![Decastro ORGAN DONATION AND REGRET
REGRET
regret |rigret |
verb ( regrets, regretting , regretted ) [ with obj. ]
feel sad, repentant, or disappointed over (something that has
been done, esp. a loss or missed opportunity): she
immediately regretted her words | [ with clause ] : I regretted
that he did not see you.
used in polite formulas to express apology for or sadness
over something unfortunate or unpleasant: any
inconvenience to readers is regretted | [ with clause ] : we
regret that no tickets may be exchanged.
archaic feel sorrow for the loss or absence of (something
pleasant): my home, when shall I cease to regret you!](https://image.slidesharecdn.com/leonardodecastro-singapore-120215113830-phpapp02/85/Leonardo-De-Castro-Singapore-Wednesday-30-Oral-Presentations-Misc-A-3-320.jpg)
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Leonardo De Castro - Singapore - Wednesday 30 - Oral Presentations Misc. A
- 1. POST DONATION REGRET: WHY THE CURRENT INFORMED CONSENT PARADIGM DOES NOT WORK Prof. Leonardo D. de Castro Director for Capacity Development, Centre for Biomedical Ethics
- 2. Decastro ORGAN DONATION AND REGRET REGRET
- 3. Decastro ORGAN DONATION AND REGRET REGRET regret |rigret | verb ( regrets, regretting , regretted ) [ with obj. ] feel sad, repentant, or disappointed over (something that has been done, esp. a loss or missed opportunity): she immediately regretted her words | [ with clause ] : I regretted that he did not see you. used in polite formulas to express apology for or sadness over something unfortunate or unpleasant: any inconvenience to readers is regretted | [ with clause ] : we regret that no tickets may be exchanged. archaic feel sorrow for the loss or absence of (something pleasant): my home, when shall I cease to regret you!
- 4. Decastro ORGAN DONATION AND REGRET Commodification and exploitation: arguments in favour of compensated organ donation (J Med Ethics 2003;29:142-146) Offering compensation for organs does not necessarily lead to exploitationon the contrary, it may be regarded as a necessity in efforts to minimise the level of exploitation that already exists in current organ procurement systems
- 5. Decastro ORGAN DONATION AND REGRET
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- 8. Decastro ORGAN DONATION AND REGRET BLAMING DONORS Not donors but vendors Blame for involvement in trafficking Collaboration with syndicates Free and informed consent THEY HAVE THEMSELVES TO BLAME FOR THEIR SUFFERING
- 9. Decastro ORGAN DONATION AND REGRET DETERMINING VALIDITY OF CONSENT INPUT vs OUTPUT No surprise that determination is input oriented: Informed (Accurate, adequate and relevant information) Free (No duress or coercion) Express
- 10. Decastro ORGAN DONATION AND REGRET The best way to determine the effectivity of what comes in is through what comes out OUTPUT a good indicator of the quality of input to free and informed consent
- 11. Decastro ORGAN DONATION AND REGRET Previous studies: social and economic outcomes after the organ sale but have looked at the quality of consent mainly in terms of the input
- 12. Decastro ORGAN DONATION AND REGRET REASONS FOR DONATION REASONS INDICATED Monetary/Economic To help patient Altruism & poverty Self-challenge
- 13. Decastro ORGAN DONATION AND REGRET IMPROVEMENT OF ECONOMIC PROSPECTS IMPROVED YES (128) NO (166) CAN'T SAY (17) 4th Qtr
- 14. Decastro ORGAN DONATION AND REGRET Did donor think he was forced? FORCED YES (90) NO (220) CAN'T SAY (1)
- 15. Decastro ORGAN DONATION AND REGRET DID DONOR REGRET DECISION TO DONATE? REGRET YES NO OTHERS
- 16. Decastro ORGAN DONATION AND REGRET DID NEIGHBOURS HAVE A LOWER REGARD FOR DONOR AFTER DONATION? LOWER REGARD YES (99) NO (172) OTHERS (40)
- 17. Decastro ORGAN DONATION AND REGRET DID YOU VIOLATE THE LAW? LAW VIOLATOR YES 58.5% NO (40.5% OTHERS (1%)
- 18. Decastro ORGAN DONATION AND REGRET DID YOU COMMIT A SIN? SINNER YES (211) NO (89) MAYBE (11)
- 19. Decastro ORGAN DONATION AND REGRET WILL YOU RECOMMEND DOING THE SAME THING TO OTHERS? RECOMMEND TO OTHERS YES (144) NO (160) OTHERS (7)
- 20. Decastro ORGAN DONATION AND REGRET OUTCOME not consistent with donors expectations and values
- 21. Decastro ORGAN DONATION AND REGRET CONTEXT: ORGAN TRAFFICKING Classical informed consent paradigm does not work Exploits vulnerability of donors Implementation of output oriented informed consent paradigm Need for paternalistic, preventive protection
- 22. Decastro ORGAN DONATION AND REGRET Good day!