Transplant denied: careful use of scarce organs, or discrimination?

Article Abstract:

A medical/ethical crisis has been engaged in a case involving the denial of a heart-lung transplant by two medical centers in California to a Down's syndrome patient named Sandra Jensen. The University of California, San Diego's Medical Center and Stanford University's Medical Center rejected Jensen's application for the transplant on the grounds that she would not be sufficiently able to understand and cope with the ramifications of such a procedure. Dr. William Bronston, a friend of Jensen's, is fighting for a reversal of the hospitals' decision.

Health Care and Social Assistance, HEALTH SERVICES, Surgical Transplants, Cases, Down syndrome, University of California (San Diego). Medical Center, Jensen, Sandra, Bronston, William, Stanford University Medical Center (Palo Alto, California)

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Doctors told to resist, not just complain, on ethics

Article Abstract:

Doctors should take proactive positions on ethical issues which affect patient care, according to health policy analyst Emily Friedman, speaking at the 1996 National Leadership Conference. Physician-assisted suicide, for-profit driven medical ventures and gag rules in managed care plans are among the most prevalent issues which demand leadership by physicians. Doctors should be specific when attacking managed care plans to avoid damaging reputable companies.

Physicians & Surgeons, Offices of Physicians (except Mental Health Specialists), Conferences, meetings and seminars, American Medical Association, Quotations, Medical Group Management Association, Friedman, Emily

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Transplant program scrutinized, researcher's criteria challenged

Article Abstract:

Dr. William Krivit has been criticized because he refused to approve a bone marrow transplant for a three-year-old Canadian girl who suffers from mucopolysaccharidosis. The child's parents accuse Krivit of excluding her from the program because of her low IQ, but the doctor claims that neurological damage is only one of the irreversible conditions caused by the disease. The child was accepted by the transplant program of the University of Iowa Hospitals.

Care and treatment, Investigations, Disabled persons, Mucopolysaccharidosis, Mucopolysaccharidoses, Krivit, William

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