Abstract:
:Given the dramatic shortage of transplantable organs, demand cannot be met by established and envisioned organ procurement policies targeting postmortem donation. Live organ donation (LOD) is a medically attractive option, and ethically permissible if informed consent is given and donor beneficence balances recipient non-maleficence. Only a few legal and regulatory frameworks incentivise LOD, with the key exception of Israel's Organ Transplant Law, which has produced significant improvements in organ donation rates. Therefore, I propose an organ procurement system that incentivises LOD by allocating additional priority points to the living donor on any transplant waiting list. I outline benefits and challenges for potential recipients, donors and society at large, and suggest measures to ensure medical protection of marginalised patient groups.
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
Glas Adoi
10.1136/medethics-2019-105999subject
Has Abstractpub_date
2020-02-14 00:00:00eissn
0306-6800issn
1473-4257pii
medethics-2019-105999pub_type
杂志文章abstract::David Shaw's response to Hugh McLachlan's criticism of his proposed new perspective on euthanasia is ineffectual, mistaken and unfair. It is false to say that the latter does not present an argument to support his claim that there is a moral difference between killing and letting die. It is not the consequences alone ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2011.044966
更新日期:2011-12-01 00:00:00
abstract::The ethics of the Flexibility In duty hour Requirements for Surgical Trainees (FIRST) trial have been vehemently debated. Views on the ethics of the FIRST trial range from it being completely unethical to wholly unproblematic. The FIRST trial illustrates the complex ethical challenges posed by cluster randomised trial...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2017-104282
更新日期:2018-09-01 00:00:00
abstract::In an influential essay entitled Why abortion is wrong, Donald Marquis argues that killing actual persons is wrong because it unjustly deprives victims of their future; that the fetus has a future similar in morally relevant respects to the future lost by competent adult homicide victims, and that, as consequence, abo...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.26.2.103
更新日期:2000-04-01 00:00:00
abstract::Direct-to-consumer (DTC) genetic services have generated enormous controversy from their first emergence. A dramatic recent manifestation of this is the Food and Drug Administration's (FDA) cease and desist order against 23andMe, the leading provider in the market. Critics have argued for the restrictive regulation of...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2014-102026
更新日期:2015-04-01 00:00:00
abstract::Since the mid-1990s most EU Member States have established a national forensic DNA database. These mass repositories of DNA profiles enable the police to identify DNA stains which are found at crime scenes and are invaluable in criminal investigation. Governments have always brushed aside privacy objections by stressi...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2007.022012
更新日期:2008-08-01 00:00:00
abstract::The extraordinary events surrounding the measles, mumps, and rubella (MMR) vaccine in the United Kingdom have not only placed in jeopardy the use of this triple vaccine but have also spread concern to other parts of the world. Examination of the public's worry about MMR vaccine reveals they have been exposed to a rang...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.29.1.22
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVES:To study the ethical reasoning of nurses and physicians, and to assess whether or not modified focus groups are a valuable tool for this purpose. DESIGN:Discussion of cases in modified focus groups, each consisting of three physicians and three nurses. The discussion was taped and analysed by content analys...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.22.3.168
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVES:To explore mental health service users' views of existing and proposed compulsory powers. DESIGN:A qualitative study employing in-depth interviews. Participants were asked to respond to hypothetical questions regarding the application of compulsory powers under the Mental Health Act 1983 for people other th...
journal_title:Journal of medical ethics
pub_type: 杂志文章,评审
doi:10.1136/jme.2003.004861
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVES:In treating critically ill neonates, situations occasionally arise in which aggressive medical treatment prolongs the inevitable death rather than prolonging life. Decisions as to limitation of neonatal medical intervention remain controversial and the primary responsibility of the generally unprepared famil...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.23.3.164
更新日期:1997-06-01 00:00:00
abstract::'Futility' is a contentious term that has eluded clear definition, with proposed descriptions either too strict or too vague to encompass the many facets of medical care. Requests for futile care are often surrogates for requests of a more existential character, covering the whole range of personal, emotional, cultura...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2020-106232
更新日期:2020-04-24 00:00:00
abstract::In this response article, we challenge a core assumption that lies at the centre of a round table discussion regarding the Pharmacogenetics to Avoid Loss of Hearing trial. The round table regards a genetic test for a variant (mt.1555A>G) that increases the risk of deafness if a carrier is given the antibiotic gentamic...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2020-106807
更新日期:2021-02-01 00:00:00
abstract::The right not to know is underappreciated in policy-making. Despite its articulation in medical law and ethics, policy-makers too easily let other concerns override the right not to know. This observation is triggered by a recent decision of the Dutch government on embryo selection for Huntington's disease. This is a ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2009.031047
更新日期:2010-01-01 00:00:00
abstract::The way people think about equality as a value will influence how they think genetic interventions should be regulated. In this paper the author uses the taxonomy of equality put forth by Derek Parfit and applies this to the issue of genetic interventions. It is argued that telic egalitarianism is untenable and that d...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2002.002329
更新日期:2004-12-01 00:00:00
abstract::In contemporary medical ethics health is rarely acknowledged to be an ethical obligation. This oversight is due to the preoccupation of most bioethicists with a rationalist, contract model for ethics in which moral obligation is limited to truth-telling and promise-keeping. Such an ethics is poorly suited to medicine ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.10.3.138
