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CBHD: Is It Ethical to Buy Organs? One Physician's Perspective - Gregory W. Rutecki CBHD: Is It Ethical to Buy Organs? One Physician's Perspective - Gregory W. Rutecki Home > Articles > Health Care and Clinical Ethics Email Services | News Media | Search About CBHD Articles Conferences Speaker/Consultant Bureau Shop@CBHD Join/Support CBHD Bioethics Biotechnology Cloning Death and Dying Genetics Health Care and Clinical Ethics Reproductive Ethics Stem Cell ResearchBook ReviewsCase StudiesMovie Reviews News Archive Links to Additional Bioethical Material Is It Ethical to Buy Organs? One Physician's Perspective by Gregory W. Rutecki Printer-Friendly Version Gregory W. Rutecki, MD, is Director of Medical Education at Mount Carmel Health System in Columbus, Ohio, and Fellow of The Center for Bioethics and Human Dignity Post Date: June 25, 2002 Once upon a time, the realm of organ donation was uncluttered by any taint of impropriety. A mere generation ago, single organs (primarily hearts and livers) came from donors who had been declared dead according to whole brain criteria (criteria for which there was broad consensus among those both inside and outside of the medical profession). Kidneys were often donated to patients by both living and non-living family members and friends. Although any shortage of available organs is disturbing, waiting lists were considered to be of reasonable and not excessive length. Unfortunately, the "then" and "now" of organ transplantation constitute two remarkably different eras. Today, a new bioethics vocabulary for organ transplantation has emerged, nurtured by severe organ shortages and characterized by controversy generated through asystolic protocols (which allow organs to be obtained from persons whose hearts have stopped beating and who have been declared dead by cardiac criteria, but who may not meet the criteria for brain death), donation by living persons of up to an estimated 60% of their liver (which has resulted in liver failure in or even death of the donors), and, most recently, the troublesome issue of applying market forces to organ donation. Full Article: http://www.cbhd.org/resources/healthcare/rutecki_2002_06_25.htm |
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