Chapter 16 : Allocation of Resources: Scarcity and Triage
|Section 5. Case Study
Your NAME:Siu Hei Szeto
CASE TITLE: Allocation of Medical Resources
DESCRIPTION of the case by student:Advances in the field of medicine often lead to conflicts over their allocation. This case study intends to discuss the major ethical, legal, and religious surrounding the topic.
url's for the Articles Describing case:
Basic Information -The Physician's Obligation to Society: Management and Allocation of Medical Resources in Relation to Clinical Decisions
Bioethics for clinicians: 13. Resource allocation
url's for Articles with Ethical Position: Philosophers, Theologians, Lawyers, Medical Doctors
A Buddhist point of view
"Social Worth" in the Allocation of Scarce Resources
THE ETHICS OF HEALTH CARE ALLOCATION
Name: Jon Shobin
Case Title: Mickey Mantle Liver Transplant
Description: Baseball Hall of Fame Yankees slugger Mickey Mantle died in 1995 two months after receiving a liver transplant. Mantle was a famed carouser who finally admitted to alcoholism in the 1990s. After attending the Betty Ford Clinic for alcoholism rehab in 1993, he was diagnosed with liver failure in 1994 and received a transplant in 1995. Liver cancer was discovered at the time of his transplant, and he died two months later. Numerous questions remain about whether he received preferrential treatment.
URLs about the case:
1. www.washingtonpost.com -- 1995 article about the sports hero's life, death, and liver transplant.
2. www.sportsillustrated.cnn.com/almanac -- 8-13-95 story, "Hall of Fame Slugger Mickey Mantle Dies," reports his death from alcoholism and liver cancer after transplant.
3. www.dailyillini.com/Feb_99 -- "Payton's Case Puts Spotlight on Organ Donation" -- Walter Payton, football great, discusses his own problems with liver transplantation in light of Mantle's apparent ease in getting a liver.
4. www.transweb.org -- An article defending Mantle's receipt of a liver, as he was "the most needy that day in that region under the UNOS (United Network of Organ Sharing) guidelines."
URLs with ethical viewpoints:
1. www.oup-usa.org -- A review of the book "Raising the Dead: Organ Transplantation Ethics and Society," by Ronald Munson -- Discusses Mantle's controversial liver transplant and analysis of surrounding ethical questions.
2. www.news.harvard.edu/gazette/1996 -- Article by Melissa Roche: "SPH Program asks Tough Questions About Health Care Costs." reviews the ethical debate about whether Mantle was moved to the top of the list because of his celebrity status.
3. www.info.med.yale.edu/11/Disciplines/Disease/Transplant/Ethics -- Three essays from Yale discuss presumed consent, financial incentives for donation, and preferred status, with reference to Mantle.
4. www.mcn.org/c/irapilgrim/edu23.html -- A 1995 article entitled "Heroes" -- an article about misplaced heroics, with references to Mantle and his transplant.
Case Description: Organ_Allocation
Mickey Mantle was an alcoholic for many years and developed cirrhosis of the liver. He only waited a short time for a liver transplant and some believe it was because of his financial and social status. It caused a lot of debate in the media.
url?s describing case:
url?s describing viewpoints: http://www.westmont.edu/departments/biology/journals/wjneuroscience/Volume3/garone.html
Name: Anne Green
Case: Mickey Mantle’s controversial liver transplant – do famous people get transplants quicker?
Description: Baseball great Mickey Mantle was diagnosed with end-stage liver disease in 1995, after living the last 43 years as an alcoholic. He was immediately placed on the United National Organ Sharing (UNOS) waiting list, and a person in 1995 would have to wait approximately 142 days for a matching donor. There was a match found in less than two days, which sparked public outcry. Other famous people (e.g. singer David Crosby and actor Larry Hagman) who were on a liver transplant waiting list (and also alcohol and drug abusers) received donor matches within approximately 2-3 weeks. The UNOS recently changed its policy stating that people suffering from chronic liver disease brought on by alcohol and drugs would be bumped to the bottom of the list in order to help those people who would benefit the most from the transplant.
Dr. Jeff Punch, Transplant Surgery, University of Michigan, says "no":
Religious, Medical, Legal, Philosophical Commentary:
The Cato Journal (Libertarian comment):
Harvard University Gazette (School of Public Health):
Journal of Hepatology (Is liver transplantation an appropriate treatment for acute
AMA News – Liver transplant allocation scoring system:
Hepatitis Magazine – Transplant Ethics:
Proceed to the DECISION SCENARIO section of the chapter by clicking here> section.
© Copyright Philip A. Pecorino 2002. All Rights reserved.
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