Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
To the Editor: I would like to comment on some
of the objections to surrogate allowance of organ donation in patients with
persistent or permanent vegetative state (PVS) in the article by Drs Wendler
and Emanuel.1 I believe that the authors’
concerns about donation occurring before legal determination of death and
about the selective donation of only nonvital organs ignores the possibility
that surrogates can be educated about how intrinsic value, prognostic uncertainty,
and societal need surround decision making in the donation of organs.
Schears RM. Ethics of Surrogate Consent for Living Organ Donation. JAMA. 2004;292(14):1684-1685. doi:10.1001/jama.292.14.1684-c