The give and take of organ procurement.

D. K. Martin, E. Meslin

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Scientific developments of the last 20 years have made the transplantation of cadaveric solid organs a viable and expected treatment alternative for patients suffering from various forms of End Stage Organ Disease. Of the number of organs that could be utilized for this, only a small percentage of them are actually made available. North American legislation explicitly categorizes the transfer of cadaveric organs as an anatomical or tissue "gift". The concept of the gift is mediated by transculturally consistent unwritten, but powerfully felt, rules of conduct. Among the most profound elements of the concept is the obligatory gift-exchange which is central to the gift-relationship. Obviously, neither of these are permitted by the organ transplant scenario. As a result, dissonance is created within the thought process of the individual which cannot be easily resolved, paralyzing many into inaction. We maintain that the present legal framework, designed to facilitate the transfer of organs, clashes with the human phenomenon of giving, and may actually prevent organs from being made available. In a search for a solution to this gift-relationship dilemma, giving organs is contrasted with taking organs as a basis upon which to ground ethically sound public policy. Liberty-limiting principles and the concept of harm are considered within this context.

Original languageEnglish (US)
Pages (from-to)61-78
Number of pages18
JournalJournal of Medicine and Philosophy (United Kingdom)
Volume19
Issue number1
StatePublished - Feb 1994
Externally publishedYes

Fingerprint

Gift Giving
Tissue and Organ Procurement
gift
organ transplant
Public Policy
Legislation
public policy
Transplantation
legislation
Procurement
Organs
scenario
Disease
Transplants
present
Gift

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Social Sciences (miscellaneous)

Cite this

The give and take of organ procurement. / Martin, D. K.; Meslin, E.

In: Journal of Medicine and Philosophy (United Kingdom), Vol. 19, No. 1, 02.1994, p. 61-78.

Research output: Contribution to journalArticle

Martin, DK & Meslin, E 1994, 'The give and take of organ procurement.', Journal of Medicine and Philosophy (United Kingdom), vol. 19, no. 1, pp. 61-78.
Martin, D. K. ; Meslin, E. / The give and take of organ procurement. In: Journal of Medicine and Philosophy (United Kingdom). 1994 ; Vol. 19, No. 1. pp. 61-78.
@article{bf8c2c3d06a24cd38301ef70502456b8,
title = "The give and take of organ procurement.",
abstract = "Scientific developments of the last 20 years have made the transplantation of cadaveric solid organs a viable and expected treatment alternative for patients suffering from various forms of End Stage Organ Disease. Of the number of organs that could be utilized for this, only a small percentage of them are actually made available. North American legislation explicitly categorizes the transfer of cadaveric organs as an anatomical or tissue {"}gift{"}. The concept of the gift is mediated by transculturally consistent unwritten, but powerfully felt, rules of conduct. Among the most profound elements of the concept is the obligatory gift-exchange which is central to the gift-relationship. Obviously, neither of these are permitted by the organ transplant scenario. As a result, dissonance is created within the thought process of the individual which cannot be easily resolved, paralyzing many into inaction. We maintain that the present legal framework, designed to facilitate the transfer of organs, clashes with the human phenomenon of giving, and may actually prevent organs from being made available. In a search for a solution to this gift-relationship dilemma, giving organs is contrasted with taking organs as a basis upon which to ground ethically sound public policy. Liberty-limiting principles and the concept of harm are considered within this context.",
author = "Martin, {D. K.} and E. Meslin",
year = "1994",
month = "2",
language = "English (US)",
volume = "19",
pages = "61--78",
journal = "Journal of Medicine and Philosophy",
issn = "0360-5310",
publisher = "Oxford University Press",
number = "1",

}

TY - JOUR

T1 - The give and take of organ procurement.

AU - Martin, D. K.

AU - Meslin, E.

PY - 1994/2

Y1 - 1994/2

N2 - Scientific developments of the last 20 years have made the transplantation of cadaveric solid organs a viable and expected treatment alternative for patients suffering from various forms of End Stage Organ Disease. Of the number of organs that could be utilized for this, only a small percentage of them are actually made available. North American legislation explicitly categorizes the transfer of cadaveric organs as an anatomical or tissue "gift". The concept of the gift is mediated by transculturally consistent unwritten, but powerfully felt, rules of conduct. Among the most profound elements of the concept is the obligatory gift-exchange which is central to the gift-relationship. Obviously, neither of these are permitted by the organ transplant scenario. As a result, dissonance is created within the thought process of the individual which cannot be easily resolved, paralyzing many into inaction. We maintain that the present legal framework, designed to facilitate the transfer of organs, clashes with the human phenomenon of giving, and may actually prevent organs from being made available. In a search for a solution to this gift-relationship dilemma, giving organs is contrasted with taking organs as a basis upon which to ground ethically sound public policy. Liberty-limiting principles and the concept of harm are considered within this context.

AB - Scientific developments of the last 20 years have made the transplantation of cadaveric solid organs a viable and expected treatment alternative for patients suffering from various forms of End Stage Organ Disease. Of the number of organs that could be utilized for this, only a small percentage of them are actually made available. North American legislation explicitly categorizes the transfer of cadaveric organs as an anatomical or tissue "gift". The concept of the gift is mediated by transculturally consistent unwritten, but powerfully felt, rules of conduct. Among the most profound elements of the concept is the obligatory gift-exchange which is central to the gift-relationship. Obviously, neither of these are permitted by the organ transplant scenario. As a result, dissonance is created within the thought process of the individual which cannot be easily resolved, paralyzing many into inaction. We maintain that the present legal framework, designed to facilitate the transfer of organs, clashes with the human phenomenon of giving, and may actually prevent organs from being made available. In a search for a solution to this gift-relationship dilemma, giving organs is contrasted with taking organs as a basis upon which to ground ethically sound public policy. Liberty-limiting principles and the concept of harm are considered within this context.

UR - http://www.scopus.com/inward/record.url?scp=0028376327&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028376327&partnerID=8YFLogxK

M3 - Article

C2 - 8201290

AN - SCOPUS:0028376327

VL - 19

SP - 61

EP - 78

JO - Journal of Medicine and Philosophy

JF - Journal of Medicine and Philosophy

SN - 0360-5310

IS - 1

ER -