Are Prisoners Medical Captives?

In this article, we focus on prospective living organ donors who face capital punishment. Some of the issues raised may also apply to The use of prisoners as living organ donors raises many ethical concerns. As evidenced by the different decisions that have been reached in the cases cited, there is no clear consensus as to how these cases should be handled. Beyond weighing the motives and mental capacity of the prisoner, it is important to determine whether or not someone on death row is capable of giving truly informed consent to the transplant procedure. The fact that donating an organ could prolong an inmate's life can significantly influence the decision, whether by adding a rational incentive in the inmate's best interest, by creating conflict and mixed motives, or by compromising the inmate's decision-making ability even to the extent of exerting undue influence. Moreover, there needs to be an awareness of various secondary gains for a prisoner in consenting to organ donation. Such secondary gains as expressing genuine remorse or salvaging some sense of pride in the face of certain death by engaging in an altruistic act need not be denied to prisoners in the absence of a psychosis that impairs choice behavior.

30 minute readJuly 28, 2005 at 11:39 AM
By
Darlyn Pirakitikulr
Harold J. Bursztajn
Are Prisoners Medical Captives?

The medical treatment of captive patients is a litmus test for a good society. See Bursztajn HJ, Brodsky A: Captive Patients, Captive Doctors: Clinical Dilemmas and Interventions in Caring for Patients in Managed Health Care.

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