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“This thought-provoking work examines how the relationships of organs, tissues, and cells transferred from one body to another through donation, sale, or gift are mediated by the state, market, and family. The book is a thorough review of the sociological, anthropological, and ethical literature surrounding transplant organs but encased within the author’s own personal dilemmas and lived experience. His work skillfully underscores the negotiations and accommodations inherent in the use of these technologies and reveals the situatedness of decisions that belie any simplistic readings of the ethics of transplantations... This is a stimulating and accessible book for those with an interest in transplantation, ethics, or the social implications of medical technologies. Its strength lies in the reflexive accounts from the author of his own experience juxtaposed with the sensitive appraisals of the workings of the state, market, and family in the organ economy.” Andrea Whittaker, Monash University, reviewed for Social Forces This innovative work combines a rigorous academic analysis of the political economy of organ supply for transplantation with autobiographical narratives that illuminate the complex experience of being an organ recipient. Organs for transplantations come from two sources: living or post-mortem organ donations. These sources set different routes of movement from one body to another. Postmortem organ donations are mainly sourced and allocated by state agencies, while living organ donations are the result of informal relations between donor and recipient. Each route traverses different social institutions, determines discrete interaction between donor and recipient, and is charged with moral meanings that can be competing and contrasting. The political economy of organs for transplants is the gamut of these routes and their interconnections, and this book suggests how such a political economy looks like: what are its features and contours, its negotiation of the roles of the state, market and the family in procuring organs for transplantations, and its ultimate moral justifications. Drawing on Boas’ personal experiences of waiting, searching and obtaining organs, each autobiographical section of the book sheds light on a different aspect of the discussed political economy of organs – post-mortem donations, parental donation, and organ market – and illustrates the experience of living with the fear of rejection and the intimidation of chronic shortage. A Political Economy of Organ Transplantation is of interest to students and academics with an interest in bioethics, sociology of health and illness, medical anthropology, and science and technology studies.
An ethnographic analysis of organ transplantation in Turkey, based on the stories of kidney-transplant patients and physicians in Istanbul.
Rates of organ donation lag far behind the increasing need. At the start of 2006, more than 90,000 people were waiting to receive a solid organ (kidney, liver, lung, pancreas, heart, or intestine). Organ Donation examines a wide range of proposals to increase organ donation, including policies that presume consent for donation as well as the use of financial incentives such as direct payments, coverage of funeral expenses, and charitable contributions. This book urges federal agencies, nonprofit groups, and others to boost opportunities for people to record their decisions to donate, strengthen efforts to educate the public about the benefits of organ donation, and continue to improve donation systems. Organ Donation also supports initiatives to increase donations from people whose deaths are the result of irreversible cardiac failure. This book emphasizes that all members of society have a stake in an adequate supply of organs for patients in need, because each individual is a potential recipient as well as a potential donor.
This book challenges conventional medical ethics by exposing the inconsistency between the reality of end-of-life practices and established ethical justifications of them.
Although organ transplants provide the best, and often the only, effective therapy for many otherwise fatal conditions, the great benefits of transplantation go largely unrealized because of failures in the organ acquisition process. In the United States, for instance, more than 10,000 people die every year either awaiting transplantation, or as a result of deteriorating health exacerbated by the shortage of organs. Issues pertaining to organ donation and transplantation represent, perhaps, the most complex and morally controversial medical dilemmas aside from abortion and euthanasia. However, these quandaries are not unsolvable. This book proposes compensating organ donors within a publicly controlled monopsony. This proposal is quite similar to current practice in Spain, where compensation for cadaveric donation now occurs "in secret," as this text reveals. To build their recommendations, the authors provide a medical history of transplantation, a history of the development of national laws and waiting lists, a careful examination of the social costs and benefits of transplantation, a discussion of the causes of organ shortages, an evaluation of "partial" reforms tried or proposed, an extensive ethical evaluation of the current system and its competitors.
Originally published: New York: Oxford University Press, 1992.
Transplantation Gothic is a shadow cultural history of transplantation, as mediated through medical writing, science fiction, life writing and visual arts in a Gothic mode, from the nineteenth-century to the present. The works explore the experience of donor/suppliers, recipients and practitioners, and simultaneously express transfer-related suffering and are complicit in its erasure. Examining texts from Europe, North America and India, the book resists exoticising predatorial tissue economies and considers fantasies of harvest as both product and symbol of structural ruination under neoliberal capitalism. In their efforts to articulate bioengineered hybridity, these works are not only anxious but speculative. The book will be of interest to academics and students researching Gothic studies, science fiction, critical medical humanities and cultural studies of transplantation.
Saving lives through organ transplantation has become increasingly possible thanks to advances in research and care. Today, the complex field of transplantation continues to develop rapidly, fuelled by demographic change and further evolutions in scientific understanding. The Oxford Textbook of Transplant Anaesthesia and Critical Care has been written and edited by pioneers in the field of organ transplantation with an international team of authors, in order to equip anaesthetists and intensivists with the knowledge and training necessary to provide high quality and evidence-based care. The text addresses fundamentals aspects of scientific knowledge, care of the donor patient, transplant ethics and special considerations. Dedicated sections address each of the major organs; kidney, pancreas, liver, heart and lung, intestinal and multivisceral. Within each organ-based section, expert authors explore underlying disease, planning for transplantation, specialized procedures, perioperative and critical care management as well as post-transplant considerations. Focus points for future developments in transplant immunology are also set out, inspiring current practitioners to engage with current clinical research and help participate in the further advancement of the science of transplantation. The print edition of the Oxford Textbook of Transplant Anaesthesia and Critical Care comes with a year's access to the online version on Oxford Medicine Online. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables.