.- An article in the New England Journal of Medicine (NEJM), questioning the criteria of âbrain deathâ and âcardiac deathâ especially in relation to organ donation, could affect the validity of ethical arguments approving the practice of organ donation at a personâs apparent death.
The NEJM articleâs authors, Harvard Medical School professor Dr. Robert D. Truog and National Institutes of Health bioethics department faculty member Dr. Franklin G. Miller, argue that âas an ethical requirement for organ donation, the dead donor rule has required unnecessary and unsupportable revisions of the definition of death,â LifeSiteNews.com reports.
Saying that the scientific literature does not support the criteria which consider âbrain deathâ and âcardiac deathâ to be actual death, the authors argue that the donation of vital organs taken from living human beings should not be considered unethical.
âThe uncomfortable conclusion to be drawn from this literature is that although it may be perfectly ethical to remove vital organs for transplantation from patients who satisfy the diagnostic criteria of brain death, the reason it is ethical cannot be that we are convinced they are really dead,â they write.
Drs. Troug and Miller suggest that ethical requirements of organ donation should not insist on dead donors but should consider organ donation âin terms of valid informed consent under the limited conditions of devastating neurologic injury.â
Unlike Troug and Miller, most moral ethicists consider the death of the donor as the event making it ethical to remove vital organs for transplant. They argue that removing vital organs from a living donor would constitute actively killing a person.
This is the generally accepted Catholic view.
In an August 29, 2000 address to the 18th International Congress of the Transplantation Society, Pope John Paul II emphasized that unpaired vital organs can be removed only after death, âfrom the body of someone who is certainly dead.â
Troug and Millerâs doubts about the ethical criteria used to justify organ donation have prompted some critics of organ donation to call for the cessation of the practice in Catholic hospitals.
âThe setting out of these facts should by all rights lead to a cessation of complete removal of any vital organ at Catholic hospitals," said Dr. John Shea, a medical consultant to LifeSiteNews.com.