基本説明
New in paperback. Hardcover was published in 2000. Veatch offers the first complete and systematic account of the ethical and policy controversies surrounding organ transplants.
Full Description
Three decades after the first heart transplant surgery stunned the world, organs including eyes, lungs, livers, kidneys, and hearts are transplanted every day. But despite its increasingly routine nature - or perhaps because of it - transplantation offers enormous ethical challenges. A medical ethicist who has been involved in the organ transplant debate for many years, Robert M. Veatch explores a variety of questions that continue to vex the transplantation community, offering his own solutions in many cases. Ranging from the most fundamental questions to recently emerging issues, "Transplantation Ethics" is the first complete and systematic account of the ethical and policy controversies surrounding organ transplants. Veatch structures his discussion around three major topics: the definition of death, the procurement of organs, and the allocation of organs. He lobbies for an allocation system - administered by nonphysicians - that considers both efficiency and equity, that takes into consideration the patient's age and previous transplant history, and that operates on a national rather than a regional level.
Rich with case studies and written in an accessible style, this comprehensive reference is intended for a broad cross section of people interested in the ethics of transplantation from either the medical or public policy perspective: patients and their relatives, transplantation professionals, other health care professionals and administrators, social workers, members of organ procurement organizations, and government officials involved in the regulation of transplants.
Contents
Preface 1. Introduction: Religious and Cultural Perspective 2. An Ethical Framework: General Theories of Ethics Part One: Defining Death3. The Dead Donor Rule and the Concept of Death 4. The Whole-Brain Concept of Death 5. The Circulatory, or Somatic, Concept of Death 6. The Higher-Brain Concept of Death 7. The Conscience Clause: How Much Individual Choice Can Our Society Tolerate in Defining Death? 8. Crafting a New Definition-of-Death Law Part Two: Procuring Organs9. The Donation Model 10. Routine Salvaging and Presumed Consent 11. Markets for Organs 12. Live-Donor Transplants 13. High-Risk Donors 14. Xenotransplants: Using Organs from Animals 15. The Media's Impact on Transplants and Directed Donation Part Three: Allocating Organs16. The Roles of the Clinician and the Public 17. A General Moral Theory of Organ Allocation 18. Voluntary Risks and Allocations: Does the Alcoholic Deserve a New Liver? 19. Multi-Organ, Split-Organ, and Repeat Transplants 20. The Role of Age in Allocation 21. The Role of Status: The Case of Mickey Mantle, Robert Casey, Steve Jobs, and Dick Cheney 22. Geography and Other Causes of Allocation Disparities 23. Socially Directed Donation: Restricting Donation by Social Group 24. Elective Organ Transplantation 25. Vascularized Composite Allografts: Hand, Face, and Uterine Transplants Index
