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When is directed deceased donation justified? Practical, ethical, and legal issues

Gardiner, Dale C.
Abstract
This paper explores whether directed deceased organ donation should be permitted, and if so under which conditions. While organ donation and allocation systems must be fair and transparent, might it be "one thought too many" to prevent directed donation within families? We proceed by providing a description of the medical and legal context, followed by identification of the main ethical issues involved in directed donation, and then explore these through a series of hypothetical cases similar to those encountered in practice. Ultimately, we set certain conditions under which directed deceased donation may be ethically acceptable. We restrict our discussion to the allocation of organs to recipients already on the waiting list. Copyright © The Intensive Care Society 2024.
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2024
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Article
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Shaw, D., Gardiner, D., Ploeg, R., Floden, A., Cooper, J., Perez-Blanco, A., Wind, T., Dijkhuizen, L., Jansen, N. and Haase-Kromwijk, B. (2024) 'When is directed deceased donation justified? Practical, ethical, and legal issues', The Journal of the Intensive Care Society, 25(3), pp. 333–338. doi: 10.1177/17511437241231705 https://doi.org/10.1177/17511437241231705.
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