Cadaveric organ donation: Ethical considerations for a new approach

Kleinman, Irwin; Lowy, Frederick H.

doi:10.1016/0168-8510(90)90122-t

Cited by 8 publications

(11 citation statements)

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“…17 Noting the problematic situation with organ donation back in 1989, they called for a model where adults who were willing to donate would have ''priority for receiving organs generated by the program that might be needed at a future date''.…”

Section: Reinvigorating the CD Programmementioning

confidence: 99%

An antidote to the emerging two tier organ donation policy in Canada: the Public Cadaveric Organ Donation Program

Giles

2005

J Med Ethics

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In Canada, as in many other countries, there exists an organ procurement/donation crisis. This paper reviews some of the most common kidney procurement and allocation programmes, analyses them in terms of public and private administration, and argues that privately administered living donor models are an inequitable stopgap measure, the good intentions of which are misplaced and opportunistic. Focusing on how to improve the publicly administered equitable cadaveric donation programme, and at the same time offering one possible explanation for its current failure, it is suggested that the simple moral principle of “give and you shall receive”, already considered by some, be extended further. This would allow for those who are willing to sign up to be a public cadaveric donor be given a priority for receiving an organ donation should they ever require it. It is argued that this priority may provide the motivation to give that is so far lacking in Canada. This model is called the Public Cadaveric Organ Donation Program.

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Section: Reinvigorating the CD Programmementioning

confidence: 99%

An antidote to the emerging two tier organ donation policy in Canada: the Public Cadaveric Organ Donation Program

Giles

2005

J Med Ethics

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“…Similarly, a Canadian study found that while 89% of individuals polled had heard of organ donation, only 26% had signed a card (3). When signed donor cards are available, hospitals still routinely ask the family's approval before removing organs, even though these cards are legally binding documents (4, 5).…”

Section: Organ Donor Cardsmentioning

confidence: 99%

“…Required request laws have been enacted in the United States and Canada to ensure that families of recently deceased people are offered the option of donating organs (5, 7). It was assumed that more organs would be donated if more requests were made.…”

Section: Required Requestmentioning

confidence: 99%

Ethical Considerations for an Advance Directive Organ Registry: A Proposal for Increasing the Supply of Kidneys for Transplantation

Kleinman

1999

Seminars in Dialysis

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“…Ein in diesem Sinne höheres Maß an Eigenverantwortlichkeit ist in freiheitlichen Systemen kollektivistischen Systemen vorzuziehen. Außerdem wäre der Anreiz, die eigene Organspendebereitschaft für den Todesfall zu erklären, gegenüber der gegenwärtigen Regelung substantiell erhöht ( [13], S 109).…”

Section: Clublösungunclassified

Organverteilungssysteme im Transplantationswesen aus ökonomischer Sicht

Greiner¹

1998

Ethik Med

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Definition of the problem: Even after the new German legislation about organ donors and transplantation ("information solution"), the question of criteria for distributing the organs is still not solved. The various alternatives to solve this problem face different social acceptance and economic efficiency. Arguments: Medical criteria (e.g. HLA compatibility) and non-medical criteria (e.g. willingness to pay of the patients) are valued on the basis of generally accepted objectives (e.g. equal access to health services or low costs). As an innovative form of organ distribution systems the club solution is introduced. It allows the donor to realise preferences regarding use of the organs. Conclusion: Scoring systems may help to increase the transparency of organ allocation. From an economic point of view medical criteria have to be weighted more than non-medical criteria.

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Cadaveric organ donation: Ethical considerations for a new approach

Cited by 8 publications

References 0 publications

An antidote to the emerging two tier organ donation policy in Canada: the Public Cadaveric Organ Donation Program

An antidote to the emerging two tier organ donation policy in Canada: the Public Cadaveric Organ Donation Program

Ethical Considerations for an Advance Directive Organ Registry: A Proposal for Increasing the Supply of Kidneys for Transplantation

Organverteilungssysteme im Transplantationswesen aus ökonomischer Sicht

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