David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Oxford University Press (2011)
This book challenges fundamental doctrines of established medical ethics. It is argued that the routine practice of stopping life support technology causes the death of patients and that donors of vital organs (hearts, liver, lungs, and both kidneys) are not really dead at the time that their organs are removed for life-saving transplantation. Although these practices are ethically legitimate, they are not compatible with traditional medical ethics: they conflict with the norms that doctors must not intentionally cause the death of their patients and that vital organs can be obtained only from dead donors. The aim of this book is to undertake an ethical examination that aims to honestly face the reality of medical practices at the end of life. This involves exposing the misconception that stopping life support merely allows patients to die from their medical conditions, that there is an ethical bright line separating withdrawal of life support from active euthanasia, and that determination of death of hospitalized patients prior to vital organ donation is consistent with the established biological conception of death. A novel ethical justification is required for procuring vital organs from still-living donors. It is contended that in the context of plans to withdraw life support, donors of vital organs are not harmed or wronged by organ procurement prior to death, provided that valid consent is obtained for stopping treatment and organ donation. In view of serious practical difficulties in facing the truth regarding organ donation, an alternative pragmatic account is developed for justifying current practices that relies on the concept of transparent legal fictions. In sum, it is the thesis of this book that to preserve the legitimacy of end-of-life practices, we need to reconstruct medical ethics.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
|Buy the book||$38.14 used (34% off) $45.53 new (21% off) $54.63 direct from Amazon (5% off) Amazon page|
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
F. G. Miller, R. D. Truog & D. W. Brock (2010). The Dead Donor Rule: Can It Withstand Critical Scrutiny? Journal of Medicine and Philosophy 35 (3):299-312.
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.
Mike Collins (2010). Reevaluating the Dead Donor Rule. Journal of Medicine and Philosophy 35 (2):1-26.
Paul E. Morrissey (2012). The Case for Kidney Donation Before End-of-Life Care. American Journal of Bioethics 12 (6):1-8.
James Lindemann Nelson (2009). Dealing Death and Retrieving Organs. Journal of Bioethical Inquiry 6 (3):285-291.
Hayden Bernstein, Organ-Trafficking and the State of Israel: Jewish and Ethical Guidelines for a Regulated Market in Human Organs.
Mohamed Y. Rady & Joseph L. Verheijde (2013). Brain-Dead Patients Are Not Cadavers: The Need to Revise the Definition of Death in Muslim Communities. [REVIEW] HEC Forum 25 (1):25-45.
David Shaw (2012). We Should Not Let Relatives Veto Organ Donation From Their Dead Relatives. British Medical Journal 34:e5275.
David Rodríguez-Arias, Maxwell J. Smith & Neil M. Lazar (2011). Donation After Circulatory Death: Burying the Dead Donor Rule. American Journal of Bioethics 11 (8):36-43.
Atsushi Asai, Yasuhiro Kadooka & Kuniko Aizawa (2010). Arguments Against Promoting Organ Transplants From Brain-Dead Donors, and Views of Contemporary Japanese on Life and Death. Bioethics 26 (4):215-223.
D. Rodríguez-Arias, J. C. Tortosa, C. J. Burant, P. Aubert, M. P. Aulisio & S. J. Youngner (2013). One or Two Types of Death? Attitudes of Health Professionals Towards Brain Death and Donation After Circulatory Death in Three Countries. Medicine, Health Care and Philosophy 16 (3):457-467.
Franklin G. Miller, Robert D. Truog & Dan W. Brock (2010). Moral Fictions and Medical Ethics. Bioethics 24 (9):453-460.
G. Moorlock, H. Draper & S. R. Bramhall (2011). Liver Transplantation Using 'Donation After Circulatory Death' Donors: The Ethics of Managing the End-of-Life Care of Potential Donors to Achieve Organs Suitable for Transplantation. Clinical Ethics 6 (3):134-139.
Clifford Earle Bartz (2003). Operation Blue, ULTRA: DION--The Donation Inmate Organ Network. Kennedy Institute of Ethics Journal 13 (1):37-43.
Adam J. Kolber (2003). A Matter of Priority: Transplanting Organs Preferentially to Registered Donors. Rutgers Law Review 55 (3):671-739.
Added to index2011-10-11
Total downloads8 ( #172,583 of 1,102,807 )
Recent downloads (6 months)2 ( #182,775 of 1,102,807 )
How can I increase my downloads?