The Ethics of Organ Donation after Cardiac Death

The National Catholic Bioethics Quarterly 20 (4):745-758 (2020)
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Abstract

Organ donations after cardiac death account for about 20 percent of all vital-organ transplantations in the United States. This article evaluates DCDs in light of the Catholic moral tradition. Certain premortem interventions commonly associated with DCDs are morally impermissible even though the injuries they inflict on the patient are ostensibly inconsequential. More importantly, the criteria used for expeditiously assaying circulatory death—criteria which enhance the effectiveness of DCDs—do not always guarantee that the donor is actually deceased. Unless DCD protocols attend to these ethical problems, Catholic hospitals are obliged to abandon the practice.

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