Skip to main content Accessibility help
×
Hostname: page-component-77c89778f8-cnmwb Total loading time: 0 Render date: 2024-07-22T11:25:39.838Z Has data issue: false hasContentIssue false

Chapter 7 - Transplants: bodies, relationships and ethics

from PART III - Later life

Published online by Cambridge University Press:  05 June 2012

Anthony Fisher
Affiliation:
University of Notre Dame, Sydney
Get access

Summary

Love beyond death

The French-Canadian film Jésus de Montréal is a secular retelling of the life-sharing death of Jesus and his ‘resurrection’ in the lives of other people. When the Jesus figure in this young people’s Passion play is killed, his bodily organs are harvested and so several people’s lives are saved. Pope John Paul II drew a similar parallel with respect to transplantation: ‘The progress of medical science has made it possible for people to project even beyond death their vocation to love. Analogously to Christ’s Paschal Mystery, in dying, death is somehow overcome and life restored.’

Transplantation is one of the real success stories of modern medicine and is rightly celebrated for the lives it has saved or improved. Progress in this area has been very rapid, and an ever-growing variety of individual major organs (and even multiple major organs), blood, bone and other tissues, cell lines and stem cells are being successfully transferred from one party to another. So successful is transplantation that demand for tissues far outstrips supply. New sources for tissues are therefore constantly being sought, and there are regular campaigns to encourage people to donate renewable tissues, such as blood or bone marrow, and to consent in advance to the use of their tissues after death for transplantation. Some jurisdictions now presume such consent unless there is evidence to the contrary, which has become a source of continuing bioethical and biolegal debate. In other jurisdictions there is little or no regulation in practice and a thriving trade in organs. The principal ‘donors’ are, of course, the poor, and sometimes the unwilling, especially from Asia and the Near East; the tissue recipients are the wealthy of all nations. Meanwhile research continues apace, with ‘xenotransplants’ or ‘heterografts’ – the transfer of valves, skin and other parts from animals to human beings – already taking place and much more proposed for the future. As we saw in Chapter 5, others hope to extract stem cells or other tissues, even from embryos and foetuses, possibly cloned as perfect genetic matches for the recipient.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Paul, John 1991
Ashley, B.deBlois, J.O’Rourke, K.Health Care Ethics: A Catholic Theological AnalysisWashington, DCGeorgetown University Press 2006Google Scholar
Caplan, A.If I Were a Rich Man Could I Buy a Pancreas?BloomingtonIndiana University Press 1992Google Scholar
Delmonico, F.Why we should not pay for human organsNCBQ 2 2002 381Google Scholar
Furton, E.Live the Truth: The Moral Legacy of John Paul II in Catholic Health CarePhiladelphiaNCBC 2006Google Scholar
DuBois, J.Organ transplantation: an ethical roadmapNCBQ 2 2002 413Google Scholar
Fox, R.Dwazay, J. S.Spare Parts: Organ Replacement in American SocietyOxford University Press 1992Google Scholar
Furton, E.Brain death, the soul and organic lifeNCBQ 2 2002 455Google ScholarPubMed
Gold, E. R.Body Parts: Property Rights and the Ownership of Human Biological MaterialsWashington, DCGeorgetown University Press 1996Google Scholar
Kass, L.Life, Liberty, and the Defense of Dignity: The Challenge for BioethicsSan FranciscoEncounter Books 2002Google Scholar
Lamb, D.Organ Transplants and EthicsAldershotAvebury 1996Google Scholar
Leies, J.Handbook on Critical Life IssuesBostonNCBC 2004Google Scholar
May, W. E.Catholic Bioethics and the Gift of Human LifeHuntington, INOur Sunday Visitor 2008Google Scholar
Smith, W.Culture of Death: The Assault on Medical Ethics in AmericaSan FranciscoEncounter 2000Google Scholar
ten Have, H.Welier, J.Ownership of the Human Body: Philosophical ConsiderationsDordrechtKluwer 1998CrossRefGoogle Scholar
Lee, P.George, R.Body–Self Dualism in Contemporary Ethics and PoliticsCambridge University Press 2007CrossRefGoogle Scholar
Joralemon, D.Organ wars: the battle for body partsMed Anthrop Q 9 1995 335CrossRefGoogle ScholarPubMed
Sharp, L.Organ transplantation as a transformative experience: anthropological insights into the restructuring of the selfMed Anthrop Q 9 1995 357CrossRefGoogle ScholarPubMed
Paul, John 1991
Pontifical Council for Health 1995
Cole, B.: a brief overviewNCBQ 2 2002 291Google ScholarPubMed
Moraczewski, A.On the New Frontiers of Genetics and ReligionGrand Rapids, MIEerdmans 1994Google Scholar
