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Table of Contents
1. Introduction
A. A tale of two cities
B. Black markets : altruism's limits
1) The black market
2) Exploitation of living donors
3) Compelled organ and tissue donation from children
4) Bias and fraud : who gets priority status?
5) Presumed consent : an underground process
6) Tissue sales and donor betrayal
C. Reform : an alternative vision
Alternatives
Hybrid system
Slavery debate
D. Research framework : laws and status
pt. 1. Understanding the strain on altruism
2. Institutional supply, demand, and legitimacy
Introduction
A. Medical trust and government-sponsored medicine
B. Institutional competency
Institutional goals
Institutional supply and demand
Physical capacity
C. Competency and altruism : a statistical overview
Racial disparities, distributive justice, and waitlists
a. Kidney waitlists
b. Liver waitlists
c. Heart waitlists
D. Confidence and donation
Conclusion
3. Nuances, judicial authority, and the legal limits of altruism
Introduction
A. The language of altruism
B. Obsessive altruism, it's not really altruism at all or is it?
Living donations
The cases
McFall v. Shimp
Curran v. Bosze
Fluid jurisprudence
Strunk v. Strunk
C. Reproductive altruism
Conclusion
4. Getting the organ you want
Introduction
A. Organ referral : getting onto the list
Profit in dialysis
Green screening and social valuing
The God squad
B. Distributive justice and the waiting list game
History
Matching and politics
1) Blood distribution grouping
2) Human leukocyte antigen disparity
3) Higher crossmatch
4) Low donations among Blacks
Conclusion
pt. 2. Legal frameworks and alternatives
5. The Uniform Anatomical Gift Act
Introduction
A. 1968 UAGA
Scope
Compensation
Tensions
B. The 1987 UAGA : required request and presumed consent
6. Presumed consent : the unsuspecting donor
Introduction
A. Presumed consent : origins and obstacles
What does consent have to do with it?
Too much to not ask for...
B. Can presumed consent work for organs?
Religious concerns
Cultural concerns
Opt-out viability
C. Compulsory donation and a duty to rescue : why social contract theory doesn't apply
A few problems
Black exclusion
Autonomy and state interference
Conclusion
7. Commoditization : incentives for cadaveric organ harvesting
Introduction
A. Bad blood
Blood crisis
B. Costs
C. Subjective ethics
D. Life, death, and insurance
E. System components and government power
The law
Conclusion
8. Black markets : the supply of body parts
Introduction
A. Taking from the dead : robbing Black cemeteries
B. Public and private transactions in tissue procurement
C. The private and the public : a new right to choose in sperm and ova sales
D. Black markets and organs
The tale of an organ
Buying an organ
Costs
Conclusion
pt. 3. Critiquing the slavery and Black body market comparison
9. Critiquing the slavery and Black body market comparison
Introduction
Black bodies and property
1) Saving Lives
2) Compensation
3) Voluntary participation
4) Physicality
Conclusion
10. Conclusion.
A. A tale of two cities
B. Black markets : altruism's limits
1) The black market
2) Exploitation of living donors
3) Compelled organ and tissue donation from children
4) Bias and fraud : who gets priority status?
5) Presumed consent : an underground process
6) Tissue sales and donor betrayal
C. Reform : an alternative vision
Alternatives
Hybrid system
Slavery debate
D. Research framework : laws and status
pt. 1. Understanding the strain on altruism
2. Institutional supply, demand, and legitimacy
Introduction
A. Medical trust and government-sponsored medicine
B. Institutional competency
Institutional goals
Institutional supply and demand
Physical capacity
C. Competency and altruism : a statistical overview
Racial disparities, distributive justice, and waitlists
a. Kidney waitlists
b. Liver waitlists
c. Heart waitlists
D. Confidence and donation
Conclusion
3. Nuances, judicial authority, and the legal limits of altruism
Introduction
A. The language of altruism
B. Obsessive altruism, it's not really altruism at all or is it?
Living donations
The cases
McFall v. Shimp
Curran v. Bosze
Fluid jurisprudence
Strunk v. Strunk
C. Reproductive altruism
Conclusion
4. Getting the organ you want
Introduction
A. Organ referral : getting onto the list
Profit in dialysis
Green screening and social valuing
The God squad
B. Distributive justice and the waiting list game
History
Matching and politics
1) Blood distribution grouping
2) Human leukocyte antigen disparity
3) Higher crossmatch
4) Low donations among Blacks
Conclusion
pt. 2. Legal frameworks and alternatives
5. The Uniform Anatomical Gift Act
Introduction
A. 1968 UAGA
Scope
Compensation
Tensions
B. The 1987 UAGA : required request and presumed consent
6. Presumed consent : the unsuspecting donor
Introduction
A. Presumed consent : origins and obstacles
What does consent have to do with it?
Too much to not ask for...
B. Can presumed consent work for organs?
Religious concerns
Cultural concerns
Opt-out viability
C. Compulsory donation and a duty to rescue : why social contract theory doesn't apply
A few problems
Black exclusion
Autonomy and state interference
Conclusion
7. Commoditization : incentives for cadaveric organ harvesting
Introduction
A. Bad blood
Blood crisis
B. Costs
C. Subjective ethics
D. Life, death, and insurance
E. System components and government power
The law
Conclusion
8. Black markets : the supply of body parts
Introduction
A. Taking from the dead : robbing Black cemeteries
B. Public and private transactions in tissue procurement
C. The private and the public : a new right to choose in sperm and ova sales
D. Black markets and organs
The tale of an organ
Buying an organ
Costs
Conclusion
pt. 3. Critiquing the slavery and Black body market comparison
9. Critiquing the slavery and Black body market comparison
Introduction
Black bodies and property
1) Saving Lives
2) Compensation
3) Voluntary participation
4) Physicality
Conclusion
10. Conclusion.