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Matching Organs with Donors
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31 August 2012

While the traffic in human organs stirs outrage and condemnation, donations of such material are perceived as highly ethical. In reality, the line between illicit trafficking and admirable donation is not so sharply drawn. Those entangled in the legal, social, and commercial dimensions of transplanting organs must reconcile motives, bureaucracy, and medical desperation. Matching Organs with Donors: Legality and Kinship in Transplants examines the tensions between law and practice in the world of organ transplants—and the inventive routes patients may take around the law while going through legal processes.
In this sensitive ethnography, Marie-Andrée Jacob reveals the methods and mindsets of doctors, administrators, gray-sector workers, patients, donors, and sellers in Israel's living kidney transplant bureaus. Matching Organs with Donors describes how suitable matches are identified between donor and recipient using terms borrowed from definitions of kinship. Jacob presents a subtle portrait of the shifting relationships between organ donors/sellers, patients, their brokers, and hospital officials who often accept questionably obtained organs.
Jacob's incisive look at the cultural landscapes of transplantation in Israel has wider implications. Matching Organs with Donors deepens our understanding of the law and management of informed consent, decision-making among hospital professionals, and the shadowy borders between altruism and commerce.
"An arresting account of how the law expands and contracts, how bureaucratic artifacts are at once adopted and resisted, and not least how one might think about kin relations. The book will appeal to many readerships: for this reader here is where the unexpected lay. Matching Organs with Donors offers a brilliant, compelling and satisfyingly unconventional exploration of that enigma, modern kinship. And it is all done with a wonderfully light touch-a breath of fresh air indeed. The result is a superb example of just how open-minded enquiry can bring new terms into ethical debate and practice."
Introduction: Matching
Chapter 1. Ethnography Through Transplants and Vice Versa
Chapter 2. Consent Forms, Differences, and Indifference
Chapter 3. Kinship as Template
Chapter 4. Committee-ing "Family Donations"
Chapter 5. The Evidence of Altruism
Chapter 6. Exits and Promises: Signatures, Loopholes, and Swaps
Conclusion: Kin Relations, Legal Relations, and Transplants
Appendices
A: Living Organ Transplant Directive
B: National Organ Transplant Act
Notes
Bibliography
Index
Acknowledgments