Donation After Circulatory Death: Burying the Dead Donor Rule

American Journal of Bioethics 11 (8):36-43 (2011)
Abstract
Despite continuing controversies regarding the vital status of both brain-dead donors and individuals who undergo donation after circulatory death (DCD), respecting the dead donor rule (DDR) remains the standard moral framework for organ procurement. The DDR increases organ supply without jeopardizing trust in transplantation systems, reassuring society that donors will not experience harm during organ procurement. While the assumption that individuals cannot be harmed once they are dead is reasonable in the case of brain-dead protocols, we argue that the DDR is not an acceptable strategy to protect donors from harm in DCD protocols. We propose a threefold alternative to justify organ procurement practices: (1) ensuring that donors are sufficiently protected from harm; (2) ensuring that they are respected through informed consent; and (3) ensuring that society is fully informed of the inherently debatable nature of any criterion to declare death
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    References found in this work BETA
    Don Marquis (2010). Are DCD Donors Dead? Hastings Center Report 40 (3):24-31.
    Jeff McMahan (2006). Alternative to Brain Death. Journal of Law, Medicine Ethics 34 (1):44-48.

    View all 15 references

    Citations of this work BETA
    Walter Glannon (2011). Donation, Death, and Harm. American Journal of Bioethics 11 (8):48-49.
    D. Micah Hester & Jerril Green (2011). It's All About the Brain. American Journal of Bioethics 11 (8):44-45.

    View all 13 citations

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    Mike Collins (2010). Reevaluating the Dead Donor Rule. Journal of Medicine and Philosophy 35 (2):1-26.
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