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William LaFleur (1936-2010), an eminent scholar of Japanese
studies, left behind a substantial number of influential
publications, as well as several unpublished works. The most
significant of these examines debates concerning the practice of
organ transplantation in Japan and the United States, and is
published here for the first time. This provocative book challenges
the North American medical and bioethical consensus that considers
the transplantation of organs from brain dead donors as an
unalloyed good. It joins a growing chorus of voices that question
the assumption that brain death can be equated facilely with death.
It provides a deep investigation of debates in Japan, introducing
numerous Japanese bioethicists whose work has never been treated in
English. It also provides a history of similar debates in the
United States, problematizing the commonly held view that the
American public was quick and eager to accept the redefinition of
death. A work of intellectual and social history, this book also
directly engages with questions that grow ever more relevant as the
technologies we develop to extend life continue to advance. While
the benefits of these technologies are obvious, their costs are
often more difficult to articulate. Calling attention to the risks
associated with our current biotech trajectory, LaFleur stakes out
a highly original position that does not fall neatly onto either
side of contemporary US ideological divides.
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