Abstract:
OBJECTIVE:The President's Council on Bioethics in 2008 reaffirmed the necessity of the dead donor rule and the legitimacy of the current criteria for diagnosing both neurological and cardiac death. In spite of this report,many have continued to express concerns about the ethics of donation after circulatory death, the validity of determining death using neurological criteria and the necessity for maintaining the dead donor rule for organ donation. I analysed the dead donor rule for its effect on the virtuous practice of medicine by physicians caring for potential organ donors. RESULTS:The dead donor rule consistently impedes physicians in fulfilling their primary duty to act for the good of their prospective donor patients. This compromises the virtue of fidelity. It also weakens many other virtues necessary for physicians to provide excellent end-of-life care. CONCLUSIONS:The dead donor rule, while ethically powerful in theory, loses its force during translation to the bedside. This is so because the rule mandates simultaneous life and death within the same body for organ donation, a biological status that is inherently contradictory. The rule should be rejected as an ethical norm governing vital organ transplantation at the end of life. Its elimination will strengthen the doctor–patient relationship and foster trustworthiness in organ procurement.
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
Chaten FCdoi
10.1136/medethics-2013-101333subject
Has Abstractpub_date
2014-07-01 00:00:00pages
496-500issue
7eissn
0306-6800issn
1473-4257pii
medethics-2013-101333journal_volume
40pub_type
杂志文章abstract::As the demand for healthcare rises, so does the need for priority setting in healthcare. In this paper, I consider a prominent priority-setting principle: proportional shortfall. My purpose is to argue that proportional shortfall, as a principle, should not be adopted. My key criticism is that proportional shortfall f...
journal_title:Journal of medical ethics
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:
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journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
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journal_title:Journal of medical ethics
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journal_title:Journal of medical ethics
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journal_title:Journal of medical ethics
pub_type: 杂志文章
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pub_type: 新闻
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journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
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journal_title:Journal of medical ethics
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:
更新日期:1976-06-01 00:00:00
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journal_title:Journal of medical ethics
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更新日期:2007-01-01 00:00:00
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pub_type: 杂志文章
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pub_type: 传,历史文章,杂志文章
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更新日期:2019-06-01 00:00:00