Personal responsibility and transplant revisited: A case for assigning lower priority to American vaccine refusers

Priority for solid organ transplant generally does not consider the underlying cause of the need for transplantation. This paper argues that a distinctive set of factors justify assigning lower priority to willfully unvaccinated individuals who require transplant as a result of suffering from COVID-...

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Bibliographic Details
Main Author: Appel, Jacob M. (Author)
Format: Electronic Article
Language:English
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Published: Wiley-Blackwell 2022
In: Bioethics
Year: 2022, Volume: 36, Issue: 4, Pages: 461-468
IxTheo Classification:KBQ North America
NCH Medical ethics
Further subjects:B Organ Transplant
B resource allocation / rationing
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Summary:Priority for solid organ transplant generally does not consider the underlying cause of the need for transplantation. This paper argues that a distinctive set of factors justify assigning lower priority to willfully unvaccinated individuals who require transplant as a result of suffering from COVID-19. These factors include the personal responsibility of the patients for their own condition and the public outrage likely to ensue if willfully unvaccinated patients receive organs at the expense of vaccinated ones. The paper then proposes a three-prong test for similar deviations from the current allocation standard that incorporates patient responsibility, foreseeability and avoidability, and the frequency of the occurrence.
ISSN:1467-8519
Contains:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/bioe.13020