Non-Heart-Beating Organ Donation: Personal and Institutional Conflicts of Interest
Kennedy Institute of Ethics Journal. 1993 Jun; 3(2): 189-198.
While procurement of organs from donors who are not "brain dead" does not appear to pose insurmountable moral obstacles, the social practice may raise questions of conflict of interest. Non-heart-beating organ donation opens the door for pressure on patients or families to forgo possibly beneficial treatment to provide organs to save others. The combined effects of non-heart-beating donation and organ shortages at major transplant centers brought about by the 1991 United Network for Organ Sharing (UNOS) local-use organ allocation policy created potential conflicts, including the fact that candidates for organs become potential donors far more frequently than previously. Hospitals with a major emphasis on transplantation have economic and academic interests that may have been hurt by the relative organ shortage. Some may view non-heart-beating organ donation as a way to restore weakened programs and thus unconsciously compromise recognition of problems associated with non-heart-beating donation.
Administrators; Body Parts and Fluids; Brain; Brain Pathology; Cadavers; Cardiac Death; Children; Coercion; Conflict of Interest; Death; Decision Making; Determination of Death; Donors; Economics; Hearts; Hospitals; Interprofessional Relations; Motivation; Organ Donation; Parents; Patient Care; Patient Care Team; Patients; Pediatrics; Physicians; Psychological Stress; Public Policy; Resource Allocation; Scarcity; Socioeconomic Factors; Surgery; Tissue Donation; Transplant Recipients; Transplantation; Withholding Treatment;
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