A Different Kind of "Prisoner's Dilemma"
Schneiderman, Lawrence J.
Jecker, Nancy S.
Klotzko, Arlene Judith
Cambridge Quarterly of Healthcare Ethics. 1995 Fall; 4(4): 530-545.
A referral was made to our Cardiac Transplant Program for a patient who was in the New Jersey Prison System. The Medical Director of the New Jersey Department of Corrections called regarding a 39-year-old inmate who was being treated in a New Jersey hospital that has a unit for prisoners from a nearby correctional facility. The referring physician described the patient to our Medical Director of heart transplantation as a "murderer" who had been incarcerated since 1987 and sentenced to prison for 30 years without eligibility for parole before completion of his 30-year sentence. The patient was being treated in the CCU of the facility and according to preliminary studies, was suffering from a possible dilated cardiomyopathy. There was evidence of a prior cerebrovascular accident (etiology unknown) with a dense hemiplegia of the left side. The patient was alert but unable to care for himself. There were a number of specific tests necessary to evaluate the patient's candidacy for heart transplantation before actually placing him on a waiting list. However, the transplant director was uncertain about having the patient brought to our facility for further testing and called some members of the Transplant Selection Committee team to discuss the case.
Body Parts and Fluids; Case Studies; Clinical Ethics; Clinical Ethics Committees; Common Good; Communitarianism; Conflict of Interest; Dangerousness; Ethics; Ethics Committees; Health; Health Care; Health Personnel; Hearts; Hospitals; Heart Transplantation; Justice; Killing; Legal Aspects; Moral Policy; Organ Donation; Organ Transplantation; Patient Transfer; Prisoners; Public Opinion; Public Policy; Resource Allocation; Rights; Scarcity; Selection for Treatment; Social Impact; Social worth; Socioeconomic Factors; Suffering; Tissue Transplantation; Transplant Recipients; Transplantation; Trust; Violence;