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Deborah Mathieu - Organ Substitution Technology: Ethical, Legal, And Public Policy Issues

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Deborah Mathieu Organ Substitution Technology: Ethical, Legal, And Public Policy Issues
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This book describes and assesses some of the more important difficulties and defects in the current utilization of organ substitution technology, dealing with the major ethical, legal, and public policy issues of organ substitution.

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Organ Substitution Technology
About the Book
The development of organ substitution technology has been among the most dramatic and publicized advances in modern medicine. Organ transplantation and artificial organ implantation have created exciting possibilities for health care; previously untreatable conditions are being significantly ameliorated, and lives are being saved. At the same time, the technology raises daunting social problems: How are patients to be selected? How are organs to be made available? What problems may be created by prolonging the lives of recipients? Who will pay for the technology? And who really will benefit from it?
These questions cannot be answered solely by medical criteria or by appeals to standards of efficiency or "the market." Policymakers must deal with ethical concerns as well as medical and economic ones. In particular, satisfactory policy must recognize the values of fairness and patient autonomy.
Although the focus of this book is organ substitution technology, many of the issues discussed are quite general and directly relevant to other health care technologies. Of special interest is a section of papers devoted to problems raised by the development of the artificial heart.
These and other issues are treated dispassionately but sensitively and in depth by leading scholars from medicine, law, economics, philosophy, and political science. Recognized as authorities in their respective fields, they take definite and often provocative stands on concrete issues of social policy. Professor Mathieu's lucid introductions provide an accurate scientific and historical background, as well as a systematic conceptual and normative framework of the policy issues.
The essays, most of which appear here for the first time, will prove essential reading for scholars, students, and interested citizens concerned with health care, medical ethics, or public policy studies.
Organ Substitution Technology
Ethical, Legal, and Public Policy Issues
Edited by
Deborah Mathieu
First published 1988 by Westview Press Inc Published 2019 by Routledge 52 - photo 1
First published 1988 by Westview Press, Inc.
Published 2019 by Routledge
52 Vanderbilt Avenue, New York, NY 10017
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
Routledge is an imprint of the Taylor & Francis Group, an informa business
Copyright 1988 Taylor & Francis
All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.
Notice:
Product or corporate names may trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.
Library of Congress Cataloging-in-Publication Data
Organ substitution technology: ethical, legal, and public policy issues/edited by Deborah Mathieu.
p. cm.
Bibliography: p.
ISBN 0-8133-0544-6
1. Transplantation of organs, tissues, etc.Moral and ethical aspects. 2. Transplantation of organs, tissues, etc.Government policyUnited States. 3. Transplantation of organs, tissues, etc.Law and legislationUnited States. I. Mathieu, Deborah.
RD120.7.069 1988
174'.25dc19
87-29448
CIP
ISBN 13: 978-0-367-28199-1 (hbk)
Contents
Part 1
Introduction
, Deborah Mathieu
, Daniel Wikler
Part 2
Organ Procurement and Recipient Selection
, Deborah Mathieu
, Kenneth V. Iserson
, Arthur L. Caplan
, John A. Robertson
, Norman Fost
, Dan W. Brock
, Thomas D. Overcast and Karen Merrikin
Part 3
Costs, Funding, and the Diffusion of Technology
, Deborah Mathieu
, Paul T. Menzel
, George J. Annas
, Mark V. Pauly
, Roger W. Evans and Christopher R. Blagg
, Mary Ann Baily
, Norman Daniels
, H. Tristram Engelhardt, Jr.
Part 4
Decisions at the Experimental Stage: The Case of the Artificial Heart
, Deborah Mathieu
, Leslie P. Fracis
, George J. Annas
, Dale Jamieson
Part 5
Appendixes
, Task Force on Organ Transplantation
, Nancy L. Ascher
, Special Advisory Group, National Heart, Lung, and Blood Institute
, Presbyterian-University Hospital Policy Manual
, Clive O. Callender
  1. ii
  2. iii
Guide
George J. Annas , J.D., M.P.H., is Edward Utley Professor of Health Law, Boston University School of Mediane, and chief of the Health Law Section, Boston University School of Public Health, Boston, Massachusetts.
Mary Ann Baily , Ph.D., is adjunct associate professor of economics, George Washington University, Washington, D.C.
Christopher R. Blagg , M.D., F.R.C.P., is executive director of the Northwest Kidney Center and professor of medicine, University of Washington, Seattle, Washington.
Dan W. Brock , Ph.D., is professor of philosophy and professor of human values in medicine, Brown University, Providence, Rhode Island.
Arthur L. Caplan , Ph.D., is director of the Biomedical Ethics Center, University of Minnesota, Minneapolis, Minnesota.
Norman Daniels , Ph.D., is professor of philosophy, Tufts University, Medford, Massachusetts.
H. Tristram Engelhardt, Jr., Ph.D., M.D., is professor of medicine and community medicine, Baylor College of Medicine, and a member of the Center for Ethics, Medicine and Public Issues, Baylor College of Medicine. He is also professor of philosophy (part-time), Rice University, Houston, Texas.
Roger W. Evans , Ph.D., is senior research scientist, Battelle Human Affairs Research Centers, Seattle, Washington, and principal author of the National Heart Transplantation Study.
Norman Fost, M.D., is professor of pediatrics and director of the Program in Medical Ethics. University of Wisconsin Medical School. Madison. Wisconsin
Leslie , Francis, Ph.D., J.D., is associate professor of philosophy and professor of law. University of Utah, Salt Lake City. Utah.
Kenneth V. Iserson, M.D., M.B.A., F.A.C.E.P., is associate professor, Section of Emergency Medicine, Department of Surgery, University of Arizona Medical School, Tucson, Arizona.
Dale Jamieson , Ph.D., is associate professor of philosophy and associate of the Center for Values and Social Policy, University of Colorado, Boulder, Colorado.
Deborah Mathieu , Ph.D., is assistant professor in the political science and philosophy departments at the University of Arizona, Tucson, Arizona.
Paul T. Menzel, Ph.D., is professor of philosophy, Pacific Lutheran University, Tacoma, Washington.
Karen Merrikin , J.D., serves as counsel to the Group Health Cooperative of Puget Sound and is a former member of the staff of the Battelle Human Affairs Research Centers, Seattle, Washington.
Thomas D. Overcast , J.D., Ph.D., is an independent consultant and former research scientist with the Battelle Human Affairs Research Centers, Seattle, Washington.
Mark V. Pauly, Ph.D., is Robert D. Eilers Professor of health care management and economics and executive director of the Leonard Davis Institute of Health Economics. He also holds academic appointments at the University of Pennsylvania's Wharton School and School of Arts and Sciences as professor of health care systems, public management, and economics.
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