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Moral and ethical organ transplant
Moral and ethical organ transplant
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In today’s medical field there is a profuse amount of room for ethical questioning concerning any procedure performed by a medical professional. According to the book Law & Ethics for Medical Careers, by Karen Judson and Carlene Harrison, ethics is defined as the standards of behavior, developed as a result of one’s concept of right and wrong (Judson, & Harrison, 2010). With that in mind, organ transplants for inmates has become a subject in which many people are asking questions as to whether it is morally right or wrong.
In the ABC News article entitled Death-Row Inmates Seeks Organ Transplant by Bryan Robinson, the issue of a death-row prisoner in Oregon, by the name of Horacio Alberto Reyes-Camarena, receiving priority over a law-abiding citizen for a kidney transplant is being addressed. The state pays for Reyes-Camarena’s medical care, so it allows him to be placed ahead of others who have not broken any laws but simply cannot afford the procedure or the medication needed after the operation due to little or no insurance coverage. “That has outraged crime victim advocates, who cannot understand how the justice system can “reward” convicted murderers at the expense of innocent patients” (Robinson).
Any given state has to provide medical care to its prisoners regardless of the reason the inmate is incarcerated. In an article by the Medical Ethics Advisor, Richard Demme, an associate professor and chair of the Ethics Committee at the University of Rochester, NY Medical Center states, “the U.S. Supreme Court has determined that withholding medical treatment from those who are incarcerated is cruel and unusual punishment, because prisoners are not allowed to seek healthcare for themselves. The court did not say which treatme...
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...her (Robinson).A person’s moral values [i.e. family, culture, society] serve as the basis for ethical conduct (Judson, & Harrison, 2010).This allows for many different issues and answers when dealing with this or any other ethical dilemma. If states continue to provide inmates with priority when it comes to organ transplants the cost of prisoner medical expenses will only increase, potentially causing serious economic problems in the future.
Works Cited
Judson, K, & Harrison, C. (2010). Law & ethics for medical careers. New York, NY: The McGraw-Hill Companies, Inc.
Organ transplants for inmates. (2011). Medical Ethics Advisor, Retrieved from http://proquest.umi.com/pqdweb?did=2385225061&sid=2&Fmt=3&clientId=83181&RQT=309&VName=PQD.
Robinson, B. (n.d.). Death-row inmate seeks organ transplant. Retrieved from http://abcnews.go.com/US/story?id=90611&page=1.
Gregory exposes and informs the audience that there are thousands of people that are dying and suffering as a result of not being able to receive transplants. Persuasively, Gregory is pushing and convincing readers to open their eyes and agree that there should be a legal market in organ selling and that people should be compensated for their donation. The author approaches counterarguments such as the market will not be fair and the differences between a liberalist’s and conservative’s views on organ selling. Liberal claims like “my body, my choice” and the Conservative view of favoring free markets are what is causing controversy to occur. Gregory suggests that these studies “show that this has become a matter of life and death” (p 452, para 12). Overall, Anthony Gregory makes great claims and is successful in defending them. He concludes with “Once again, humanitarianism is best served by the respect for civil liberty, and yet we are deprived both… just to maintain the pretense of state-enforced propriety” (p 453, para 15). In summary, people are deprived of both humanitarianism and civil liberty all because of the false claim of state-enforced behaviors considered to be appropriate or correct. As a result, lives are lost and human welfare is at
Gedge, E., & Waluchow, W. (2012). Readings in health care ethics (2nd ed.). Toronto, Ontario: Broadview Press.
Organ sales and donation are a controversial topic that many individuals cannot seem to agree upon. However, if someone close; a family member, friend, or someone important in life needed a transplant, would that mindset change? There are over one hundred and nineteen thousand men, women, and children currently waiting on the transplant list, and twenty-two of them die each day waiting for a transplant (Organ, 2015). The numbers do not lie. Something needs to be done to ensure a second chance at life for these individuals. Unfortunately, organ sales are illegal per federal law and deemed immoral. Why is it the government’s choice what individuals do with their own body? Organ sales can be considered an ethical practice when all sides of the story are examined. There are a few meanings to the word ethical in this situation; first, it would boost the supply for the
Veatch, Robert M.,"The Normative Principles of Medical Ethics." In Medical ethics. 1997. Reprint, Boston, MA: Jones and Bartlett, 1989 29-56.
