Full Description
This book describes and assesses some of the more important difficulties and defects in the current utilization of organ substitution technology, dealing with the major ethical, legal, and public policy issues of organ substitution.
Contents
Introduction -- Organ Substitution Technology: Identifying and Framing the Key Issues -- Ethical and Ideological Assumptions of Organ Substitution Policy -- Organ Procurement and Recipient Selection -- Introduction -- Organ Procurement in the Acute Setting -- Beg, Borrow, or Steal: The Ethics of Solid Organ Procurement -- Relaxing the Death Standard for Organ Donation in Pediatric Situations -- Children as Renal Donors -- Ethical Issues in Recipient Selection for Organ Transplantation -- The Patient and Entitlement to Benefits -- Costs, Funding, and the Diffusion of Technology -- Introduction -- Scarce Dollars for Saving Lives: The Case of Heart and Liver Transplants -- Regulating Heart and Liver Transplants in Massachusetts: An Overview of the Report of the Task Force on Organ Transplantation -- Equity and Costs -- Lessons Learned from the End-Stage Renal Disease Experience: Their Implications for Heart Transplantation -- Economic Issues in Organ Substitution Technology -- Justice and the Dissemination of "Big-Ticket" Technologies -- Allocating Scarce Medical Resources and the Availability of Organ Transplantation: Some Moral Presuppositions -- Decisions at the Experimental Stage: The Case of the Artificial Heart -- Introduction -- Legitimate Emergencies, Experimentation, and Scientific Civil Disobedience -- Death and the Magic Machine: Informed Consent to the Artificial Heart -- The Artificial Heart: Reevaluating the Investment -- Appendixes -- Organ Transplantation—Issues and Recommendations -- The Pros and Cons of Cyclosporine -- Contraindications to Heart Transplantation -- : Public Law 98-507, National Organ Transplant Act -- Certification of Death Based on Irreversible Cessation of All Brain Function Including that of the Brain Stem -- Minority Perspective Fact Sheet
