TY - BOOK ID - 67040911 TI - Death, dying, and organ transplantation : reconstructing medical ethics at the end of life AU - Miller, Franklin G. AU - Truog, Robert D. PY - 2012 SN - 9780199739172 019973917X PB - Oxford: Oxford university press, DB - UniCat KW - Euthanasia KW - Procurement of organs, tissues, etc. KW - Withholding Treatment KW - Ethics, Medical KW - Euthanasia, Active KW - Tissue and Organ Procurement KW - Moral and ethical aspects KW - ethics KW - Procurement of organs, tissues, etc KW - dood (vaststelling van overlijden, hersendood, hart- en longfalen) KW - euthanasie KW - orgaandonatie KW - orgaantransplantatie (allocatie van organen, donorschaarste) KW - stopzetting van behandeling KW - Organ procurement (Surgery) KW - Tissue procurement (Surgery) KW - Tissue banks KW - Transplantation of organs, tissues, etc. KW - mort (constat de décès, mort cérébrale) KW - don d'organes KW - transplantation d'organes (greffe d'organes, pénurie d'organes, allocation d'organes) KW - arrêt de traitement KW - Euthanasia - Moral and ethical aspects KW - Procurement of organs, tissues, etc. - Moral and ethical aspects KW - Withholding Treatment - ethics KW - Euthanasia, Active - ethics KW - Tissue and Organ Procurement - ethics UR - https://www.unicat.be/uniCat?func=search&query=sysid:67040911 AB - In Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, Miller and Truog challenge fundamental doctrines of established medical ethics. They argue that the routine practice of stopping life support technology in hospitals causes the death of patients and that donors of vital organs (hearts, lungs, liver, and both kidneys) are not really dead at the time that their organs are removed for life-saving transplantation. These practices are ethically legitimate but are not compatible with traditional rules of medical ethics that doctors must not intentionally cause the death of their patients and that vital organs can be obtained for transplantation only from dead donors. In this book Miller and Truog undertake an ethical examination that aims to honestly face the reality of medical practices at the end of life. They expose the misconception that stopping life support merely allows patients to die from their medical conditions, and they dispute the accuracy of determining death of hospitalized patients on the basis of a diagnosis of "brain death" prior to vital organ donation. After detailing the factual and conceptual errors surrounding current practices of determining death for the purpose of organ donation, the authors develop a novel ethical account of procuring vital organs. In the context of reasonable plans to withdraw life support, still-living patients are not harmed or wronged by organ donation prior to their death, provided that valid consent has been obtained for stopping treatment and for organ donation. Recognizing practical difficulties in facing the truth regarding organ donation, the authors also develop a pragmatic alternative account based on the concept of transparent legal fictions. In sum, Miller and Truog argue that in order to preserve the legitimacy of end-of-life practices, we need to reconstruct medical ethics. ER -