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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Philos+Ethics+Humanit+Med
2018 ; 13
(1
): 10
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Body -to-head transplant; a "caputal" crime? Examining the corpus of ethical and
legal issues
#MMPMID30005672
Suskin ZD
; Giordano JJ
Philos Ethics Humanit Med
2018[Jul]; 13
(1
): 10
PMID30005672
show ga
Neurosurgeon Sergio Canavero proposed the HEAVEN procedure - i.e. head
anastomosis venture - several years ago, and has recently received approval from
the relevant regulatory bodies to perform this body-head transplant (BHT) in
China. The BHT procedure involves attaching the donor body (D) to the head of the
recipient (R), and discarding the body of R and head of D. Canavero's proposed
procedure will be incredibly difficult from a medical standpoint. Aside from
medical doubt, the BHT has been met with great resistance from many, if not most
bio- and neuroethicists.Given both the known challenges and unknown outcomes of
HEAVEN, several important neuroethical and legal questions have emerged should
Canavero be successful, including: (1) What are the implications for
transplantology in the U.S., inclusive of issues of expense, distributive
justice, organizational procedures, and the cost(s) of novel insight(s)? (2) How
do bioethical and neuroethical principles, and legal regulations of human subject
research apply? (3) What are the legal consequences for Canavero (or any other
surgeon) performing a BHT? (4) What are the tentative implications for the
metaphysical and legal identity of R should they survive post-BHT? These
questions are analyzed, issues are identified, and several solutions are proposed
in an attempt to re-configure HEAVEN into a safe, clinically effective, and thus
(more) realistically viable procedure.Notably, the permissibility of conducting
the BHT in China fosters additional, important questions, focal to (1) whether
Western ethics and professional norms be used to guide the BHT - or any
neuroscientific research and its use - in non-Western countries, such as China;
(2) if the models of responsible conduct of research are identical, similar, or
applicable to the intent and conduct of research in China; and (3) what economic
and political implications (for China and other countries) are fostered if/when
such avant garde techniques are successful.These questions are discussed as a
further impetus to develop a globally applicable neuroethical framework that
would enable both local articulation and cosmopolitan inquiry and oversight of
those methods and approaches deemed problematic, if and when rendered in more
international settings.