Not quite dead: why Egyptian doctors refuse the diagnosis of death by neurological criteria
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- 作者：Sherine Hamdy (1)
- 关键词：Brain death ; Organ transplantation ; Cadaveric procurement ; Egypt ; Islam ; Religious ethics
- 刊名：Theoretical Medicine and Bioethics
- 出版年：2013
- 出版时间：April 2013
- 年：2013
- 卷：34
- 期：2
- 页码：147-160
- 全文大小：174KB
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1. Department of Anthropology, Brown University, 128 Hope Street, Box 1921, Providence, RI, 02912, USA
文摘
Drawing on two聽years of ethnographic fieldwork in Egypt focused on organ transplantation, this paper examines the ways in which the 鈥渟cientific鈥?criteria of determining death in terms of brain function are contested by Egyptian doctors. Whereas in North American medical practice, the death of the 鈥減erson鈥?is associated with the cessation of brain function, in Egypt, any sign of biological life is evidence of the persistence, even if fleeting, of the soul. I argue that this difference does not exemplify an irresolvable culture clash but points to an unsettling aspect of cadaveric organ procurement that has emerged wherever organ transplantation is practiced. Further, I argue that a misdiagnosis of the problem, as one about 鈥渞eligious extremism鈥?or a 鈥渃ivilizational clash,鈥?has obfuscated unresolved concerns about fairness, access, and justice within Egyptian medical spheres. This misdiagnosis has led to the suspension of a cadaveric procurement program for over 30聽years, despite Egypt鈥檚 pioneering efforts in kidney transplantation.