* The concept of "brain death," introduced in 1968 to enable organ harvesting, has never been proven equivalent to actual death—it merely defines an irreversible coma.
* Documented cases exist of "brain dead" patients who were conscious, including some who mouthed "help me" as their organs were nearly harvested.
* Global organ shortages have fueled a black market, with an estimated 5–20% of transplants involving illegal procurement and added pressure to lower diagnostic standards for “brain death.”
* Recent federal investigations found serious failures in the U.S. organ donation system: 29.3% of reviewed cases showed troubling signs, and 20.8% of patients had neurologic activity incompatible with procurement—yet transplant coordinators still pushed to proceed.
* Organ recipients face lifelong challenges, including the little-known phenomenon of adopting personalities and memories from the donor.
* Safer, ethical alternatives exist—such as natural therapies like DMSO that have revived “brain dead” patients and restored organ function, removing the need for transplant.
https://www.midwesterndoctor.com/p/the-hidden-crisis-in-organ-transplantation
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SUMMARY if not interested in the story.
You should refresh your memory of the Terri Schiavo case. I halfway followed it in the news, but the articles and news segments following her public case bring up many moral, legal and medical questions.
The number one issue is whether the PATIENT wishes to be sustained through extraordinary means, or if they would rather not burden their family with the decision to keep them alive against very low odds of ever having a normal life again or to simply let them die a natural, peaceful death.
Many believe nature (God) is the only one who should decide who lives or dies. They don't want to be kept alive artificially and at great expense to the family's or their own financial resources. This is probably more true for the elderly who see no more reason to just stay alive without many happy times in their future.
Everyone should have an executed Advance Medical Directive, aka an Advance Directive or Living Will. Copies need to be provided to anyone who may have the legal power to make medical decisions for you if there comes a time when you are unable. The Directive should state whether or not you wish to be kept alive by extraordinary means or not. The kinds of means that are "extraordinary" has different meanings depending on the state, so that may also need spelling out.
In the Schiavo case, the only dispute was over removal of her feeding tube and whether the husband, not the parents, has the primary right to make that decision.
One can view a feeding tube as extraordinary since it requires a medical procedure to insert it into the stomach. Nutrients are pumped into the stomach which provide life-sustaining calories & fluids. On the other hand, the tube is doing what the patient is unable to do for themselves: feeding them. Eating is a natural, critical need for all living things. Ingesting and digesting food is not an extreme procedure -- patients who can't feed themselves often have someone else give them their meals.
That case created a legal battle that, to me, was forced to disregard what the patient, Terri, might want, and instead kept her alive for loving parents who didn't want to lose their child. The fact that the husband wanted to end her vegetative state immediately called into examination his motives. Was this something Terri and he discussed previously? Or was the primary motivation for him to get on with his own life? He stood to inherit quite a bit once she was dead, but to inherit, he had to be married to her when she died. keeping her alive with no hope of recovery would have made him a prisoner of the situation unless he opted for divorce and forfeiture of any inheritance.
Once a feeding tube is inserted into a patient, it can't be lawfully removed even if afterward an Advance Medical Directive is found stating the patient did not want it in the first place. Putting the tube in makes the patient dependent on it to live. Removing it would be performing another medical procedure that is intended to kill the patient and in a very painful and drawn out way through starvation and dehydration.
Not going into detail regarding my own similar situation. Suffice it to say, fill out and sign an Advance Directive now. You might not be able to when the time comes that you need it.
SUMMARYThis directly relates to the topic, since the existence of an Advance Medical Directive gives the next of kin the patient's wishes, and even with a small chance of recovery, they may still wish to not be placed on machines to be kept alive. Organ harvesting is no longer a decision the doctor and relatives make. Whether or not the brain is 100% dead, placing you on a ventilator would be off the table. If you live, you live. if there's enough brain activity to keep your body alive, then the chance for recovery may be worth the wait.
Despite the extended emotion-laden legal struggle, the case broke no new
legal ground: it remains settled law that the spouse is the next of kin in
decisions where the patient is incompetent. However, it is now more generally
recognized that the next of kin's decisions should be carried out in a timely
fashion, even on matters of life and death. The case has raised public
awareness of the value of having an advance medical directive.
https://en.wikipedia.org/wiki/Terri_Schiavo_case