Over the years, donating body organs from a patient nearing death but not yet dead has caused considerable controversy. However, ethically, the decision to donate the brain of a patient nearing death is based on acceptable legal and moral standards. Yes, allowing organ donations from patients declared dead based on irreversible stoppage of heart with the understanding of the parents or legal guardians who have chosen not to have technology used to resuscitate the patient is based on logical and legal parameters. Under the conditions that the recovery of the brain fulfills the requirements of UDDA (Uniform Determination of Death Act), it is right and acceptable to donate such a near-dead heart.
Yes, it should be allowed to remove the organs while the heart is still beating. In the case of the parents or guardian of a patient nearing death but not yet dead such as in Michael’s case, the parents are legally allowed to determine by consent removing the life support and allowing for the recovery of the organs intended for donation. After the approval, the recommended procedures are set in motion that leads to the death of the patient. Under such conditions, no wrong or harm occurs to others or even the parents; thus, it is a legally and ethically sound decision and act.
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Parents should be allowed to choose to permit the removal of essential organs while the donor is still alive. It is an authorized act, especially towards the donation of non-significant body organs such as pancreases, liver, and kidney. However, for the donation of that may biologically lead to death, well-structured guidelines should be used to guide parents to permit the removal of essential organs. For example, one condition that should guide such an action is the inability of the patient to decide or express his or her wish. The situation can also be allowed in the case of a newborn with a grave congenital abnormality.
I would not change my answers even if it is my child awaiting a pediatric heart transplant since I believe my responses are ethically well-grounded.
