Organ Shortage: Ethics, Law and Pragmatism

by Edited by Anne-Maree Farrell , David Price , Muireann Quigley

• ISBN13: 9780521198998
• ISBN10: 0521198992
• Edition: 1st
• Format: Hardcover
• Copyright: 2011-04-25
• Publisher: Cambridge University Press

Summary

"Organ shortage is an ongoing problem in many countries. The needless death and suffering which have resulted necessitate an investigation into potential solutions. This examination of contemporary ethical means, both practical and policy-oriented, of reducing the shortfall in organs draws on the experiences of a range of countries. The authors focus on the resolution and negotiation of ethical conflict, examine systems approaches such as the 'Spanish model' and the US Breakthrough Collaboratives, evaluate policy proposals relating to incentives, presumed consent, and modifications regarding end-of-life care, and evaluate the greatly increased use of (non-heart-beating) donors suffering circulatory death, as well as living donors. The proposed strategies and solutions are not only capable of resolving the UK's own organ-shortage crisis, but also of being implemented in other countries grappling with how to address the growing gap between supply and demand for organs"--

Author Biography

Dr Anne-Maree Farrell is Senior Lecturer in Law at the Centre for Social Ethics and Policy and the institute for Science Ethics and innovation, School of Law, university of Manchester. Professor David Price is Professor of Medical Law at Leicester De Montfort Law School, De Montfort University. Dr Muireann Quigley is Lecturer in Bioethics at the Centre for Social Ethics and Policy and the institute for Science Ethics and innovation, School of Law, University of Manchester.

Table of Contents

List of figures	p. ix
List of tables	p. x
Contributors	p. xi
Acknowledgements	p. xviii
List of abbreviations	p. xix
Table of cases	p. xxi
Table of legislation	p. xxii
Setting the scene	p. 1
A principled and pragmatic approach to organ shortage	p. 3
Does ethical controversy cost lives?	p. 15
Current issues affecting organ shortage	p. 35
Organ donation and transplantation: meeting the needs of a multi-ethnic and multi-faith UK population	p. 37
Educating the public to encourage organ donation?	p. 52
Bereavement, decision-making and the family in organ donation	p. 67
Strategies for addressing organ shortage	p. 87
Incentivising organ donation	p. 89
Making the margins mainstream: strategies to maximise the donor pool	p. 104
The allocation of organs: the need for fairness and transparency	p. 122
Ante-mortem issues affecting deceased donation: an ethico-legal perspective	p. 136
Comparative perspectives	p. 149
Institutional organisation and transplanting the 'Spanish Model'	p. 151
Kidney donation: lessons from the Nordic countries	p. 171
Organ donation and transplantation: the Canadian experience	p. 185
Systematic increases in organ donation: the United States experience	p. 195
Current reform and future challenges	p. 213
Negotiating change: organ donation in the United Kingdom	p. 215
Addressing organ shortage in the European Union: getting the balance right	p. 227
Promoting organ donation: challenges for the future	p. 245
Bibliography	p. 269
Index	p. 296
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