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A polemic on principles: reflections on the Pittsburgh protocol.

A J Weisbard1

  • 1University of Wisconsin School of Law, Madison.

Kennedy Institute of Ethics Journal
|May 8, 1993
PubMed
Summary
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The Pittsburgh protocol uses moral distinctions to justify organ donor management, but this approach is unconvincing and risky. It risks blurring lines between allowing death and causing it, potentially harming societal trust in end-of-life care and organ donation.

Area of Science:

  • Bioethics
  • Transplantation Ethics
  • Medical Morality

Background:

  • The Pittsburgh protocol aims to increase organ availability.
  • It utilizes traditional moral principles like the principle of double effect.
  • Ethical justification for managing organ donors is debated.

Purpose of the Study:

  • To critically analyze the ethical underpinnings of the Pittsburgh protocol.
  • To evaluate the persuasive power and potential dangers of its moral distinctions.
  • To examine the protocol's impact on societal distinctions between life and death.

Main Methods:

  • Ethical analysis of the Pittsburgh protocol.
  • Examination of the principle of double effect in organ donation contexts.
  • Casuistic and case-specific moral reasoning critique.
Keywords:
Analytical ApproachDeath and EuthanasiaHealth Care and Public HealthPhilosophical ApproachUniversity of Pittsburgh Medical Center

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Main Results:

  • The protocol's reliance on traditional moral distinctions is deemed unpersuasive.
  • The ethical justifications presented are considered elaborate apologetics.
  • The protocol fails to adequately address the moral challenge of intentionally impacting a donor's dying process.

Conclusions:

  • The Pittsburgh protocol's ethical framework is flawed and potentially dangerous.
  • It threatens to erode crucial social distinctions regarding death, dying, and organ removal.
  • A more candid ethical approach is needed for organ donor management.