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9Informing a Recipient of Blood from a Donor Who Developed Creutzfeldt-Jakob Disease: The Characteristics of Information that Warrant Its DisclosureJournal of Clinical Ethics 12 (2): 134-140. 2001.
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73Kidney transplants from young children and the mentally retardedTheoretical Medicine and Bioethics 25 (4): 229-241. 2004.Kidney donation by young children and the mentally retarded has been supported by court decisions, arguments based on obligations inherent in family relationships, an array of contextual factors, and the principle of beneficence. These justifications for taking organs from people who cannot protect themselves are problematic and must be weighed against our obligation to protect the vulnerable. A compromise solution is presented that strongly protects young children and the mentally retarded but …Read more
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19Eliminating deathAmerican Journal of Bioethics 3 (1). 2003.This Article does not have an abstract
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16Clinical research should not be permitted to escape the ethical orbit of clinical careAmerican Journal of Bioethics 2 (2). 2002.(2002). Clinical Research Should Not Be Permitted to Escape the Ethical Orbit of Clinical Care. The American Journal of Bioethics: Vol. 2, No. 2, pp. 27-28
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15Can moral worthiness be seen using a microscope?American Journal of Bioethics 2 (1). 2002.This Article does not have an abstract
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42A Response to Commentators on “An 'Opting In' Paradigm For Kidney Transplantation”American Journal of Bioethics 4 (4). 2004.Almost 60,000 people in the United States with end stage renal disease are waiting for a kidney transplant. Because of the scarcity of organs from deceased donors live kidney donors have become a critical source of organs; in 2001, for the first time in recent decades, the number of live kidney donors exceeded the number of deceased donors. The paradigm used to justify putting live kidney donors at risk includes the low risk to the donor, the favorable risk-benefit ratio, the psychological benef…Read more
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63An "opting in" paradigm for kidney transplantationAmerican Journal of Bioethics 4 (4). 2004.Almost 60,000 people in the United States with end stage renal disease are waiting for a kidney transplant. Because of the scarcity of organs from deceased donors live kidney donors have become a critical source of organs; in 2001, for the first time in recent decades, the number of live kidney donors exceeded the number of deceased donors. The paradigm used to justify putting live kidney donors at risk includes the low risk to the donor, the favorable risk-benefit ratio, the psychological benef…Read more
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22A novel boundary issue: should a patient be an organ donor for their physician?Journal of Medical Ethics 34 (11): 772-774. 2008.It is argued that organ donation from a patient to the patient's physician is ethically dubious because donation decisions will be inappropriately influenced and the negative public perceptions will result in more harm than good. It is suggested that to protect the perception of the physician–patient relationship, avoid cynicism about medicine’s attitude to patient welfare and maintain trust in the medical profession, a new professional boundary should be established to prevent physicians from r…Read more
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79Altruism in Medicine: Its Definition, Nature, and DilemmasCambridge Quarterly of Healthcare Ethics 19 (2): 249. 2010.A significant portion of the practice of medicine is dependent on individual acts of medical altruism. Many of these acts, such as the donation of blood, gametes, stem cells, and organs, entail varying degrees of bodily intrusion and, for the altruist, various combinations of discomfort, risk, and expense. Discussion of the ethics of altruism has typically been fragmented under various rubrics such as blood donation, organ and tissue transplantation, health information, and the assisted reproduc…Read more
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11The Antemortem Use of Heparin in Non-Heart-Beating Organ Transplantation: A Justification Based on the Paradigm of AltruismJournal of Clinical Ethics 14 (1-2): 18-25. 2003.
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13How Much Risk Can Medicine Allow a Willing Altruist?Journal of Clinical Ethics 18 (1): 12-17. 2007.
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36Response to “Special Section on Children as Organ Donors” : A CritiqueCambridge Quarterly of Healthcare Ethics 14 (3): 301-305. 2005.I would have preferred that the Special Section on Children as Organ Donors had focused on the donation of a specific organ because morally relevant differences are obscured when the subject is discussed in general terms. The donation of a lobe of liver and peripheral blood or bone marrow stem cells does not result in the permanent loss of vital tissue because these organs regenerate; however, a kidney does not regenerate and its donor loses a vital organ permanently. Liver tissue and peripheral…Read more