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Related Experiment Videos

Debatable donors: when can we count their consent?

R Rhodes1

  • 1Office of the Director of Bioethical Education, Mount Sinai School of Medicine, New York, NY 10029.

The Mount Sinai Journal of Medicine, New York
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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Living organ donation requires donor consent, but sometimes paternalism is needed. This study uses Kantian ethics to create a criterion for balancing donor autonomy and necessary intervention, especially in adolescent cases.

Area of Science:

  • Bioethics
  • Medical Ethics
  • Transplantation Ethics

Background:

  • Living organ donation relies on informed consent as a cornerstone of patient autonomy.
  • Ethical dilemmas arise when a donor's consent may conflict with their best interests, necessitating paternalistic considerations.
  • Existing frameworks struggle to provide clear guidelines for overriding donor autonomy in specific medical contexts.

Observation:

  • The principle of respecting donor autonomy is generally upheld in organ and tissue donation.
  • Situations exist where paternalistic intervention may be ethically justifiable, despite the donor's expressed consent.
  • Adolescent donors present unique challenges in assessing capacity and making autonomous decisions regarding donation.

Findings:

  • This paper proposes an autonomy-preserving criterion derived from Kantian philosophy to guide decisions on paternalistic interference in living donation.
Keywords:
Health Care and Public Health

Related Experiment Videos

  • The criterion offers a structured approach to determine when a donor's autonomy should be respected versus when intervention is appropriate.
  • Application of the criterion is demonstrated using the case of an adolescent kidney donor for a sibling.

    • Implications:

    • Provides an ethical framework for clinicians and ethics committees facing complex living donor consent issues.
    • Enhances understanding of how to balance patient autonomy with protective paternalism in donation scenarios.
    • Offers guidance for navigating ethical considerations in pediatric and adolescent organ donation.