The Dilemma and Reality of Transplant Tourism: An Ethical Perspective for Liver Transplant Programs
Schiano, Thomas D.
Liver Transplantation 2010 February; 16(2): 113-117
Transplant programs are likely to encounter increasing numbers of patients who return after receiving an organ transplant abroad. These patients will require ongoing medical care to monitor their immunosuppression and to provide treatment when the need arises. Transplant societies have condemned transplantation with organs purchased abroad and with organs procured from executed prisoners in China. Nevertheless, transplant programs require guidance on how to respond to the needs of returning transplant tourists and to the needs of patients who may choose to become transplant tourists. This discussion presents a case that raised such issues in our program. It goes on to offer reasons for considering a program's responses in terms of the most relevant principles of medical ethics, namely beneficence and nonjudgmental regard.
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Rhodes, Rosamond; Aggarwal, Sourabh; Schiano, Thomas D (2011-09)Liver transplantation (LT) programs encounter patients with fulminant hepatic failure resulting from suicide attempts involving acetaminophen or multidrug ingestion. Members of transplant teams often have different opinions ...
Rhodes, Rosamond; Schiano, Thomas (2010-02)The use of organs obtained from executed prisoners in China has recently been condemned by every major transplant organization. The government of the People's Republic of China has also recently made it illegal to provide ...
Schiano, Thomas D; Rhodes, Rosamond (2010-04)PURPOSE OF REVIEW: Because of the ongoing organ donor shortage, transplant tourism is occurring at an increasing rate both in the USA and abroad. To date, there have been little published data to help guide the programmatic ...