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HCR 210 Maricopa Community Colleges Clinical Health Care and Ethical Issues Questions


Scenario 1:

An ethics consultation is sought when a healthy 30-year-old man volunteers to donate a kidney to a woman he met on the Internet. In the course of taking the history, it comes out that the potential donor concealed his criminal history from transplant center, has misused funds from the National Living Donor Assistance Center, and has also asked the potential recipient for money. The potential donor defends his behavior by claiming that since he is uninsured, he needs the additional cash to cover his medical expenses. The woman is desperate for a kidney and begs her doctor to approve this transplant.

Question 1: Using the ethics of distribution along with any other ethical principle of your choosing, defend a decision for proceeding with the transplant in this scenario.

Scenario 2:

A 65-year-old woman with diabetes has been on dialysis for 2 years and has just been placed on the kidney transplant waiting list. There are no potential living donors. She has had recurrent problems with dialysis access and is dismayed to find out that she may have to wait several years for a transplant. She fails to come to dialysis for a period of 4 weeks and then calls to say that she will need outpatient follow-up for her new kidney transplant. She admits that the transplant was carried out in another country where victimization of organ donors is widely believed to occur.

Question 2: Make an ethical argument against the hospital continuing to care for this patient.

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