Spital Aaron, Taylor James Stacey
Department of Medicine, Mount Sinai School of Medicine, New York, New York, USA.
Clin J Am Soc Nephrol. 2007 Mar;2(2):300-3. doi: 10.2215/CJN.03260906. Epub 2007 Jan 31.
Many families deny organ recovery from recently deceased relatives. As a result, valuable organs and some of the lives they could save are lost. Several plans designed to rectify this tragic situation have been proposed, including organ sales. We suggest another approach that we believe to be superior and that is rarely discussed: routine recovery of all transplantable cadaveric organs without consent. Here we show that this plan is ethically acceptable, more equitable than our current opting-in approach, consistent with other mandatory social programs, and life-saving. Based on these considerations, we believe that it is time to eliminate entirely the consent requirement for recovery of transplantable cadaveric organs.
许多家庭拒绝从刚去世的亲属身上摘取器官。结果，宝贵的器官以及一些它们本可挽救的生命就这样失去了。人们已经提出了若干旨在纠正这种悲惨状况的计划，包括器官买卖。我们建议采用另一种我们认为更优且很少被讨论的方法：在未经同意的情况下常规摘取所有可移植的尸体器官。我们在此表明，该计划在伦理上是可接受的，比我们当前的选择加入式方法更公平，与其他强制性社会项目一致，且能挽救生命。基于这些考虑，我们认为现在是时候完全取消对可移植尸体器官摘取的同意要求了。
