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Respect for autonomy in systems of postmortem organ procurement: A comment
1Department of Philosophy, University of Amsterdam, Haarlem, Netherlands.
Bioethics
|January 26, 2019
Summary
This paper challenges the influential
Area of Science:
- Medical Ethics
- Transplantation Science
- Bioethics
Background:
- The influential "Transplantation Ethics" (2015) distinguishes organ procurement systems into "giving" and "taking" models.
- It argues that "taking" systems, while potentially increasing organ yield, violate respect for deceased autonomy.
- This perspective is prevalent in scientific literature and public discourse on organ donation.
Purpose of the Study:
- To critically analyze the conceptual foundations of the "giving" vs. "taking" systems argument in organ procurement.
- To re-evaluate the understanding of consent and respect for autonomy in the context of deceased organ donation.
- To examine the actual determinants of autonomy in organ procurement systems.
Main Methods:
- Conceptual analysis of ethical frameworks in organ transplantation.
- Critique of existing arguments regarding consent and autonomy in postmortem organ procurement.
- Examination of the role of familial consent in organ donation policies.
Main Results:
- The paper contends that the "giving" vs. "taking" dichotomy is conceptually flawed.
- It argues that the established understanding of consent and respect for autonomy in this context is inadequate.
- The influence of relatives and other factors on respecting autonomy requires deeper investigation.
Conclusions:
- The prevailing ethical framework for postmortem organ procurement requires revision.
- A more nuanced understanding of autonomy and consent is necessary for ethical organ transplantation.
- Rethinking the role of families and other factors is crucial for improving organ procurement systems.
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