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Shock: requiring death before organ donation is unnecessary, say experts
LifeSiteNews ^ | 11/3/11 | Kathleen Gilbert

Posted on 11/05/2011 1:24:43 PM PDT by wagglebee

TORONTO, November 1, 2011 (LifeSiteNews.com) – Because organ donors are often alive when their organs are harvested, the medical community should not require donors to be declared dead, but instead adopt more “honest” moral criteria that allow the harvesting of organs from “dying” or “severely injured” patients, with proper consent, three leading experts have argued.

This approach, they say, would avoid the “pseudo-objective” claim that a donor is “really dead,” which is often based upon purely ideological definitions of death designed to expand the organ donor pool, and would allow organ harvesters to be more honest with the public, as well as ensure that donors don’t feel pain during the harvesting process.

The chilling comments were offered by Dr. Neil Lazar, director of the medical-surgical intensive care unit at Toronto General Hospital, Dr. Maxwell J. Smith of the University of Toronto, and David Rodriguez-Arias of Universidad del Pais Vasco in Spain, at a U.S. bioethics conference in October and published in a recent paper in the American Journal of Bioethics.

The authors state frankly that under current practices donors may be technically still alive when organs are harvested – a necessary condition to produce healthy, living organs. Because of this, they say that protocol requiring a donor’s death is “dangerously misleading,” and could overlook the well-being of the donor who may still be able to suffer during the harvesting procedure.

“Because there is a general assumption that dead individuals cannot be harmed, veneration of the dead-donor rule is dangerously misleading,” they write. “Ultimately, what is important for the protection and respect of potential donors is not to have a death certificate signed, but rather to be certain they are beyond suffering and to guarantee that their autonomy is respected.” 

Instead of the so-called Dead Donor Rule (DDR), the authors propose that donors should be “protected from harm” (i.e given anesthesia so that they cannot feel pain during the donation process), that informed consent should be obtained, and that society should be “fully informed of the inherently debatable nature of any criterion to declare death.”

The doctors note that developing the criteria for so-called “brain death,” which is often used by doctors to declare death before organ donation, was an “ideological strategy” aimed at increasing the donor pool that has been found to be “empirically and theoretically flawed.” They also criticize the latest attempts to create new, even looser definitions of death, such as circulatory death, which they argue amount to simply “pretending” that the patient is dead in order to get his organs.

The legitimacy of “brain death,” “cardiac death,” and even “circulatory death” - which can be declared only 75 seconds after circulatory arrest - as actual death has been an ongoing debate in public commentary on organ donation. Many experts assert that doctors familiar with organ donation are aware that the terms, intended to delineate a threshold of probable death, is different from actual bodily death, rendering highly uncertain the moral status of organ donation.

Meanwhile, countless stories have emerged of “miraculous” awakenings following brain death, providing weight to the arguments of doctors and others who say that the process of procuring viable organs not only fails to ensure that a patient has certainly died, but is impossible unless a body is still technically alive.

Dr. Paul Byrne, an experienced neonatologist, clinical professor of pediatrics at the University of Toledo, and president of Life Guardian Foundation, said he was not surprised at the recent statements, which he said merely reflect a long-open secret in the organ donation field.

“All of the participants in organ transplantation know that the donors are not truly dead,” Byrne told LifeSiteNews.com in a telephone interview Tuesday.

“How can you get healthy organs from a cadaver? You can’t.”

Byrne affirmed that giving pain medication to organ donors is routine. Doctors taking organs from brain-dead donors “have to paralyze them so they don’t move so when they cut into them to take organs, and when they paralyze them without anesthetics, their heart rate goes up and their blood pressure goes up,” he observed. “This is not something that happens to someone who’s truly dead.”

The neonatologist said he has personally studied the theory of “brain death” since 1975, seven years after the first vital organ transplant in 1968, and has found that death criteria has continually been changed to accommodate a demand for fresh organs. The idea of a “dead donor rule” did not even emerge until the 1980s, he said, and didn’t enter common parlance until years later.

“There really is no dead donor rule, although they’re trying to make it seem like there is,” said Byrne.

Byrne led a Vatican conference on “brain death” criteria in 2008 in which a large group of international experts, many of whom are world leaders in their fields, attested to the illegitimacy of “brain death” as an accepted criterion for organ removal.

The comments by the Canadian and Spanish experts have come under fire from the organ donor community, some members of which have expressed concern that the statements could lead people to opt out of donating their organs.

“In the overwhelming majority of cases, the concept of death is easy, obvious and not really subject to any complex interpretation. It’s very clear,” Dr. Andrew Baker, the medical director of the Trillium Gift of Life Network, which oversees Ontario’s transplant system, told the National Post. “They’re dead, you can see it, there is no return of anything.”

James DuBois, a health ethics pro-fessor at Saint Louis University, also criticized the comments, saying that removing the Dead Donor Rule could “have negative consequences: decreasing organ donation rates, upsetting donor family members and creating distress among health care workers.”

See related article: Vindication of criticisms of organ donation

‘Brain dead’ Quebec woman wakes up after family refuses organ donation

‘Brain dead’ woman recovers after husband refuses to withdraw life support

No ‘moral certainty’ that brain death is really death: prominent Catholic ethics professor Brugger

“Brain Death” is Life, Not Death: Neurologists, Philosophers, Neonatologists, Jurists, and Bioethici

“Brain Death” as Criteria for Organ Donation is a “Deception”: Bereaved Mother

Doctor to Tell Brain Death Conference Removing Organs from “Brain Dead” Patients Tantamount to Murder


TOPICS: Culture/Society; News/Current Events
KEYWORDS: imnotdeadyet; liveorgantransplants; moralabsolutes; organharvesting; prolife
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The comments by the Canadian and Spanish experts have come under fire from the organ donor community, some members of which have expressed concern that the statements could lead people to opt out of donating their organs.

