January
27
 

Doctors call for a moratorium on donation after cardiac death

Is that rustling in the bushes a deer or is it my brother? What the hell. We’ll sort it out later… BANG! Most people would regard moral reasoning like this as potentially indicative of a deficit of ethical reflectiveness. Several paediatricians writing in the latest issue of Philosophy, Ethics, and Humanities in Medicine apparently agree. They have called for a moratorium on donating organs after cardiac death (DCD) until a number of troubling issues have been resolved. The pre-press, peer-reviewed article offers a good summary of the ethical issues.

“We have argued that DCD donors are not dead, and therefore that organ donation during DCD violates the dead donor rule.  Our concerns with DCD include the following: irreversibility of absent circulation has not occurred and the many attempts to claim it has all fail; conflicts of interest at all steps in the DCD process are simply unavoidable; premortem interventions to preserve organ utility are not justifiable; and consensus statements by respected medical groups do not change these arguments. 

“The truth, we believe, is that honesty requires that we face these problems instead of avoiding them.  Until the concerns we describe are seriously considered, full public disclosure occurs, and fully informed consent is obtained from donors, there should be a moratorium on the practice of DCD.  We believe that DCD is not ethically allowable because it abandons the dead donor rule, has unavoidable conflicts of interests, and implements premortem interventions which can hasten death.  These important points have not been, but need to be fully disclosed to the public and incorporated into fully informed consent.  These are tall orders, and require open public debate.  Until this debate occurs, we call for a moratorium on the practice of DCD.”

Philosophy, Ethics, and Humanities in Medicine, Dec 29, 2011



comments powered by Disqus
 

 Search BioEdge

 Subscribe to BioEdge newsletter
rss Subscribe to BioEdge RSS feed


 Recent Posts
Victoria has launched “assisted dying”
22 Jun 2019
Trump Administration turns the screws on abortion
22 Jun 2019
‘Hypoactive sexual desire disorder’: a diagnosis looking for a drug
22 Jun 2019
Our greying planet
22 Jun 2019
Sperm donors can be parents, says Australia’s High Court
22 Jun 2019

Home | About Us | Contact Us | rss RSS | Archive | Bookmark and Share | michael@bioedge.org

BioEdge - New Media Foundation Ltd © 2004 - 2019