David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 17 (1) (1996)
Normative criteria adopted to assure just, equitable, and efficient allocation of donor organs to potential recipients has been widely praised as a model for the allocation of scarce medical resources. Because the organ transplantation program relies upon voluntary participation by potential donors, all such programs necessarily rely upon public confidence in allocation decision making protocols. Several well publicized cases have raised questions in North America about the efficacy of allocation procedures. An analysis of those cases, and the relevant technical literature, suggest consistent structural deficits exist in the organ allocation process as it is applied by many individual transplantation centres. These irregularities are based upon both the failure of rank waiting as a method to guarantee just treatment and a general failure to recognize the extent to which prescriptive criteria — social values — are commonly used to screen potential organ transplant candidates. Resulting idiosyncratic determinations, and a devaluation of rank waiting as a criterion, raise fundamental questions regarding justice, fairness, and equability in the application procedure at large. To correct these structural problems in organ allocation procedures, a multicriterion model defining prescriptive criteria through the Analytic Hierarchy Process (AHP) is proposed.
|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
No citations found.
Similar books and articles
Govert den Hartogh (2010). Trading with the Waiting-List: The Justice of Living Donor List Exchange. Bioethics 24 (4):190-198.
Nikola Biller-Andorno (2002). Gender Imbalance in Living Organ Donation. Medicine, Health Care and Philosophy 5 (2):199-203.
Sarah B. Rodriguez & Lisa Campo-Engelstein (2011). Conceiving Wholeness Women, Motherhood, and Ovarian Transplantation, 1902 and 2004. Perspectives in Biology and Medicine 54 (3):409-416.
J. S. Swindell Blumenthal-Barby (2007). Facial Allograft Transplantation, Personal Identity, and Subjectivity. Journal of Medical Ethics 33 (8):449-453.
David Steinberg (2004). An "Opting in" Paradigm for Kidney Transplantation. American Journal of Bioethics 4 (4):4 – 14.
Jeremy Snyder (2009). Easy Rescues and Organ Transplantation. HEC Forum 21 (1):27-53.
Mike Collins (2010). Reevaluating the Dead Donor Rule. Journal of Medicine and Philosophy 35 (2):1-26.
Jeff McMahan (2007). Justice and Liability in Organ Allocation. Social Research: An International Quarterly 74 (1):101-124.
André Krom (2005). Earning Points for Moral Behavior. International Journal of Applied Philosophy 19 (1):73-83.
Added to index2009-01-28
Total downloads34 ( #50,073 of 1,099,048 )
Recent downloads (6 months)2 ( #175,277 of 1,099,048 )
How can I increase my downloads?