New Jersey May Weaken "Brain Death" Standards
New Jersey is pondering weakening the medical standards for declaring death by neurological criteria, known popularly as "brain death." The New Jersey State Board of Medical Examiners wants to permit one doctor, instead of the current two, to declare brain death. And, the doctor wouldn't even have to be a neuro-specialist.
This would be a terrible move. People are already antzy about brain death, and many worry that people are being decared dead before their actual demise. (I receive desperate e-mails from such people regularly.) Having a second doctor involved in the process--particularly one who is a neurological specialist--makes sense, both as a fail safe to prevent mistakes and just to promote trust in the system. We saw that recently in Kansas when doubt about a proper declaration of death was settled by obtaining a second opinion by a neurologist.
Organ transplant professionals are desperate to gain access to more organs in order to save lives. But the New Jersey proposal would undermine faith in the system, and thus would have the exact opposite result.
posted by Wesley J. Smith @ 4:24 PM
1 Comments
1 Comments:
Wesley, are there safeguards in the system to prevent a physician from participating in the declaration of death of one patient only to have an organ procured for another of his patients? Or more broadly to prevent death declaration to procure an organ for any previously identified transplant recipient? It seems to me that if the standards of death declaration are relaxed, this type of situation could crop up if not guarded against, particularly in cases where physicians begin to weigh the options between their patients. Conceivably, a physician could consider it more professionally or personally beneficial to act in favor of one of his patients at the expense of another.
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