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Published on: August 15, 2022
Is There a Particular Ethical Practice and Policy Space in North America for Uncontrolled Kidney Donation after
1Jeffrey Kirby, M.D., M.A.(Phil.)., is a Professor in the Department of Bioethics, Faculty of Medicine, Dalhousie University. As a healthcare ethicist with a background in medicine and philosophy, he works with health organizations and government to support their capacities for ethics-informed decision making. His academic and research interests include: the ethics analysis of complex healthcare practices; critical care ethics; social justice and accountability in health policy development; the ethics of assisted dying; and organ donation/transplantation ethics.
Abstract:
Despite successful transplantation outcomes in Europe, uncontrolled organ donation after circulatory determination of death (uDCDD) has essentially been a non-starter in North America. In this paper, I identify and explore a set of interesting, ethics-related considerations that are of relevance to this organ donation-transplantation practice. The analysis provides a theoretical platform for my development of a proposal for the creation of a particular ethical practice and policy space for kidney uDCDD in the U.S. and Canada that recognizes and aims to effectively address the various, identified challenges and constraints.
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