Your Life or Mine How Geoethics Can Resolve the Conflict Between Public and Private Interests in Xenotransplantation 1st Edition by Martine Rothblatt – Ebook PDF Instant Download/Delivery: 9781138709492 ,1138709492
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ISBN 10: 1138709492
ISBN 13: 9781138709492
Author: Martine Rothblatt
Your Life or Mine How Geoethics Can Resolve the Conflict Between Public and Private Interests in Xenotransplantation 1st Edition Table of contents:
I Introduction: The Organ Shortage is a Major Problem That Defies Conventional Solutions
Mind the Gap
Measurements of Demand and Supply
Demand for Hearts, Lungs, Livers and Kidneys
Historical, Current and Prospective Supply of Vital Organs
Where Have All the Organs Gone?
Presumed Consent
Permanent Vegetative State (PVS)
Elective Ventilated Donors
Non-Heart-Beating Donors
Improved Allocation and Infrastructure
Selling Your Body: The Status of Marketplace Solutions to the Problem
Supply Side Economics Justification for Banning Organ Sales
Bioethical Reasons Such as Autonomy for Banning Organ Sales
Public Revulsion Reason for Banning Organ Sales
Conclusion
II Brave New Organs: The Status of Technological Solutions to the Problem
Introduction
Some Assembly Required: Status of Wholly Artificial Organs
The ‘Wholly’ Grail: A Total (Not Partial) Artificial Heart
Cardiac Assistance Devices – Part of an Organ Covers Part of the Gap
Summary of Wholly Artificial Organ Technology
Human-Cyborg Relations: Status of Bio-Artificial Organs
Bio-Artificial Livers
Growing Your Own: Status of Wholly Bio-Engineered Organs
Organogenesis
Xenotransplantation
The Science of Xenotransplantation
First Stage of Failure: Hyperacute Rejection (“HAR”)
First Stage of Xeno-Success: Transgenic Animals
Second Stage of Failure: Delayed Xenograft Rejection
Second Stage of Success: Anti-Pyrimidine Biosynthesis Drugs
Third and Fourth Stages of Failure: Acute Cellular and Chronic Rejection
Third and Fourth Stages of Success: Ever Better Immunosuppressives and Monitoring
Realtechnik and Realpolitik: Why Xenografts Will Win
Conclusion
III Look Before You Leap: Technological Risks of Xenotransplantation
Introduction
Blood Sucking Host Hoppers: Zoonotic and Xenogeneic Bugs
Theoretical Likelihood of Xenogeneic Diseases
Practical Experience with Xenogeneic Infections
Scientist as Lawyer: Absence of Evidence is Not Evidence of Absence
Mi Casa Es Su Casa? Issues of Public Health Acceptability
The U.K. Approach
The U.S. Approach
Stasi Medicine? – How Surveillance Can Coexist with Human Rights
Consent, Informed or Presumed?
Community Consent
Life Trumps Autonomy?
Conclusion
IV Of Pigs and Men: Issues of Speciesism and Chimerism
Introduction
Are All Animals Created Equal?
We Feel Your Pain
Agreeing to Disagree
Singer: Weigh Animals Like Humans
Regan: Don’t Play the Weighing Game with Life
Frey: Humans Outweigh Animals by a Longshot
Leahy: Weigh it in Words
How Much Does Private Language Count?
Physiological Signs of Pain
Only Language Separates Us From Them
Giving Darwin Some Respect
Chimerism and Its Discontents
Piled High and Deep: The Realities of Pork
Transgressing the Pig Genome
Transgressing Humanity
Transgressive Psychology
Conclusion: No Revolution Likely on the Animal Pharm
V The Right to Life: Society’s Obligation to Provide Health Care and Xenotransplantation
Introduction
Ought Implies Kant
Berlin’s Polarization and the Power of Negative Thinking
Dealing in John Rawls: Primary Goods in a Just Society
Don’t Forget About the Health Benefits!
Doyal and Gough’s Theory of Human Needs
Why Must My Rights Be Everyone’s Rights?
Giving an Inch and Taking a Mile: Can Health Care Include Xenotransplantation?
No Religious Preference
Conclusion
VI Is Xenotransplantation Worth the Risk?
Introduction
Truth or Consequences: Incommensurability of Negativities
Garbage In, Garbage Out: Inestimability of Probabilities
Antibiotics: Better Not Sorry Than Safe
We Tolerate the Risks for the Sake of the Benefits
Containing Pandora: Russian Doll Treatment of Recombinant DNA
The Asilomar Story
“Devil’s Doctrine” Debunked
Science is Neither Above the Law Nor Apart from Society
Applying Asilomar to Xenotransplantation
The Precautionary Principle
Asilomar-Type Rules and Antibiotic-Type Risks on a Global Stage
A Little Bit of Risk is Not a Bad Thing
Risk Bearers of the World, Unite!
Conclusion
VII A Geoethical Solution to the Conflict Between Private and Public Interests in Xenotransplantation
Introduction
Practical Implementation of Geoethical Xenotransplantation
Who Will Do What To Whom?
Problems with Minimal Competence Regimes
Maximal Competence Regime is More Realistic
Not Pie in the Sky
Financial Elements of a Global Xenotransplantation Control
Certification Costs are Minimal
Surveillance Costs are Basic Global Health Care Costs
The Xenograft Tax
Legal Pathways to a Global Xenotransplantation Control
Sentinel Organizations
Participation Sectors
Not the First Time the Rich Tax Themselves for Global Benefit
Conclusion
VIII Summary
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Tags: Martine Rothblatt, Geoethics, Public, Private Interests, Xenotransplantation