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Ethical issues of organ donation
Ethical issues of organ donation
Ethical issues of organ donation
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In today’s world of medicine and technological advancements we have been tremendously blessed with the opportunity to extend the lives of many who would not have even had this possibility 60 years ago. In 1963 the first human liver transplant was performed by Thomas Starzi but was unsuccessful and not successfully completed until 1967. According to Cosme Manzarbeltia in his article “Liver Transplantation”, during the year of 1970 a study was done that showed despite an immunosuppressive regimen made up solely of steroids and azathioprine, survival rates were at a sadly low rate of only 15% at one year follow up appointments. Transplant doctors noticed this was becoming a waste of time and resources because no one was surviving the surgery any longer then they would have without the procedure and it was not until the 1980’s that an immunosuppressant called cyclosporine was founded greatly raising survival …show more content…
All of this said to be shown just how medical advancements are being made daily leading to such a drastic improvement in success rates of liver transplantation. (Manzarbeltia, 2015) Before this time, if you happen to get end stage liver disease (ESLD), this was fatal and there were no definitive treatments at all. Although we now have the chance to give certain organs to patients who are awaiting a life-saving transplant, we face an ethical dilemma in the medical world of medicine as to who exactly should get the organ between to individuals if only one organ is available? In the case study found in the textbook we are faced between the extremely tough decision of who should get the one liver available for transplant, Mr. Mann who has liver cirrhosis from his lifelong alcohol addiction or Mrs. Bay who has Hepatitis C for an unknown
However, Saunders begins his argument by arguing that the current opt-in system leads to a shortage in the supply of organs and this is a major concern. This results in numerous people who need organs dying while on waiting lists and also suffering while waiting for transplant as one of their organs is failing. This is Saunders’ first premise to support his conclusion to put an opt-out system in place. By putting an opt-out system in place, this will contribute to an increase in the supply of organs.
Specific Purpose: After listening to my speech, my audience will know the history of organ transplants/transplantation and its medical advances over the years.
After her diagnosis of chronic kidney failure in 2004, psychiatrist Sally Satel lingered in the uncertainty of transplant lists for an entire year, until she finally fell into luck, and received her long-awaited kidney. “Death’s Waiting List”, published on the 5th of May 2006, was the aftermath of Satel’s dreadful experience. The article presents a crucial argument against the current transplant list systems and offers alternative solutions that may or may not be of practicality and reason. Satel’s text handles such a topic at a time where organ availability has never been more demanded, due to the continuous deterioration of the public health. With novel epidemics surfacing everyday, endless carcinogens closing in on our everyday lives, leaving no organ uninflected, and to that, many are suffering, and many more are in desperate request for a new organ, for a renewed chance. Overall, “Death’s Waiting List” follows a slightly bias line of reasoning, with several underlying presumptions that are not necessarily well substantiated.
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
Satel starts her essay with an appeal to emotion, detailing the shortage of organ transplants and the deaths that result. She emphasizes her personal struggle and desperation over the need of a kidney transplant. Unable to discover a match and dialysis soon approaching, she “wondered about going overseas to become a “transplant tourist”, but getting a black market organ seemed too risky.”(Satel, 128) She argues for a change in the United States donor system policy to mimic the European system of implied consent. Satel also argues for the implementation of an incentive system to compensate donors for their organs, in order to increase the amount of available donors in the system. Her argument has insignificant weaknesses in comparison to her strongly supported and validated points.
The uncontainable despair of the weeping and screaming parents entering a room full of body bags containing the altered remains of their children. In a room drained with blood and surrounding fridges for the maintenance of the ejected organs, everything seems miserably surreal(“Children Kidnapped for Their Organs”). This is only one of the discovered cases of the daily dozens of people killed for organ harvestation. Adding up to ten thousand illegal operations in 2012 which translates to hourly sales (Samadi). These abhorrent acts add up as crimes against humanity which are triggered by a numerous amount of reasons; in order to stop these constant atrocities we must uncover the root of the causes.
