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August 11, 1978

Gift of Life: The Social and Psychological Impact of Organ Transplantation

Author Affiliations

St Luke's Hospital Center New York

JAMA. 1978;240(6):569. doi:10.1001/jama.1978.03290060071024

Can the United States, the wealthiest nation in existence "afford to continue to develop new medical technologies? Should developments such as organ transplantation... be allowed to proceed?" These, among the many other sociological and ethical problems presented by the emergence of transplantation as a clinical specialty, form the material of the comprehensive scientific sociological study presented here. The authors, long associated with the largest, most active, and most eminently successful transplant teams in the world, had a wealth of material available to study the many aspects of renal transplantation. Chapters include the rehabilitation and the social-psychological adjustment of the posttransplant patient, the impact of the donor search, family stress in the search for a donor, and, most important, the cadaver donor. In their conclusions the authors examine health care provision issues and the tremendous impact HR-1 legislation (federal funding of the End-Stage Renal Disease Program) will have on the future