Alexander Irene
University of Dallas, Irving, TX, USA.
Linacre Q. 2019 Nov;86(4):314-326. doi: 10.1177/0024363919874606. Epub 2019 Sep 20.
In light of the current medical evidence, physicians and ethicists no longer have the moral certainty that Pope John Paul II deemed vital for vital organ transplantation. The current medical evidence suggests that some brain-dead patients do seem to exhibit signs of global integration. This article will analyze the interpretations of this evidence, both from ethicists for and against the neurological criteria. Even the strongest arguments in favor of the neurological criteria in light of the new evidence fail to prove that the patient with total brain failure (TBF) has died. Furthermore, the recent Jahi McMath case demonstrates a new and alarming reality that there is no way in practice to distinguish global ischemic penumbra from TBF. In the absence of the moral certainty required by Pope John Paul II, it is clear that the Catholic Church should immediately call for a halt on vital organ transplantation.
This article analyzes the current medical evidence about brain death and argues that we have lost the moral certainty that Pope John Paul II deemed necessary for vital organ transplantation.
鉴于当前的医学证据,医生和伦理学家不再拥有教皇约翰·保罗二世认为对重要器官移植至关重要的道德确定性。当前的医学证据表明,一些脑死亡患者似乎确实表现出整体整合的迹象。本文将分析伦理学家对这一证据的解读,包括支持和反对神经学标准的观点。即使根据新证据,支持神经学标准的最有力论据也未能证明全脑功能衰竭(TBF)患者已经死亡。此外,最近的贾希·麦克马思案表明了一个新的、令人担忧的现实,即在实践中无法区分全球缺血半暗带和全脑功能衰竭。在缺乏教皇约翰·保罗二世所要求的道德确定性的情况下,显然天主教会应该立即呼吁停止重要器官移植。
本文分析了当前关于脑死亡的医学证据,并认为我们已经失去了教皇约翰·保罗二世认为对重要器官移植必要的道德确定性。