RESUMEN
The concept of brain death--first defined decades ago--still presents medical, ethical, and legal challenges despite its widespread acceptance in clinical practice and in law. This article reviews the medicine, law, and ethics of brain death, including the current inconsistencies in brain death determinations, which a lack of standardized federal policy promotes, and argues that a standard brain death policy to be used by all hospitals in all states should be created.
Asunto(s)
Muerte Encefálica , Guías de Práctica Clínica como Asunto/normas , Muerte Encefálica/diagnóstico , Muerte Encefálica/legislación & jurisprudencia , Muerte Encefálica/fisiopatología , Femenino , Humanos , Masculino , Trasplante de Órganos , Estados UnidosAsunto(s)
Actitud del Personal de Salud/etnología , Lactancia Materna , Promoción de la Salud/métodos , Madres/educación , Rol del Médico , Relaciones Profesional-Paciente/ética , Consejo/métodos , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Recién Nacido , Educación del Paciente como Asunto/métodos , Atención Posnatal/métodos , Garantía de la Calidad de Atención de Salud , Apoyo Social , Estados UnidosRESUMEN
In the United States at this time, no uniform federal law exists regarding commercial surrogacy, and state statutory schemes vary vastly, ranging from criminalization to legal recognition with contract enforcement. The authors examine how commercial surrogacy agencies utilize the Internet as a means for attracting parents and surrogates by employing emotional cultural rhetoric. By inducing both parents and surrogates to their jurisdiction, agencies circumvent vast discrepancies in state statutory regulative schemes and create a distinct interstate business, absent an efficient regulatory framework or legal recourse in some circumstances. The authors propose a uniform federal regulatory scheme premised upon regulating interstate business transactions to create accountability and legal remedies for both the parents and the surrogate.