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Books > Medicine > General issues > Medical ethics
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Death, Dying, and Organ Transplantation - Reconstructing Medical Ethics at the End of Life (Hardcover)
Loot Price: R2,557
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Death, Dying, and Organ Transplantation - Reconstructing Medical Ethics at the End of Life (Hardcover)
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In Death, Dying, and Organ Transplantation: Reconstructing Medical
Ethics at the End of Life, Miller and Truog challenge fundamental
doctrines of established medical ethics. They argue that the
routine practice of stopping life support technology in hospitals
causes the death of patients and that donors of vital organs
(hearts, lungs, liver, and both kidneys) are not really dead at the
time that their organs are removed for life-saving transplantation.
These practices are ethically legitimate but are not compatible
with traditional rules of medical ethics that doctors must not
intentionally cause the death of their patients and that vital
organs can be obtained for transplantation only from dead donors.
In this book Miller and Truog undertake an ethical examination that
aims to honestly face the reality of medical practices at the end
of life. They expose the misconception that stopping life support
merely allows patients to die from their medical conditions, and
they dispute the accuracy of determining death of hospitalized
patients on the basis of a diagnosis of "brain death" prior to
vital organ donation. After detailing the factual and conceptual
errors surrounding current practices of determining death for the
purpose of organ donation, the authors develop a novel ethical
account of procuring vital organs. In the context of reasonable
plans to withdraw life support, still-living patients are not
harmed or wronged by organ donation prior to their death, provided
that valid consent has been obtained for stopping treatment and for
organ donation.
Recognizing practical difficulties in facing the truth regarding
organ donation, the authors also develop a pragmatic alternative
account based on the concept of transparent legal fictions. In sum,
Miller and Truog argue that in order to preserve the legitimacy of
end-of-life practices, we need to reconstruct medical ethics.
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