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Volumn 24, Issue 3, 1998, Pages 166-170

The subtle politics of organ donation: A proposal

Author keywords

Free riding; Opting out; Organ donation

Indexed keywords

CALCULATION; HUMAN; MEDICAL DECISION MAKING; MEDICAL ETHICS; ORGAN DONOR; ORGAN TRANSPLANTATION; POLITICS; RECIPIENT; RELATIVE; SHORT SURVEY;

EID: 0031748557     PISSN: 03066800     EISSN: None     Source Type: Journal    
DOI: 10.1136/jme.24.3.166     Document Type: Short Survey
Times cited : (26)

References (13)
  • 1
    • 0005438116 scopus 로고
    • The organ donor: Brain death, selection criteria, supply and demand
    • Flye MW, ed. Philadelphia: W B Saunders Company
    • In practice many countries with opting-out systems still seek to obtain the authorisation of relatives for the use of organs for transplantation. See Haag BW, Stuart FP. The organ donor: brain death, selection criteria, supply and demand. In: Flye MW, ed. Principles of organ transplantation. Philadelphia: W B Saunders Company, 1989: 185.
    • (1989) Principles of Organ Transplantation , pp. 185
    • Haag, B.W.1    Stuart, F.P.2
  • 2
    • 0025888883 scopus 로고
    • Incentives for organ donation?
    • See Kittur DS, Hogan MM, Thukral VK, McGaw LJ, Alexander JW. Incentives for organ donation? Lancet 1991;338: 1441 who report that organ donation in Belgium has increased by 119% in the three years since opting-out legislation was introduced.
    • (1991) Lancet , vol.338 , pp. 1441
    • Kittur, D.S.1    Hogan, M.M.2    Thukral, V.K.3    McGaw, L.J.4    Alexander, J.W.5
  • 3
    • 7144243253 scopus 로고
    • London: Office of Health Economics
    • West R. Organ transplantation. London: Office of Health Economics, 1991:10.
    • (1991) Organ Transplantation , pp. 10
    • West, R.1
  • 4
    • 85038535421 scopus 로고    scopus 로고
    • note
    • For altruistic reasons some potential recipients may prefer to see donated organs go to younger people or to those with dependants and there are, of course, some religious groups who do not accept transplantation.
  • 5
    • 85038536048 scopus 로고    scopus 로고
    • note
    • Although transplantation is obviously an expensive medical treatment, it has been noted that over a period of some years, renal transplantation is more economical than continued dialysis. See also reference 3:25.
  • 6
    • 85038530525 scopus 로고    scopus 로고
    • note
    • The presumed consent implicit in opting-out systems may also facilitate the speedier recovery of organs from deceased persons, reducing the demand for elective ventilation of cadavers with the additional ethical doubts that this procedure raises.
  • 7
    • 85038532855 scopus 로고    scopus 로고
    • note
    • The use of the terms "generous" and "selfish" are of course, value-laden, and oversimplify the motives behind a decision to donate or to refrain from donation. These terms are intended here as a shorthand and to give the flavour of the moral argument.
  • 8
    • 85038536014 scopus 로고    scopus 로고
    • note
    • In the hypothetical case of someone who has opted-out and then becomes aware that he/she needs a transplant it is, of course, possible for that person to "change his/her mind" but the changed circumstances will leave some doubt as to the aetiology of the decision. In any case, publicity of such cases may serve to discourage other potential opters-out.
  • 9
    • 0029126270 scopus 로고
    • Join the club: A modest proposal to increase availability of donor organs
    • Jarvis R. Join the club: a modest proposal to increase availability of donor organs. Journal of Medical Ethics 1995;21:199-204.
    • (1995) Journal of Medical Ethics , vol.21 , pp. 199-204
    • Jarvis, R.1
  • 10
    • 85038533342 scopus 로고    scopus 로고
    • note
    • Only free-riders would be penalised on the perfectly implemented Jarvis proposal as those who refused to donate on, for example religious grounds, would presumably also refuse to accept organs in transplantation.
  • 11
    • 0029353868 scopus 로고
    • On giving preference to prior volunteers when allocating organs for transplant
    • Gillon R. On giving preference to prior volunteers when allocating organs for transplant [editorial]. Journal of Medical Ethics 1995;21:195-b.
    • (1995) Journal of Medical Ethics , vol.21
    • Gillon, R.1
  • 13
    • 0004084586 scopus 로고
    • London: University College London Press
    • Adams J. Risk. London: University College London Press, 1995.
    • (1995) Risk
    • Adams, J.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.