Yes, the understanding that these vultures will murder you for your organs will certainly have that effect on people.

1 posted on 11/05/2011 1:24:44 PM PDT by wagglebee
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To: cgk; Coleus; cpforlife.org; narses; Salvation; 8mmMauser
Pro-Life Ping
2 posted on 11/05/2011 1:25:38 PM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: wagglebee
You are deluding yourself if you believe they need your permission to harvest your organs.

Corneas are routinely harvested without consent.

3 posted on 11/05/2011 1:26:54 PM PDT by E. Pluribus Unum (The enemy of my enemy is my candidate.<sup>®</sup>)
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To: 185JHP; 230FMJ; AKA Elena; Albion Wilde; Aleighanne; Alexander Rubin; Amos the Prophet; ...
Moral Absolutes Ping!

Freepmail wagglebee to subscribe or unsubscribe from the moral absolutes ping list.

FreeRepublic moral absolutes keyword search
[ Add keyword moral absolutes to flag FR articles to this ping list ]


4 posted on 11/05/2011 1:27:48 PM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: wagglebee

Harvesting organs from living donors? Evil freaking bastards!


5 posted on 11/05/2011 1:28:22 PM PDT by Jim Robinson (Rebellion is brewing!! Impeach the corrupt Marxist bastard!!)
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To: wagglebee

I used to have the “organ donor” box checked on my driver’s license. It took me 2 renewals to actually get the DMV to remove it. Not sure why they “overlooked” it the first time, but I am not willing to give these people the benefit of the doubt anymore.


6 posted on 11/05/2011 1:30:57 PM PDT by MNGal
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To: wagglebee
These arguments are the best arguments against organ transplants I've heard yet.
7 posted on 11/05/2011 1:31:14 PM PDT by jimtorr
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To: Jim Robinson
Just wait until Zero's death panels decide that it's okay to take organs from perfectly healthy people.
8 posted on 11/05/2011 1:31:21 PM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: wagglebee

I’ve been expecting this horror for some time now.What next?


9 posted on 11/05/2011 1:33:26 PM PDT by Farmer Dean (stop worrying about what they want to do to you,start thinking about what you want to do to them)
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To: wagglebee

I have a feeling that if I really opted out of harvest of my organs, these SOB would keep me on life support just to get to my valuable organs.


10 posted on 11/05/2011 1:36:06 PM PDT by Zuben Elgenubi
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To: wagglebee
Monty Python predicted this
11 posted on 11/05/2011 1:38:01 PM PDT by WilliamofCarmichael (If modern America's Man on Horseback is out there, Get on the damn horse already!)
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To: wagglebee

I’m not totally sure I understand what’s going on here, but can’t they wait until people die and then take whatever the person determined in advance? I can see a live kidney donation or bone marrow to keep a relative or blood match alive. Need specifically worded laws to draw the line, prevent abuse and “jumping the gun.”


12 posted on 11/05/2011 1:38:12 PM PDT by morphing libertarian
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To: wagglebee

True dollars trumps all other considerations. The urban legends will be coming true. Your kidneys are worth more than you are! Kill! Harvest! Profit!


13 posted on 11/05/2011 1:38:49 PM PDT by AEMILIUS PAULUS (It is a shame that when these people give a riot)
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To: wagglebee

“lead people to opt out of donating their organs”

A couple of years ago, a medical friend didn’t reup being an organ donor when he renewed his drivers license. Basically, this was what he was concerned about. My wife and I didn’t reup re being organ donors when we renewed our drivers’s licenses.

We both joke about having DNR tatooed in big red letters on our chests.


14 posted on 11/05/2011 1:39:05 PM PDT by Grampa Dave (ILLEGAL IMMIGRATION IS DESTROYING AMERICA-LOOK AT WHAT IT DID TO THE WHITE HOUSE!)
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To: wagglebee

Thanks for posting this. I just can’t imagine what’s next. Well, I can imagine it but I didn’t think I would see this in my lifetime (I’m a pollyanna).


15 posted on 11/05/2011 1:39:14 PM PDT by little jeremiah (We will have to go through hell to get out of hell.)
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To: wagglebee
Reminds me of this movie:

involuntary organ donor

Nope. I won't put it on my license.
16 posted on 11/05/2011 1:39:16 PM PDT by 3Fingas (Sons and Daughters of Freedom, Committee of Correspondence)
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To: wagglebee

http://www.freerepublic.com/focus/f-bloggers/2361046/posts


17 posted on 11/05/2011 1:39:50 PM PDT by rfp1234 (RFP's Law: Whoever blames Bush first shall lose the argument.)
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To: wagglebee

Long ago, I saw an episode of Quincy (he was a coroner) that dealt with this issue...were the EMT guys in a hurry to pronounce the guy dead because they wanted his organs. In the end, no, not on that script - but it scared me enough to never put that on my driver license.


18 posted on 11/05/2011 1:40:32 PM PDT by BobL ( A vote for Newt is a vote for Romney)
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To: wagglebee

There was a novel written in the ‘70s about this. Anyone remember the name? The author was a doctor turned novelist, and the genre was a mystery. I think it was made into a movie.

I remember a “scene” where there was a lab/storage room with hundreds of bodies suspended by wires and maintained in a brain/dead state until they were neeed for transplant. I’ve NEVER checked the box on my DL as a result.


19 posted on 11/05/2011 1:40:37 PM PDT by afraidfortherepublic
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To: wagglebee

This type of commenting is exactly why I am not an organ donor.


20 posted on 11/05/2011 1:41:56 PM PDT by CodeToad (Islam needs to be banned in the US and treated as a criminal enterprise.)
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