更新日期:1984-09-01 00:00:00
abstract::Determining whether a research risk meets or exceeds a regulatory standard of risk acceptability is difficult. Recently a framework called the systematic evaluation of research risks (SERR) has been proposed as a method of comparing research risks with predetermined standards of acceptability. SERR purports to offer a...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2011-100194
更新日期:2012-07-01 00:00:00
abstract::Human embryo models formed from stem cells-known as embryoids-allow scientists to study the elusive first stages of human development without having to experiment on actual human embryos. But clear ethical guidelines for research involving embryoids are still lacking. Previously, a handful of researchers put forward n...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2020-106493
更新日期:2021-01-05 00:00:00
abstract:PURPOSE:Many research ethics committees (RECs) have been established in low- and middle-income countries (LMICs) in response to increased research in these countries. How well these RECs are functioning remains largely unknown. Our objective was to assess the usefulness of a self-assessment tool in obtaining benchmarki...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2013-101587
更新日期:2015-04-01 00:00:00
abstract::One of the central arguments given to resist testing currently healthy, asymptomatic children for adult-onset diseases is that they may be psychologically harmed by the knowledge gained from such tests. In this discussion I examine two of the most serious arguments: children who are tested may face limited futures, an...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.019802
更新日期:2008-04-01 00:00:00
abstract::We are printing in its entirety the discussion document which sets out a code of professional conduct for nurses published by the Royal College of Nursing in November 1976 together with commentaries by the Assistant Secretary of the British Medical Association, a professor of nursing studies, student nurses and a lawy...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.3.3.115
更新日期:1977-09-01 00:00:00
abstract::McCarthy, former chairman of a National Health Service area health authority, responds to an article by T.A.H. English, "What price excellence?," in the same issue of the Journal of Medical Ethics. Unlike English, she believes that Great Britain's present system for resource allocation has not achieved an equitable d...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.8.3.147
更新日期:1982-09-01 00:00:00
abstract:AIM:The primary aim of the study was to evaluate two different methods of communicating information on cardiopulmonary resuscitation (CPR) to patients admitted to general medical and elderly care wards. The information was either in the form of a detailed information leaflet (appendix I) or a summary document (appendix...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2002.002915
更新日期:2004-06-01 00:00:00
abstract::In this paper, I provide a brief sketch of the purposes that medical ethics serves and what makes for good medical ethics. Medical ethics can guide clinical practice and biomedical research, contribute to the education of clinicians, advance thinking in the field, and direct healthcare policy. Although these are disti...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2014-102312
更新日期:2015-01-01 00:00:00
abstract::The realm of non-rational influence, which includes nudging, is home to many other morally interesting phenomena. In this paper, I introduce the term bumping, to discuss the category of unintentional non-rational influence. Bumping happens constantly, wherever people make choices in environments where they are affecte...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2018-105179
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION:Research in intensive care is necessary for the continuing advancement of patient care. In research, informed consent is considered essential for patient protection. In intensive care, the modalities of informed consent are currently being debated by both lawyers and the medical community. The preferences ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2008.028068
更新日期:2009-11-01 00:00:00
abstract::On 9 May 2005, the Israeli Ministry of Health issued guidelines spelling out the conditions under which sex selection by preimplantation genetic diagnosis (PGD) for social purposes is to be permitted in Israel. This article first reviews the available medical methods for sex selection, the preference for children of a...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2007.023226
更新日期:2008-09-01 00:00:00
abstract::Best interests decision-making and end-of-life care for patients in permanent vegetative or minimally conscious states (VS/MCS) is a complex area of clinical and legal practice, which is poorly understood by most clinicians, lawyers and members of the public. In recent weeks, the Oxford Shrieval lecture by Mr Justice ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2016-104057
更新日期:2017-07-01 00:00:00
abstract:INTRODUCTION:Future HIV vaccine efficacy trials with adolescents will need to ensure that participants comprehend study concepts in order to confer true informed assent. A Hepatitis B vaccine trial with adolescents offers valuable opportunity to test youth understanding of vaccine trial requirements in general. METHOD...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-101286
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:To study the attitudes of both medical and non-medical students towards the do-not-resuscitate (DNR) decision in a university in Hong Kong, and the factors affecting their attitudes. METHODS:A questionnaire-based survey conducted in the campus of a university in Hong Kong. Preferences and priorities of part...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2005.014423
更新日期:2007-05-01 00:00:00
abstract::Teaching medical ethics by the case method may be enriched by adding to the principles-and-rules approach to practical reasoning modes of inquiry and interpretation that engage the moral imagination. :Carson and Higgs are strong advocates of the use of case studies in the teaching of medical ethics. Carson maintains...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.12.1.36
更新日期:1986-03-01 00:00:00
abstract::This reply to John F Catherwood's criticism of brain-related criteria for death argues that brainstem criteria are neither reductionist nor do they presuppose a materialist theory of mind. Furthermore, it is argued that brain-related criteria are compatible with the majority of religious views concerning death. ...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/jme.18.1.40
更新日期:1992-03-01 00:00:00