Paris Wayne, Nour Bakr
Abilene Christian University, School of Social Work, Abilene, Texas 79699, USA.
Prog Transplant. 2010 Sep;20(3):274-8. doi: 10.1177/152692481002000312.
Concern has increasingly been expressed about the growing number of reports of medical personnel participating in the transplantation of human organs or tissues taken from the bodies of executed prisoners, handicapped patients, or poor persons who have agreed to part with their organs for commercial purposes. Such behavior has been universally considered as ethically and morally reprehensible, yet in some parts of the world the practice continues to flourish. The concept of justice demands that every person have an equal right to life, and to protect this right, society has an obligation to ensure that every person has equal access to medical care. Regrettably, the Egyptian system does not legally recognize brain death and continues to allow the buying and selling of organs. For more than 30 years in Egypt, the ability to pay has determined who receives an organ and economic need has determined who will be the donor. As transplant professionals, it is important that we advocate on behalf of all patients, potential recipients, and donors and for those who are left out and not likely to receive a donor organ in an economically based system. Current issues associated with this debate are reviewed and recommendations about how to address them in Egypt are discussed.
人们越来越关注有关医务人员参与移植取自死刑犯、残疾患者或为商业目的而同意捐献器官的穷人尸体的人体器官或组织的报道日益增多。这种行为被普遍认为在伦理和道德上应受谴责，但在世界一些地区，这种做法仍在盛行。正义的概念要求每个人都有平等的生命权，为了保护这一权利，社会有义务确保每个人都能平等地获得医疗保健。遗憾的是，埃及的制度在法律上不承认脑死亡，并且继续允许器官买卖。在埃及30多年来，支付能力决定了谁能获得器官，经济需求决定了谁将成为捐献者。作为移植专业人员，重要的是我们要代表所有患者、潜在接受者和捐献者，以及那些在基于经济的体系中被排除在外且不太可能获得捐献器官的人进行倡导。本文回顾了与这场辩论相关的当前问题，并讨论了在埃及如何解决这些问题的建议。
