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Bending the rules that bent the rules.

Stuart J Youngner

Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees

|April 1, 1996

Summary

The University of Pittsburgh Medical Center

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Area of Science:

Medical Ethics
Organ Donation
Transplantation Medicine

Background:

The use of non-heart-beating cadaver donors (NHBCDs) is a subject of ethical debate.
The University of Pittsburgh Medical Center (UPMC) has developed protocols for NHBCDs to increase organ availability.
Previous ethical boundaries in organ donation are being re-evaluated.

Purpose of the Study:

To analyze the ethical justifications for revised protocols concerning non-heart-beating cadaver donors (NHBCDs).
To assess whether the arguments presented for modifying the UPMC NHBCD protocol are ethically convincing.
To contribute to the ongoing discussion on the ethical boundaries of organ donation.

Main Methods:

Review and critical analysis of the revised University of Pittsburgh Medical Center (UPMC) Protocol for Non-Heart-Beating Cadaver Donors (NHBCDs).
Examination of the ethical arguments presented by DeVita and Snyder in support of protocol revisions.
Engagement with the ethical inquiry posed by James Childress regarding moveable ethical boundaries in organ donation debates.

Main Results:

The UPMC Protocol for NHBCDs represents a move to expand ethical boundaries in organ donation.
While the UPMC protocol is clear and openly scrutinized, specific justifications for its revisions are found to be unconvincing.
The debate highlights the tension between increasing organ availability and maintaining ethical standards.

Conclusions:

The revised UPMC protocol for NHBCDs pushes ethical boundaries further, aiming to save more lives.
The ethical arguments supporting specific changes in the protocol require further scrutiny and are not fully convincing.
The ethical permissibility of moving boundaries in organ donation necessitates careful consideration and robust justification.

Keywords:

Death and Euthanasia Health Care and Public Health University of Pittsburgh Medical Center

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