Goettingen University Press.
Paul E. Morrissey (2012). The Case for Kidney Donation Before End-of-Life Care. American Journal of Bioethics 12 (6):1-8.
Sherine Hamdy (2013). Not Quite Dead: Why Egyptian Doctors Refuse the Diagnosis of Death by Neurological Criteria. Theoretical Medicine and Bioethics 34 (2):147-160.
Jeremy Snyder (2009). Easy Rescues and Organ Transplantation. HEC Forum 21 (1):27-53.
Franklin G. Miller & Robert Truog (2011). Death, Dying, and Organ Donation: Reconstructing Medical Ethics at the End of Life. Oxford University Press.
Stefan J. Wagner, Elselijn Kingma & M. M. McCabe (2012). Interdisciplinary Workshop in the Philosophy of Medicine: Death. Journal of Evaluation in Clinical Practice 18 (5):1072–1078.
Richard M. Zaner (1989). Anencephalics as Organ Donors. Journal of Medicine and Philosophy 14 (1):61-78.
Julia Reeve (1989). Brain Life and Brain Death – the Anencephalic as an Explanatory Example. A Contribution to Transplantation. Journal of Medicine and Philosophy 14 (1):5-23.
Caroline Guibet Lafaye & Henri Kreis (2013). From Altruistic Donation to Conditional Societal Organ Appropriation After Death. Ethical Theory and Moral Practice 16 (2):355-368.
Nicholas Tonti-Filippini (2011). Religious and Secular Death: A Parting of the Ways. Bioethics 26 (8):410-421.
Added to index2010-08-24
Total downloads12 ( #138,060 of 1,168,878 )
Recent downloads (6 months)1 ( #140,419 of 1,168,878 )
How can I increase my downloads?