Patient Over Seventy Years of Essay

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The Argument -- She Could be Given a Transplant

I could not find a prohibition against liver transplants for those 70 or over, but there is a good deal of information in the literature supporting transplants for older people. In the PubMed section of the National Institutes of Health a study of 1,446 "consecutive liver transplant recipients was conducted" and 241 elderly patients (over 60) in that group were compared with younger counterparts. The conclusion: "Low-risk elderly patients fare as well as younger patients after liver transplantation" (Levy, et. al, 2001).

Meanwhile, Dr. Gerald S. Lipshutz, assistant professor of surgery at the David Geffen School of Medicine at the University of California reports the results of the findings at the World Transplant Congress in 2006. In a study of 62 patients (Group I) between the ages of 70-79 that had received liver transplants -- compared with a group of 864 patients getting liver transplants between ages 50-59 (Group II) -- found that "Patients aged 70 years and older… had the same survival rate as patients in their 50s" (Kahn, 2006, p. 1). In fact after 1 year the survival rate was 73.

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2% for Group I and 76.8% for Group II; after 3 years it was 65.3% to 70.5% respectively; and after 10 years it was 46% to 55.3% (Kahn, p. 1).

Conclusion

The fact that Mrs. Burgone had the money to pay for her liver transplant is irrelevant to this matter. It seems as though she was pushing her agenda because of finances available. She needs to get in line behind all the others that are waiting for a liver. The moral principle that can be embraced here is from Immanuel Kant: "Everyone is obligated to act only in ways that respect the human dignity and moral rights of all persons." All those people who have waited from 3 months to 2 years have moral rights to fight for their health, and Mrs. Burgone should respect those others.

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