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Ethical Perspectives on Body Donation Following Physician-Assisted Death.
Anatomical Sciences Education ( IF 7.3 ) Pub Date : 2019-12-06 , DOI: 10.1002/ase.1930
David Gareth Jones 1
Affiliation  

The increasing availability of physician‐assisted death (PAD) has opened up a novel means of making donated bodies available for anatomical dissection. This practice has come to the fore in Canada, but is unlikely to be confined to that country as legislation changes in other countries. The ethical considerations raised by this development are placed within the framework of the ethical guidelines on body donation promulgated by the International Federation of Associations of Anatomists. The discussion centers on understanding the ethical dimensions of moral complicity, and whether it is accepted or rejected. If rejected it is possible to separate ethical concerns regarding PAD from subsequent use of donated bodies, as long as there is fully informed consent and complete ethical and procedural separation of the two. Openness about the origin of bodies for dissection is essential. Students should be instructed on the nuances of moral complicity, and consideration be given to those with moral doubts about PAD. Two issues are raised in considering whether these moves represent an ethical slippery slope: the attraction represented by obtaining relatively “high quality” bodies, and the manner in which organ donation following PAD has led to challenges to the dead donor rule. Although body donation raises fewer concerns, the ethical dimensions of the two are similar. The ethical constraints outlined here have the capacity to prevent an ethical slippery slope and constitute a sound basis for addressing an innovative opportunity for anatomists.

中文翻译:

关于医师协助的死亡后身体捐赠的伦理观点。

医师协助死亡(PAD)的可用性不断提高,开辟了一种新的方法,使捐赠的尸体可用于解剖解剖。这种做法在加拿大已崭露头角,但随着其他国家/地区立法的变化,这种做法不太可能仅限于该国家/地区。这种发展提出的伦理考虑放在国际解剖学家协会联合会颁布的关于人体捐赠的伦理准则的框架内。讨论的重点是理解道德共谋的道德层面,以及它是否被接受。如果被拒绝,则可以将与PAD有关的道德问题与随​​后使用捐赠机构的行为区分开,只要获得充分知情同意并完全将二者在道德​​和程序上分离即可。对解剖对象的起源保持开放是必不可少的。应指导学生道德共谋的细微差别,并考虑对道德有疑问的人。在考虑这些举动是否代表道德上的滑坡时,提出了两个问题:以获得相对“高质量”的尸体为代表的吸引力,以及PAD后器官捐赠对死者捐献者规则提出挑战的方式。尽管捐献尸体引起的关注减少了,但是两者的道德层面是相似的。这里概述的道德约束具有防止道德滑坡的能力,并为解决解剖学家的创新机会奠定了良好的基础。并对那些对PAD存有道德怀疑的人予以考虑。在考虑这些举动是否代表道德上的滑坡时,提出了两个问题:以获得相对“高质量”的尸体为代表的吸引力,以及在PAD之后捐献器官的方式导致了对死者捐献者规则的挑战。尽管捐献尸体引起的关注减少了,但是两者的道德层面是相似的。这里概述的道德约束具有防止道德滑坡的能力,并为解决解剖学家的创新机会奠定了良好的基础。并对那些对PAD存有道德怀疑的人予以考虑。在考虑这些举动是否代表道德上的滑坡时,提出了两个问题:以获得相对“高质量”的尸体为代表的吸引力,以及PAD后器官捐赠对死者捐献者规则提出挑战的方式。尽管捐献尸体引起的关注减少了,但是两者的道德层面是相似的。这里概述的道德约束具有防止道德滑坡的能力,并为解决解剖学家的创新机会奠定了良好的基础。以及PAD之后器官捐赠的方式已经对死去的捐献者规则提出了挑战。尽管捐献尸体引起的关注较少,但两者的道德层面相似。这里概述的道德约束具有防止道德滑坡的能力,并为解决解剖学家的创新机会奠定了良好的基础。以及PAD之后的器官捐献方式已经对死者的捐献者规则提出了挑战。尽管捐献尸体引起的关注减少了,但是两者的道德层面是相似的。这里概述的道德约束具有防止道德滑坡的能力,并为解决解剖学家的创新机会奠定了良好的基础。
更新日期:2019-12-06
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