Caplan A L
Center for Biomedical Ethics, University of Minnesota.
Kennedy Inst Ethics J. 1993 Jun;3(2):251-62. doi: 10.1353/ken.0.0125.
The transplant community has quietly initiated efforts to expand the current pool of cadaver organ donors to include those who are dead by cardiac criteria but cannot be pronounced dead using brain-based criteria. There are many reasons for concern about "policy creep" regarding who is defined as a potential organ donor. These reasons include loss of trust in the transplant community because of confusion over the protocols to be used, blurring the line between life and death, stress on family members, and burdens imposed on health care providers when a long-standing policy regarding who can serve as a cadaver organ donor is unilaterally changed. While these concerns are not sufficient reason for abandoning efforts to broaden existing eligibility standards for cadaver donation, they are sufficient reasons for the transplant community to desist in changing existing standards without widespread professional and public discussion.
移植界已悄然开始努力扩大目前的尸体器官捐赠者群体，将那些符合心脏死亡标准但无法依据脑死亡标准判定死亡的人纳入其中。对于谁被定义为潜在器官捐赠者的“政策渐变”，存在诸多令人担忧的原因。这些原因包括，由于对所采用的方案存在困惑，导致对移植界失去信任；模糊生与死的界限；给家庭成员带来压力；以及在单方面改变关于谁可作为尸体器官捐赠者的长期政策时，给医疗服务提供者带来负担。虽然这些担忧并非放弃扩大尸体捐赠现有资格标准努力的充分理由，但却是移植界在没有广泛的专业和公众讨论的情况下停止改变现有标准的充分理由。
