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Submitted By TAMMY091483
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Memorandum
To: Peer Review Committee/ Board of Trustees
From: Tammy Gonzalez
CC: Major Hospital
Date: February 5, 2016
RE: Heart Transplant Decision As the Lead Surgeon and the person responsible for making the decisions for the transplant cases in the hospital, it often creates circumstances in which I have to make difficult ethical decisions. Currently, I have three people waiting for a heart transplant, but I only have one heart that has recently become available. From an ethical perspective, all candidates are equally deserving of the heart despite any past or current actions that may have contributed to their condition. After taking everything into consideration, I feel as though, 12-year-old Lisa will benefit the most in this situation. This resolution was a result of utilitarian ethics, which bases the value of consequences of an action by determining the ethical value of the action itself. Utilitarianism relies on the “greater good”, in which the actions that cause pleasure to the greatest number of those most worth doing.
The first candidate Jerry is a 55 years old mid- level manager at a carpet distributing business and is five years short of retirement. He has three teenage children with his wife Joanie, who is a stay- at- home mother. Although Jerry needs the transplant because of his steroid use during his 20’s to satisfy his bodybuilding phase, we can't judge him since back then no one had any awareness of the harmful effects that steroids can have. Though Jerry has had the opportunity to experience what it feels like to have a family of his own and live well into his fifties, the new heart would provide him with living an additional 10 to 15 years. This will give Jerry with the opportunity to spend more time with his family and watch his children grow into adulthood. On the other hand, if he receives the transplant, there is potential for

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