In theory, such evaluations could be useful, but as is, they are fairly useless. Plus, the validity and necessity of evaluations are up for debate themselves, besides the actual results from the evaluations being up for debate. Thus, the bioethical dilemma in those who abuse their bodies before and after receiving organ transplants lies not necessarily just with the recipients, but also with society, and with the medical field with respect to the issue as well.
Taking an Ethical Stand:
This is not a simple issue and ethics are very much a part of the stance on takes in this matter. It is, to a degree, unfair for people who abuse their bodies to receive organ transplants. As aforementioned, there are a number of instances that lead to the necessity of an organ transplant in the first place -- some of which are entirely avoidable and under an individual's control, if they retain any kind of self-discipline and support.
It is not fair to those who need organ transplants and lead healthy lifestyles, taking the time to consciously take care of their health, yet still needing a transplant because of an accident or dormant medical condition or other circumstance that is not under their control. Moreover, there is no denying that there are certain prominent facets of society that contribute to physical stress and that support physical abuse. Society is responsible and the individual is responsible. As the last quotation stated, there is also responsibility for ethical confusion in this matter because of the practices of relevant medical professionals.
In a perfect world, organ transplant recipients would be mostly healthy -- taking care of their health before and after the procedure, and as part of that procedure, relevant medical professionals have a consistent means of evaluation that they use to assess and apply the result of, to prioritize who should get an organ transplant and who should not. At every step of the organ transplant procedure, there should be an awareness and practice of bioethics. While this author cannot...
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