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Assessing the Ethical and Practical Wisdom of Surrogate Consent for Living Organ Donation
David Wendler, PhD;
Ezekiel Emanuel, MD, PhD
JAMA. 2004;291:732-735.
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Individuals often decline to sign organ donor cards out of fear that their organs will be procured prematurely.1 To reassure these individuals, procurement policy in the United States allows adults' organs to be procured only after their deaths or, in the case of nonvital organs, with their consent.2-5 Despite these limitations on the procurement of adults' organs, many individuals still decline to become organ donors. As a result, US waiting lists for solid organs have grown to more than 80 000 people.6
Numerous strategies have been proposed to encourage potential donors, including payment for organs and paying for donors' funeral expenses.7-9 Alternatively, some have proposed to expand the pool of potential donors by redefining death as the loss of cerebral cortex, or "higher" brain function.10 Although this approach has been endorsed by some commentators, it has been rejected by all states, which continue to . . . [Full Text of this Article] Risks to Individual Patients
Author Affiliations: Department of Clinical Bioethics, National Institutes of Health, Bethesda, Md.
RELATED LETTER
Ethics of Surrogate Consent for Living Organ Donation
Raquel M. Schears
JAMA. 2004;292(14):1684-1685.
EXTRACT
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RELATED ARTICLE
Surrogate Consent for Living Related Organ Donation
UCLA Medical Center Ethics Committee
UCLA Renal Transplant Program
JAMA. 2004;291(6):728-731.
EXTRACT
| FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Patient and Surrogate Disagreement in End-of-Life Decisions: Can Surrogates Accurately Predict Patients' Preferences?
Marks and Arkes
Med Decis Making 2008;28:524-531.
ABSTRACT
Ethics of Surrogate Consent for Living Organ Donation
Schears
JAMA 2004;292:1684-1685.
FULL TEXT
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