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Brummett A, Mason-Maready M, Whiting V. A Reply: Conversation, Not Compulsion. Linacre Q 2024; 91:7-8. [PMID: 38304881 PMCID: PMC10829587 DOI: 10.1177/00243639241227104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2024]
Affiliation(s)
- Abram Brummett
- Oakland University William Beaumont School of Medicine, Rochester, MI, USA
| | | | - Victoria Whiting
- Oakland University William Beaumont School of Medicine, Auburn Hills, MI, USA
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Brummett A, Mason-Maready M, Whiting V. Catholic Hospitals Should Permit Physicians to Provide Emergency Contraception to Rape Victims as an Act of Conscientious Provision. Linacre Q 2023; 90:24-34. [PMID: 36923677 PMCID: PMC10009144 DOI: 10.1177/00243639221098227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
While many Catholic hospitals permit the prescription of the emergency contraception drug levonorgestrel for rape victims, some continue to prohibit this practice as a matter of institutional conscience. While the standard approach to this issue has been to offer an argument that levonorgestrel either is or is not morally permissible, we have taken a different tack. We begin by briefly describing and acknowledging that reasonable disagreement exists on this question (part one), and then arguing that the reasonable disagreement itself can serve as a compelling basis for Catholic leadership at hospitals that prohibit emergency contraception for rape victims to accommodate physicians who wish to provide levonorgestrel as a matter of conscience (part two). We end by anticipating and responding to some objections.
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Affiliation(s)
- Abram Brummett
- Oakland University William Beaumont School of Medicine, Rochester, MI, USA
- Royal Oak Beaumont Hospital, Royal Oak, MI, USA
| | | | - Victoria Whiting
- Oakland University William Beaumont School of Medicine, Rochester, MI, USA
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Machin H, Buckland L, Georges P, Ghabcha M, Golding-Holbrook T, Leighton C, Mackey A, Weinel L, Whiting V, Sutton G, Baird PN. Supply and Demand of Domestic Corneal Tissue and Its Implications on Export Potential-Using Australia as an Example. Cornea 2021; 40:1229-1235. [PMID: 33290321 DOI: 10.1097/ico.0000000000002599] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Accepted: 09/22/2020] [Indexed: 11/26/2022]
Abstract
PURPOSE Corneal tissue importation is only possible if another country is able to export corneas without impacting its own domestic demand. Currently, there is little evidence to indicate whether export nations have such surplus capacity and in a position to export. To explore this concept, we examined our nation, Australia, which is reported to routinely decline donations because of its ability to meet domestic corneal transplant demand. Our research offers insights and opportunities for Australia and other nations to evaluate their domestic and international supply and allocation of corneal tissue in this space. METHOD We collated 12 months of data on collected and noncollected donations, through participating Australian Eye Banks. The explanation of why some known donors were declined or not pursued indicated if demand was met and potential surplus-for-export levels. RESULTS There were 7.5% (n = 11,889) of deaths in Australia that were notified to Australian Eye Banks during our reporting period. Of those, 9.3% (n = 1106/11,889) were recovered and allocated, 15.7% (n = 1863/11,889) were known but declined, and 75% (n = 8920/11,889) were not pursued. Of those that were declined, 64.3% (n = 1197/1863) were declined because of limitations with service/manpower at the eye bank, whereas 35.7% (n = 666/1863) were declined because demand was met. CONCLUSIONS Australia did not meet demand all the time, during our data period. There were adequate quantities of potential donors to support increasing recovery for domestic allocation and provide for exportation without hindrance to Australian demand. Further examination of domestic supply and demand cycles and the export process is required before routine exportation.
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Affiliation(s)
- Heather Machin
- Lions Eye Donation Service, Center for Eye Research Australia, University of Melbourne, East Melbourne, Australia
| | - Lisa Buckland
- Lions Eye Bank of Western Australia, Lions Eye Institute, Perth, Australia
| | - Pierre Georges
- New South Wales Tissue Banks, New South Wales Organ and Tissue Donation Service, Sydney, Australia
| | - Mona Ghabcha
- New South Wales Tissue Banks, New South Wales Organ and Tissue Donation Service, Sydney, Australia
| | - Tamme Golding-Holbrook
- Eye Bank of South Australia, Department of Ophthalmology, Surgical and Perioperative Medicine, Flinders Medical Centre, Southern Adelaide Local Health Network, Adelaide, Australia
| | - Candice Leighton
- Queensland Eye Bank, Queensland Tissue Bank, Organ and Tissue Donation Service, Metro South Health, Brisbane, Australia
| | - Adrienne Mackey
- Lions Eye Donation Service, Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Australia
- Department of Surgery|Ophthalmology, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia
| | - Luke Weinel
- Eye Bank of South Australia, Department of Ophthalmology, Surgical and Perioperative Medicine, Flinders Medical Centre, Southern Adelaide Local Health Network, Adelaide, Australia
| | - Victoria Whiting
- Queensland Eye Bank, Queensland Tissue Bank, Organ and Tissue Donation Service, Metro South Health, Brisbane, Australia
| | - Gerard Sutton
- New South Wales Tissue Banks, New South Wales Organ and Tissue Donation Service, Sydney, Australia
- Discipline of Ophthalmology, Sydney Medical School, Save Sight Institute, The University of Sydney, Sydney, Australia; and
- Graduate School of Health, The University of Technology Sydney, Sydney, Australia
| | - Paul N Baird
- Department of Surgery|Ophthalmology, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia
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