Some inmates have incurable conditions. Troy Reid who had high blood pressure and kidney problems was one (Mendelssohn. p. 295). July of 2007 Reid began to get treated for his kidneys that were shutting down (Mendelssohn. p. 295). Three times a week he would get a kidney dialysis but on April of 2008 he died (Mendelssohn. p. 295). He grown tired of the treatments and decided to die (Mendelssohn. p. 295). From July 2007 to April 2008 taxpayers paid for Reid’s treatments. For some people the treatments that Reid had no point and was just a waste. If inmates that have incurable diseases like Reid’s should not be in prison or jail. They should be released and they them self should pay for the treatment they seek. A lot of money was wasted on Reid; this is a reason they should not pay for inmate health care.
While some would argue that the small number of executed prisoners is not worth the legal trouble of forcing them to donate their organs their opposition would respond “That’s a fairly statistical approach that may be appropriate if we weren’t talking about lives. Even if the case were that only a single donor can save a single life it would still be worth it.” Overall this issue is under much scrutiny for the fact that it’s controversial for both the medical staff involved and the legal repercussions for those advocating for this procedure to be enacted. While ethical considerations should obviously be addressed, one must keep in mind the moral state of mind the convicted murderers have themselves. When one holds no regard for life, why put so much emphasis on their body’s state after they
Throughout history physicians have faced numerous ethical dilemmas and as medical knowledge and technology have increased so has the number of these dilemmas. Organ transplants are a subject that many individuals do not think about until they or a family member face the possibility of requiring one. Within clinical ethics the subject of organ transplants and the extent to which an individual should go to obtain one remains highly contentious. Should individuals be allowed to advertise or pay for organs? Society today allows those who can afford to pay for services the ability to obtain whatever they need or want while those who cannot afford to pay do without. By allowing individuals to shop for organs the medical profession’s ethical belief in equal medical care for every individual regardless of their ability to pay for the service is severely violated (Caplan, 2004).
A part of Corrections and Conditional Release Act (CCRA) mandates that imprisoned persons must be provided with essential health care conforming to professional practices.1
Jecker, N. (1990). Integrating medical ethics with normative theory: Patient advocacy and social responsibility. 11(2), 125-139.
When viewing organ donation from a moral standpoint we come across many different views depending on the ethical theory. The controversy lies between what is the underlying value and what act is right or wrong. Deciding what is best for both parties and acting out of virtue and not selfishness is another debatable belief. Viewing Kant and Utilitarianism theories we can determine what they would have thought on organ donation. Although it seems judicious, there are professionals who seek the attention to be famous and the first to accomplish something. Although we are responsible for ourselves and our children, the motives of a professional can seem genuine when we are in desperate times which in fact are the opposite. When faced with a decision about our or our children’s life and well being we may be a little naïve. The decisions the patients who were essentially guinea pigs for the first transplants and organ donation saw no other options since they were dying anyways. Although these doctors saw this as an opportunity to be the first one to do this and be famous they also helped further our medical technology. The debate is if they did it with all good ethical reasoning. Of course they had to do it on someone and preying upon the sick and dying was their only choice. Therefore we are responsible for our own health but when it is compromised the decisions we make can also be compromised.
In this paper I will be using the normative theory of utilitarianism as the best defensible approach to increase organ donations. Utilitarianism is a theory that seeks to increase the greatest good for the greatest amount of people (Pense2007, 61). The utilitarian theory is the best approach because it maximizes adult organ donations (which are the greater good) so that the number of lives saved would increase along with the quality of life, and also saves money and time.
Nadiminti, H. (2005) Organ Transplantation: A dream of the past, a reality of the present, an ethical Challenge for the future. Retrieved February 12, 2014 from http://virtualmentor.ama-assn.org/2005/09/fred1-0509.html
Garrett, T. M., Baillie, H. W., & Garrett, R. M. (2010). Health care ethics: Principles and problems (5thed.). Upper Saddle River, NJ: Prentice Hall.
In conclusion, although there are some valid reasons to support the creation of an organ market based on the principles of beneficence and autonomy, there are also many overriding reasons against the market. Allowing the existence of organ markets would theoretically increase the number of organ transplants by living donors, but the negative results that these organ markets will have on society are too grave. Thus, the usage of justice and nonmaleficence as guiding ethical principles precisely restricts the creation of the organ market as an ethical system.
McGee, Glenn and Arthur L. Caplan. "Medical Ethics." Microsoft® Encarta® 98 Encyclopedia. © 1993-1997: Microsoft Corporation. CD-ROM.