Scarce Goods Justice, Fairness, and Organ Transplantation

Name: Scarce Goods Justice, Fairness, and Organ Transplantation
Price: 24.6 USD
Availability: InStock
ISBN: 9780275974336

ISBN-10: 0275974332

ISBN-13: 9780275974336

Edition: 2001

Authors: Tom Koch

List price: $45.00

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In 1841 the American sailing ship William Brown struck an iceberg. About half of the passengers and all of the crew were saved in two small, open boats. The next night, half of the passengers in the larger long-boat were thrown overboard because the boat was overfull. This was the first case of "lifeboat ethics," of hard choices in the face of scarcity. Since then the question has been "who should die so that others, equally needy, might live?" Both the case of the William Brown and the ethics it spawned have been used in recent years to describe the problem of health care rationing generally, and organ transplantation specifically. Koch reexamines and reinterpretes the paradigm case of…

Book details

List price: $45.00
Copyright year: 2001
Publisher: Bloomsbury Publishing USA
Publication date: 11/30/2001
Binding: Paperback
Pages: 272
Size: 6.00" wide x 9.00" long x 0.61" tall
Weight: 0.880
Language: English

TTom Koch, an international lecturer and consultant on bioethics, gerontology, and public health, is the author of fifteen books, including Mirrored Lives: Aging Children and Elderly Parents; Cartographies of Disease: Maps, Mapping, and Medicine; Disease Maps: Epidemics on the Ground.



Tables and Figures


Preface


Acknowledgments



Lifeboat Ethics and the Case of the William Brown


Health Care


The William Brown


The Gulf Stream


A Constructed Tale


The Trial


Lifeboat Ethics Redux


The Titantic



The Scales of Justice: Principles and Practice


Distributive Justice


Scarcity


Justice Rationales


Critiques


Transplantation


A Geographical Approach



Scarce Goods: The Contexts of Solid Organ Transplantation


Transplantation: The Early Years


Cyclosporine: Transforming Scarcity


A National System


National Organ Transplant Act


Regionalization


An Example


Discussion



The Scale of Justice: Theories and Realities


Perspective and Scale


Global/International Scales


Hemispheric Perspective


Justice and Scale



Disappearing States: The Scale of the Nation


Regional Inequalities


Centers of Excellence


Distant Cities


Redistricting


Travel Time (Distance)


Discussion



The Scale of the City: Distant Communities and the Problem of Supply


Rural versus Urban Care


OPO Performance


Demographics and Membership


Poverty and Race


A Sense of the Game


Application: Southern California


Discussion



The Lifeboat's Choice


Lifeboat Seats


Results


Q-Analysis


Discussion



Justice in Ethic's Lifeboat


Dimensionality


Participation


Philosophical Concerns


Reasons and Persons


The Scarcities We Create


Afterword


Holmes' Legacy


Abundance and Scarcity


Notes


Bibliography


Index