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'Doctors aren't priests'īut, doctors shouldn't dole out medical services based on a value judgment of a patient's virtues and vices, says Arthur Schafer, a philosophy professor and director of the University of Manitoba's centre for professional and applied ethics. There are other conditions where doctors may suggest similar tactics for potential transplant candidates, he said, including asking morbidly obese people to lose weight or smokers to quit. If they don't adhere to these rules, their body could reject the liver and they could die.Īlcoholism can make someone less likely to follow through with doctor's orders, he says - and alcohol can damage the new liver. Part of the reason, he explains, is that patients need to follow strict guidelines for medication and taking care of themselves after surgery.
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Paraskevas says doctors invoke the six-month principle frequently across most North American transplant centres. Dr. Steven Paraskevasĭebra Selkirk, his widow, is preparing a constitutional challenge of that policy, arguing it violates Canadians' right to universal health care. Telling someone that they're not a candidate for a transplant is, in some cases, is denying them a life-saving therapy. Doctors told him he would die without a transplant, but Ontarians in need of a new liver must abstain from alcohol for six months before being eligible for surgery. Mark Selkirk, a long-term alcoholic, died in 2010, two weeks after being diagnosed with acute alcoholic hepatitis. With not enough organs for patients, doctors must make tough decisions about who even makes it onto a waiting list. One-third of those who need a new organ never receive one, according to Canadian Blood Services.
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