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The Search for Bioethical Criteria to Select Renal Transplant Recipients: A Response to the Honourable Judge Jean-Louis Baudouin

Published online by Cambridge University Press:  13 April 2010

Stuart F. Spicker
Affiliation:
School of Medicine, University of Connecticut

Extract

In selecting for discussion the general theme of the donation and sharing of cells, tissues and organs (typically accomplished by transfusion and other forms of surgical transplantation) the program committee of the Second Congress of the Canadian Bioethics Society appears to have been astonishingly prescient in anticipating that two North American physicians —clinical researchers rather than “basic” scientists, by the way —would receive, as they did just over a month ago, Nobel Prizes in Physiology or Medicine for their medical achievements.1 Dr. Joseph Murray was cited in part for successfully performing, in 1954, the first human kidney transplant (the recipient lived eight years), as well as for discovering how to minimize the body's rejection of this organ; Dr. Donnall Thomas was cited for work he accomplished in 1956 —the first bone-marrow cell transfusion to a 16-year-old patient (who is still alive) such that the human immune reaction of a graft to this recipient's body could be medically managed to avoid rejection of the transplanted material (Economist 1990). Having mentioned these awards, I should note that Dr. George Hitchings had already received the Nobel Prize in Medicine in 1988, being credited with the discovery of a powerful immunosuppressant, azathioprine, which greatly improved the survival of the recipients of unmatched graft transplants.

Type
Intervention
Copyright
Copyright © Canadian Philosophical Association 1991

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References

Baudouin, Jean-Louis 1990Quelques réflexions gènérales sur la normativité, l'éthique et le droit dans le cadre clinique.” Dialogue, 30, 3 (1991): 419–24.CrossRefGoogle Scholar
Binamé, George 1989 “Le Prélèvement d'organes: chronique d'une loi annoncée.” Document: N. réf.: GB/CE/27/44, décembre. Palais de la Nation, Bruxelles, Belgique, p. 1–6.Google Scholar
Blumstein, James F., and Sloan, Frank A. 1989 Organ Transplantation Policy: Issues and Prospects. Durham, NC: Duke University Press.Google Scholar
Economist 1990 “Nobel Prize for Medicine: Mix and Match.” October 20, p. 108.Google Scholar
Iglehart, John K. 1990Canada's Health Care System Faces its Problems.” New England Journal of Medicine, 322, 8 (February 22): 562–68.CrossRefGoogle ScholarPubMed
Meyers, David W. 1970 The Human Body and the Law. Chicago, IL: Aldine Atherton.Google Scholar
Spital, Aaron 1990 [Letter] “The Ethics of Liver Transplantation from a Living Donor.” New England Journal of Medicine, 322, 8 (February 22): 549–50.Google ScholarPubMed
Starzl, Thomas E., Shapiro, R. and Teperman, L. 1989a “The Point System for Organ Distribution.” Transplantation Proceedings, 21, 3 (June): 3432–36.Google ScholarPubMed
Starzl, Thomas E., Demetris, Anthony J. and Thiel, David Van 1989b “Liver Transplantation: Second of Two Parts.” New England Journal of Medicine, 321, 16 (October 19): 1092–99.CrossRefGoogle Scholar
Thorne, Emanuel D. 1990Tissue Transplants: The Dilemma of the Body's Growing Value.” Public Interest, 98: 3748.Google Scholar
Turcotte, J. F., et al. . 1989Patient Selection Criteria in Organ Transplantation: The Critical Questions.” Transplantation Proceedings, 21, 3 (June): 33773445.Google Scholar
Wolstenholme, Gordon, and O'Connor, Meave, eds. 1968 Law and Ethics of Transplantation (formerly titled Ethics in Medical Progress). London: J. & A. Churchill.Google Scholar