A+ UPDATE IN QUESTIONS AND ANSWERS FORMAT.
organ transplants
Organ transplantation: surgical procedure transferring organs/tissues from one person
to another.
Viewed as "high-technology medicine"; not a complete cure, often involves risky
immunosuppressive treatments
Historical context of organ donations
Pre-1950s: Unsuccessful kidney transplants due to organ rejection.
1954: First successful kidney transplant (Boston) between identical twins (no need for
immunosuppressive drugs)
1967: First heart transplant by Dr. Christiaan Barnard; patient lived 18 days.
Late 1960s: High failure rates in liver and heart transplants; regarded as experimental.
most common organ donors
Donors: mostly brain-dead individuals, but also living donors for certain organs (e.g.,
kidney, partial liver).
most common organ recipients
Recipients: usually terminally ill patients; transplants extend life but require ongoing
care and medications.
Ethical issues with organ transplants
- cost
- supply
- consent
, - demand
- allocation
Supply of organs (overview)
Supply of organs: Redefinitions of death
- 1968: Ad Hoc Committee of Harvard Medical School proposed the "brain-death"
criterion for determining death.
- Widely accepted globally by commissions and institutions.
- Whole-brain criterion: defines death based on the irreversible brain damage
- definition of death is based upon the need for organs
=> whole brain definition increases supply from ppl in persistent vegitative state (PVS)
and anacephalic infants
Purpose of changing the definition of death
linked to organ transplantation practices
- now Enables retrieval of organs from brain-dead patients.
- also allows withdrawal of futile medical treatments.
Peter singer criticism on changing death definition
Calls the definition a "convenient fiction" to justify salvaging organs and withdrawing
treatment.
anencephalic and organ transplants
def: born without a brain
Anencephalic infants - sources of organs
anencephalic and organ transplants critiques (2) and advocates (2)
critiques
- undermines objective definitions of death.
- David Lamb highlights discomfort with terminology like "sources," suggesting it reflects
the commodification of human life