Lecture 9 - Alcohol no liver trans

Lecture 9 - Alcohol no liver trans - Anti-Transplants 1...

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Anti-Transplants 1 Anti-Transplants Moss and Siegler: “Should Alcoholics Compete Equally for Liver Transplantation?” I. Prelims A. ESLD (End Stage Liver Disease) B. ARESLD (Alcohol Related End Stage Liver Disease) II. The Main Conclusion A. Given the extreme scarcity of donated livers, as a matter of general policy, people with ARESLD should be placed lower on the waiting list for livers than those with ESLD B. If we do a first come first served approach, over half of the available livers will be taken by people who could have prevented their livers from failing. This approach is both unfair and could lead to a decline in public support for liver transplantation. III. Questions A. Why are livers an extremely scarce medical recourse as opposed to being a relatively scarce medical resource? B. Just how scarce are they? IV. Objection to Moss and Siegler A. Alcoholism is a disease; thus it’s not true that people with alcohol liver disease could have prevented the destruction of their liver B. Their Reply: 1. Yes, it is a disease. But alcoholics are responsible for seeking out effective and
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