QUESTIONS AND ANSWERS FORMAT.
Futile treatment
1. Patients autonomy and right to refuse treatment
2. Doctor's right to limit treatment
Euthanasia and assisted suicide
Active/passive euthanasia
Voluntary - wishes of patient
Non-voluntary - wished of surrogate
Involuntary - without consent
Assisted suicide - pt is to bring about death on their own
-killing is incompatatble w medicine
Assisted dying : PRO
Canada: right to die legislation/ medical assistance in dying
Assisted dying: CON
Involuntary euthanasia
Releasing the loved ones from burden of care
Keenan Euthanasia and Woman
social failure, when a woman, who has cared for her husband through his decline and
death, elects (physician-assisted suicide) so as not to be a burden to her children and
society.
organ transplant today
Almost 3,000 organ transplants were performed in Canada in 2017
Kidneys - 90% (82% for cadaver kidneys) five-year survival rate
Heart and liver - 75%/4 years
Organ transplant today CONS
Costly and highly technical procedure which takes up a lot of resources
Experimentation w face, womb and other transplants
ethical issues in organ transplantation
, Cost
Allocation:
Demand:
Consent:
Allocation:
how do we establish baseline for person receiving transplant?
consent to organ transplantation
increasing supply by mandating choices for organ donations (forced/strongly
encouraged for organ donation)
Supply
Supply of organs
When should we retrieve organs from a dying person?
Argument over definition and wording
Must be declared death, then harvesting of organs. How do we morally handle issue?
The definition of death is based upon the need for organs
The Case of Denmark
Anencephalic infants - sources of organs
Almost impossible to find for babies and children
These babies may be potential sources for organ donation - put on ventilators and use
organs for other babies
Increasing supply of organ donation
Cadaveric organ donations
Small number of death for organ harvesting
Educational campaigns - no increase in supply Informed consent and donor cards
Mandated choice &
Presumed consent
Conscription of organs
Policy of conscription of organs - all useable organs will be removed, and no consent is
required
Organ donations: Gift or moral obligation? No right or wrong answer
Financial incentives