Providing a Medical Excuse to Organ Donor Candidates Who Feel Trapped: Concerns and Replies

Many transplant programs are willing to provide a contrived medical excuse for potential organ donors who wish to say no but feel unable to do so publicly. The availability of these excuses is thought to facilitate freedom of choice—a necessary component of informed consent—by allowing donor candida...

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Bibliographic Details
Main Author: Spital, Aaron (Author)
Format: Electronic Article
Language:English
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Published: Cambridge Univ. Press 2008
In: Cambridge quarterly of healthcare ethics
Year: 2008, Volume: 17, Issue: 1, Pages: 124-127
Online Access: Volltext (lizenzpflichtig)
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520 |a Many transplant programs are willing to provide a contrived medical excuse for potential organ donors who wish to say no but feel unable to do so publicly. The availability of these excuses is thought to facilitate freedom of choice—a necessary component of informed consent—by allowing donor candidates to bow out gracefully. In a recent editorial, Simmerling et al. discuss possible harms raised by this practice and note that there is no empirical evidence to support it. Given the importance of this issue for transplant centers that accept living donors, a review of the authors' concerns is in order. After careful consideration, I conclude that although some of their points are valid, much of their analysis is flawed. 
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