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Grave injustice: the continuing use of unclaimed bodies in American medicine
  1. Eli Shupe
  1. Philosophy and Humanities, The University of Texas at Arlington, Arlington, Texas, USA
  1. Correspondence to Dr Eli Shupe; eli.shupe{at}uta.edu

Abstract

Despite a growing sensitivity to the ethics of whole body donation in the field of clinical anatomy, the remains of unclaimed individuals continue to be used in healthcare teaching and research throughout the USA. I argue that this practice is unethical because of its disregard for autonomy and consent, its potential harm to various individuals and groups, considerations of justice and the threat that it poses to public trust in medical institutions. Additionally, I show how the best available defences of the use of unclaimed bodies fail to be ethically persuasive. I argue that whole body donation ethically requires either the prior consent of the deceased or the explicit permission of their next of kin. Finally, I offer practical suggestions for institutions transitioning away from the use of unclaimed bodies.

  • education
  • ethics
  • ethics- medical
  • death
  • informed consent

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Footnotes

  • Contributors Eli Shupe (ES) is the sole author of this work and is responsible for its contents as the guarantor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.