Somerville M A
Can Med Assoc J. 1985 Jan 15;132(2):113-7.
Recent success in overcoming rejection of transplanted organs has led to a much greater demand for organs from donors and to a reconsideration of mechanisms for increasing the availability of organs from cadavers. In the latter respect the two basic systems are "contracting-in" and "contracting-out". Each system has different benefits and harms, and it is a value judgement that should be adopted. However, both systems raise legal, ethical and practical issues that must be addressed if organs for transplantation are to become available to all who need them.
近期在克服移植器官排斥反应方面取得的成功,导致对捐赠者器官的需求大幅增加,并促使人们重新考虑提高尸体器官可获得性的机制。在后一方面,两种基本系统是“纳入式”和“排除式”。每种系统都有不同的利弊,这是一个应采用的价值判断。然而,如果要让所有需要移植器官的人都能获得器官,这两种系统都会引发必须解决的法律、伦理和实际问题。