PHI FPX 3200 assessment 4

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Robbing the Deceased: Examining the Ethics of Organ Conscription

Organ transplantation is a crucial medical intervention that can save the lives of those struggling with organ failure. Nonetheless, the ongoing shortage of donor organs poses a major challenge, resulting in extended waiting lists and suboptimal health outcomes. In response to this challenge, the idea of organ conscription has been put forward, where organs are taken from deceased donors without their clear consent (Pemberton, 2022). However, the practice is problematic and raises deep ethical questions concerning the dignity and autonomy of the deceased, and fairness and justice in organ allocation systems. This discussion explores the ethical implications of conscripted organ procurement and highlights the need for regulation of the supply of donated organs.

Moral Implications of Organ Conscription

Organ transplantation is of enormous value in saving hundreds of lives each year. Nonetheless, the ongoing shortage of donor organs leads to extended suffering for transplant candidates. In the United States alone, more than 100,000 people are waiting for organ transplantation, with kidneys, livers, hearts, lungs, and pancreases being the most frequently transplanted organs (American Transplant Foundation, 2019). Organ conscription, although suggested as a remedy for this shortage, is controversial on the grounds of the dignity and consent of the deceased (Zambrano, 2023). In addition, there is a potential for taking advantage of vulnerable groups with insufficient protection, risking invalidity of informed consent and unfairness in organ allocation (Martínez-López et al., 2022).

Comparative Analysis of Organ Donation Policies

There are varied practices of organ donation policies across the globe, each involving different ethical implications regarding informed consent and patient autonomy. In the United States, organ donation is based on an opt-in system, which requires express registration of consent by individuals before donation. This strategy emphasizes respect for patient autonomy and informed decision-making (Ahmad et al., 2019).

Ethical Dimensions of Fairness and Justice

Availability of organ transplantation is crucial to the people in cases of organ failure. However, the scarce resource of organs provokes disparities in access and methods of allocation of organs, where existing inequalities widen. Under US circumstances with a lack of policy for pre-death consent, recovering organs from cadavers invokes ethics and moral concerns, risking expanding disparities in obtaining life-saving treatment (Golden, 2022).

Strategies for Enhancing Public Acceptance

The solution to the shortage of available organs requires increasing public acceptance of organ donation using multidimensional approaches involving education, community outreach, legislative change, and family discussion (Lewis et al., 2020).

Significance of Consent in Organ Donation

Consent is at the center of ethical organ donation, representing the ideals of autonomy and self-determination. Under the model chosen, however, seeking clear consent is still essential to maintain ethical and legal requirements (Childress, 2022).

Consequences of Absent Donor Consent

Lack of donor consent can trigger infringement of personal autonomy, intensify inequities in access to transplantation, and cause concern regarding justice and fairness (Hutchinson et al., 2019).

Exploring Alternative Policies for Organ Availability

Managing the shortage of donor organs available means seeking alternative policies like presumed consent policies and educational programs to support donation participation levels and coordinate organ procurement procedures (Steffel et al., 2019).

Consequences of Prolonged Organ Shortages

Sustained organ shortages lead to negative implications, such as increased mortality rates, aggravated health inequalities, and recourse to illegal organ markets, highlighting the need to implement effective measures to enhance organ supply (Neizer et al., 2020).

Conclusion

Finally, although organ transplantation promises enormous hope for life, the enduring shortage of available organs requires that other procurement avenues like organ conscription be morally analyzed. Options for increasing popular acceptance and evaluating substitute policies are essential to combat the root cause of the issues and provide equitable access to lifesaving therapy.

PHI FPX 3200 Assessment 4 Robbing the Dead: Is Organ Conscription Ethical

  • Martínez-López, M. V., Díaz-Cobacho, G., Liedo, B., Rueda, J., & Molina-Pérez, A. (2022). Beyond the altruistic donor: Embedding solidarity in organ procurement policies. Philosophies, 7(5), 107. https://doi.org/10.3390/philosophies7050107
  • Neizer, H., Singh, G. B., Gupta, S., & Singh, S. K. (2020). Addressing donor-organ shortages using extended criteria in lung transplantation. Annals of Cardiothoracic Surgery, 9(1), 49–50. https://doi.org/10.21037/acs.2019.10.01
  • Pemberton, D. (2022). Biographical lives and organ conscription. Theoretical Medicine and Bioethics, 44(1), 75–93. https://doi.org/10.1007/s11017-022-09603-1
  • Purwaningsih, S. N. (20 May 2020). Organ transplant agreement between donor and recipient by notary. Www.atlantis-Press.com. https://doi.org/10.2991/aebmr.k.200513.119
  • Sunjaya, A. F., & Sunjaya, A. P. (2019). Combating donor organ shortage: Organ care system prolonging organ storage time and improving the outcome of heart transplantations. Cardiovascular Therapeutics, 2019, 1–7. https://doi.org/10.1155/2019/9482797

References

  • American Transplant Foundation. (2019). American transplant foundation. American transplant foundation. https://www.americantransplantfoundation.org
  • Childress, J. F. (2022). Robert Veatch’s transplantation ethics: Obtaining and allocating organs from deceased persons. Theoretical Medicine and Bioethics. https://doi.org/10.1007/s11017-022-09574-3
  • DeCamp, M., Snyder Sulmasy, L., & Fins, J. J. (2022). Point: Does normothermic regional perfusion violate the ethical principles underlying organ procurement? Yes. Chest, 162(2), 288–290. https://doi.org/10.1016/j.chest.2022.03.012
  • Lewis, A., Koukoura, A., Tsianos, G.-I., Gargavanis, A. A., Nielsen, A. A., & Vassiliadis, E. (2020). Organ donation in the US and Europe: The supply vs demand imbalance. Transplantation Reviews, 35(2), 100585. https://doi.org/10.1016/j.trre.2020.100585
  • Madden, S., Collett, D., Walton, P., Empson, K., Forsythe, J., Ingham, A., Morgan, K., Murphy, P., Neuberger, J., & Gardiner, D. (2020). The effect on consent rates for deceased organ donation in Wales after the introduction of an opt‐out system. Anaesthesia, 75(9), 1146–1152. https://doi.org/10.1111/anae.15055

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