Legal and Ethical Concerns in Treating Kidney Failure

Case Study Workbook

  • Eli A. Friedman

Part of the Legal and Ethical Concerns in Medicine book series (LECM, volume 1)

Table of contents

  1. Front Matter
    Pages i-15
  2. Eli A. Friedman
    Pages 17-29
  3. Eli A. Friedman
    Pages 30-41
  4. Eli A. Friedman
    Pages 42-50
  5. Eli A. Friedman
    Pages 51-59
  6. Eli A. Friedman
    Pages 60-70
  7. Eli A. Friedman
    Pages 71-78
  8. Eli A. Friedman
    Pages 79-84
  9. Eli A. Friedman
    Pages 85-91
  10. Eli A. Friedman
    Pages 92-96
  11. Eli A. Friedman
    Pages 97-103
  12. Eli A. Friedman
    Pages 104-111
  13. Eli A. Friedman
    Pages 112-117
  14. Eli A. Friedman
    Pages 118-123
  15. Eli A. Friedman
    Pages 124-130
  16. Eli A. Friedman
    Pages 131-136
  17. Eli A. Friedman
    Pages 137-142
  18. Eli A. Friedman
    Pages 143-148
  19. Eli A. Friedman
    Pages 149-157
  20. Eli A. Friedman
    Pages 158-166
  21. Eli A. Friedman
    Pages 167-175
  22. Eli A. Friedman
    Pages 192-198
  23. Eli A. Friedman
    Pages 199-207
  24. Back Matter
    Pages 209-213

About this book


Once dialysis treatment, in 1960, permitted life prolongation for some but not all patients in kidney failure, an `ethical genie' was released. The introduction of peritoneal dialysis and kidney transplantation compounded the physician's dilemma by underscoring those left untreated. Who should be selected for uremia therapy? Should exclusion from treatment be properly delegated to administrators or physicians, or better left to a committee? Are some candidates more worthy than others? As examples: Do Presidents and Kings warrant priority in cadaver organ allocation over ordinary citizens? Are rich people more deserving than the poor? Is it ethical to choose a younger over an older patient? Can children and/or mentally incompetent persons serve as living organ donors? Is it proper to market organs under controlled circumstances?
Eli A. Friedman, an experienced nephrology training program director, and Medical Advisor to the American Association of Kidney Patients, has collected 24 difficult cases that focus on these and other vexing though common stressful issues faced by those who manage kidney patients. Using a novel approach to each case, the opinions of lawyers, nephrologists, patients, and a transplant surgeon are proffered sequentially. Friedman asks and then answers searching questions arising from the debate. The quality of information presented is positively flavored by the fact that three of the respondents (one an attorney) are kidney transplant recipients.
Members of the kidney team, those immersed in seeking truth in medical ethics, and all participating in exploring the legality or ethical basis of organ replacement will find this book pertinent to their effort.


Medical Ethics ethics kidney nephrology stress transplantation

Editors and affiliations

  • Eli A. Friedman
    • 1
  1. 1.Health Science Center at BrooklynState University of New YorkBrooklynUSA

Bibliographic information

  • DOI
  • Copyright Information Kluwer Academic Publishers 2000
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-94-010-5875-9
  • Online ISBN 978-94-011-4355-4
  • Series Print ISSN 1568-2293
  • Buy this book on publisher's site