Ethical healthcare issues are unavoidable as long as we have healthcare organizations and healthcare professionals. Transplant allocation
The human body; it starts off as a single cell, and grows into a complex machine made of seventy eight distinct organs, two hundred and six bones, and millions of nerves that all communicate with each other to regulate body processes and keep the machine alive and healthy. This seemingly perfect system undergoes countless attacks every day, and manages to recover from most, although occasionally, it can not. Diseases such as Cystic Fibrosis and Coronary Artery Disease, or abnormalities and defects such as biliary atresia, can all disrupt the function of human organs (“Transplant Australia”, n.d ). Thankfully, through radical advancements in modern medicine, organ transplants are a safe and highly viable option to restore the human body’s perfect harmony. No matter the reason for organ failure, once it occurs, the patient’s journey to receiving a new organ begins. Through the matching of organs, the process and the complications that come with it, the ethical issues, and trials of new advancements, the journey is a long one.
Human organ transplantation is known as the removal of a living tissue or organ from one individual by surgical operation, and it is placed into another individual, with the aim of improving the health of the recipient. It was started in the 1930s. In 1933, human renal graft was tried out by Voronoy, a Russian scientist, and it has vastly advanced since then. Human organ transplant is now viewed as treatment rather than experiments as they can now be performed more safely. This has been seen by the remarkable improvement on the medical care of patients with organ failures i.e heart disease, cirrhosis and renal failure.
What is hepatic cirrhosis? According to the medical dictionary hepatic cirrhosis is when scar tissue replaces the liver’s healthy tissue. This disease changes the structure of the liver and blood vessels that nurture it. It reduces the liver’s capability to produce proteins and process hormones, nutrients, medications, and poisons. Cirrhosis is an illness that gets worse over time and possibly can become life threatening. This serious illness is ranked as the ninth leading cause of death in the U.S. It is the third most common cause of death for adults between 45 and 65 years of age. It occurs in more than fifty percent of undernourished chronic alcoholics. Unfortunately it kills about 35,000 people per year. In other country’s such as Africa and Asia death from cirrhosis is usually caused by hepatitis B.
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).
Each and every day there are as many as 79 people receiving organ donations that will change their life, but on the other hand there are many people who die from failed organs while they are waiting for transplants that never happen for them (U.S. Department of Health & Human Services, 2016). People find out that one, or even several of their organs are failing and they are put on a list to receive a transplant with no intended time frame or guarantee. Organ transplants are an essential tool when it comes to saving someone’s life from a failing organ; the history of organ transplants, organ donation, and the preceding factors of organ failure all play a very important role in organ transplant in the United States.
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.
Organ Transplants: A Brief History (21 February, 2012) Retrieved from History in the Headlines Website: http://www.history.com/news/organ-transplants-a-brief-history
One of the most important and prevalent issues in healthcare discussed nowadays is the concern of the organ donation shortage. As the topic of organ donation shortages continues to be a growing problem, the government and many hospitals are also increasingly trying to find ways to improve the number of organ donations. In the United States alone, at least 6000 patients die each year while on waiting lists for new organs (Petersen & Lippert-Rasmussen, 2011). Although thousands of transplant candidates die from end-stage diseases of vital organs while waiting for a suitable organ, only a fraction of eligible organ donors actually donate. Hence, the stark discrepancy in transplantable organ supply and demand is one of the reasons that exacerbate this organ donation shortage (Parker, Winslade, & Paine, 2002). In the past, many people sought the supply of transplantable organs from cadaver donors. However, when many ethical issues arose about how to determine whether someone is truly dead by either cardiopulmonary or neurological conditions (Tong, 2007), many healthcare professionals and transplant candidates switched their focus on obtaining transplantable organs from living donors instead. As a result, in 2001, the number of living donors surpassed the number of cadaver donors for the first time (Tong, 2007).