Abstract
During the past 50 years since the first successful organ transplant, waiting lists of potential organ recipients have expanded exponentially as supply and demand have been on a collision course. The recovery of organs from patients with circulatory determination of death is one of several effective alternative approaches recommended to reduce the supply-and-demand gap. However, renewed debate ensues regarding the ethical management of the overarching risks, pressures, challenges and conflicts of interest inherent in organ retrieval after circulatory determination of death. In this article, the author claims that through the engagement of a Heideggerean existential phenomenological and hermeneutic framework what are perceived as ethical problems dissolve, including collapse of commitment to the dead donor rule. The author argues for a revisioned socially constructed conceptual and philosophical responsibility of humankind to recognize the limits of bodily finitude, to responsibly use the capacity of the transplantable organs, and to grant enhanced or renewed existence to one with diminished or life-limited capacity; thereby making the locus of ethical concern the donor–recipient as unitary ‘‘life.’ What ethically matters in the life-cycle (life-world) of donor–recipient is the viability of the organs transplanted; thereby granting reverence to all life.
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Acknowledgements
This article was written in partial fulfillment of the educational program European Master in Bioethics, University of Leuven (Belgium), Radboud University, Nijmegen (the Netherlands), and University of Padova (Italy). The views expressed here are the author’s own and do not reflect the position of any of the institutions with which the author has affiliation (Harris Methodist Fort Worth Hospital and Texas Health Resources), or any of the professors from the three universities sponsoring the European Master in Bioethics graduate program.
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Isch, D.J. In defense of the reverence of all life: Heideggerean dissolution of the ethical challenges of organ donation after circulatory determination of death. Med Health Care and Philos 10, 441–459 (2007). https://doi.org/10.1007/s11019-007-9053-7
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DOI: https://doi.org/10.1007/s11019-007-9053-7