Fisher, A.Beyond Mere Health: Theology and Health Care in a Secular SocietyMelbourneAustralian Theological Forum 1996Google Scholar
Beauchamp, T.Childress, J.Principles of Biomedical EthicsOxford University Press 2008Google Scholar
Charlesworth, M.Bioethics in a Liberal SocietyCambridge University Press 1993CrossRefGoogle Scholar
Engelhardt, H. T.Bioethics and Secular Humanism: The Search for a Common MoralityLondonSCM 1991Google Scholar
Fletcher, J.Situation Ethics: The New MoralityPhiladelphiaWestminster Press 1966Google Scholar
Clouser, K. D.Gert, B.Principles of Health Care EthicsChichesterWiley 1993Google Scholar
DuBose, E.Hamel, RonaldO’Connell, LaurenceA Matter of Principles? Ferment in U.S. BioethicsValley Forge, PATrinity 1994Google Scholar
Finnis, J.Fisher, A.
Irving, D.The bioethics messCrisis 19 2001 16Google Scholar
Jonsen, A.The Birth of BioethicsOxford University Press 1998Google Scholar
Meilaender, G.Body, Soul, and BioethicsNotre Dame University Press 1995Google Scholar
Teo, B.Is the adoption of more efficient strategies of tissue procurement the answer to persistent organ shortage in transplantation?Bioethics 6 1992 113CrossRefGoogle ScholarPubMed
Dwyer, J.Vig, E.Rethinking transplantation between siblingsHastings Center Report 25 1995 7CrossRefGoogle ScholarPubMed
Grasser, P.Donation after cardiac death: major ethical issuesNCBQ 7 2007 527Google Scholar
Marshall, P.Introduction: organ transplantation – defining the boundaries of personhood, equity and communityTheoretical Medicine 17 1996 5CrossRefGoogle ScholarPubMed
Ratzinger, Joseph CardinalHomily for Mass for the Election of the Roman PontiffSan FranciscoIgnatius 2006Google Scholar
Kass, L.Toward a More Natural Science: Biology and Human AffairsNew YorkFree Press 1985Google Scholar
Meilaender, G.Bioethics: A Primer for ChristiansGrand Rapids, MIEerdmans 1996Google Scholar
Ramsey, P.The Patient as Person: Explorations in Medical EthicsYale University Press 1970Google Scholar
Wolf, Z. R.Nurses’ responses to tissue procurement from non-heart-beating cadaver donorsAORN Journal 60 1994 968CrossRefGoogle Scholar
Brown, G.Reading the signs of death: a theological analysisNCBQ 7 2007 467Google Scholar
Byrne, P.Life, life-support and death: principles, guidelines, policies and procedures for making decisions that respect lifeLQ 64 1997 3Google ScholarPubMed
Diamond, E.John Paul II and brain deathNCBQ 7 2007 491Google Scholar
DuBois, J.Organ transplantation’, and ‘Avoiding common pitfalls in the determination of deathNCBQ 7 2007 545Google Scholar
Eberl, J.Dualist and animalist perspectives on death: a comparison with AquinasNCBQ 7 2007 477Google Scholar
Hostetter, L.Higher-brain death: a critiqueNCBQ 7 2007 499Google Scholar
McCullagh, P.Brain Dead, Brain Absent, Brain Donors: Human Subjects or Human Objects?ChichesterWiley 1993Google Scholar
Menikoff, J.Doubts about death: the silence of the Institute of MedicineJ Law, Med & Ethics 26 1998 157CrossRefGoogle ScholarPubMed
Seifert, J.Is “brain death” actually death?The Monist 76 1993 175CrossRefGoogle Scholar
Shewmon, A.The brain and somatic integration: insights into the standard biological rationale for equating “brain death” with deathJ Med & Phil 26 2001 457CrossRefGoogle ScholarPubMed
Haas, J.Ethical Principle in Catholic Health CareBostonNCBC 1999Google Scholar
Caplan, A.The Ethics of Organ Transplants: The Current DebateNew YorkPrometheus 1998Google Scholar
Nieves, E. 1998
Regan, T.The subject is Baby FaeHastings Center Report 15 1985 9CrossRefGoogle Scholar
Nelson, J.Moral sensibilities and moral standing: Caplan on xenograft “donors”Bioethics 7 1993 315CrossRefGoogle ScholarPubMed
Hunsicker, L. G.New Harvest: Transplanting Body Parts and Reaping the BenefitsClifton, NJHumana 1991Google Scholar
Harris, J.The survival lotteryPhilosophy 50 1975 81CrossRefGoogle ScholarPubMed
Green, M.Harris’s modest proposalPhilosophy 54 1979 400CrossRefGoogle ScholarPubMed
Oderberg, D.Laing, J.Human Lives: Critical Essays on Consequentialist BioethicsLondonMacmillan 1997CrossRefGoogle Scholar
Grisez, G.The Way of the Lord JesusQuincy, ILFranciscan Press 1997Google Scholar
Keown, J.The Polkinghorne Report on Foetal Research: nice recommendations, shame about the reasoningJ Med Ethics 19 1993 114CrossRefGoogle ScholarPubMed
Kawamoto, K. L.Tissue procurement in the operating room: implications for perioperative nursesAORN Journal 55 1992 1541CrossRefGoogle ScholarPubMed
McCarthy, C.A new look at animal-to-human organ transplantationKennedy Institute of Ethics Journal 6 1996 183CrossRefGoogle Scholar
Fisher, A.Gormally, L.Healthcare Allocation: An Ethical Framework for Public PolicyLondonLinacre Centre 2001Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×