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November 2, 2022

A 12-year-old girl is on dialysis, having developed renal failure from acute glomerulonephritis.

Scenario:

A 12-year-old girl is on dialysis, having developed renal failure from acute glomerulonephritis. She is blood group AB, and her parents are told that she can accept a kidney from any other blood group. Both parents are healthy and anxious to be tested. The father undergoes full evaluation, and no contraindication to donation is found. At the wrap-up visit, the physician notes that the father is blood group O. This will not prevent donation, but it indicates he is not the patient’s biological father. The hospital has a policy indicating that information should always be shared with the potential donor.

Question: Make an ethical case opposing the hospital policy based upon the details presented in the case scenario. What risks would such a policy hold in the present case, and how would you arrive at a determination that these risks to the patient and donor are unjustified using ethical principles?

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