Organ Substitution Technology

Introduction -- Organ Substitution Technology: Identifying and Framing the Key Issues -- Ethical and Ideological Assumptions of Organ Substitution Policy -- Organ Procurement and Recipient Selection -- Introduction -- Organ Procurement in the Acute Setting -- Beg, Borrow, or Steal: The Ethics of Solid Organ Procurement -- Relaxing the Death Standard for Organ Donation in Pediatric Situations -- Children as Renal Donors -- Ethical Issues in Recipient Selection for Organ Transplantation -- The Patient and Entitlement to Benefits -- Costs, Funding, and the Diffusion of Technology -- Introduction -- Scarce Dollars for Saving Lives: The Case of Heart and Liver Transplants -- Regulating Heart and Liver Transplants in Massachusetts: An Overview of the Report of the Task Force on Organ Transplantation -- Equity and Costs -- Lessons Learned from the End-Stage Renal Disease Experience: Their Implications for Heart Transplantation -- Economic Issues in Organ Substitution Technology -- Justice and the Dissemination of "Big-Ticket" Technologies -- Allocating Scarce Medical Resources and the Availability of Organ Transplantation: Some Moral Presuppositions -- Decisions at the Experimental Stage: The Case of the Artificial Heart -- Introduction -- Legitimate Emergencies, Experimentation, and Scientific Civil Disobedience -- Death and the Magic Machine: Informed Consent to the Artificial Heart -- The Artificial Heart: Reevaluating the Investment -- Appendixes -- Organ Transplantation—Issues and Recommendations -- The Pros and Cons of Cyclosporine -- Contraindications to Heart Transplantation -- : Public Law 98–507, National Organ Transplant Act -- Certification of Death Based on Irreversible Cessation of All Brain Function Including that of the Brain Stem -- Minority Perspective Fact Sheet