Discurso realizado durante la lección de apertura del curso académico 2017/18 en la Universidad de Cantabria por el fundador y exdirector de la Organización Nacional de Trasplantes acerca del sistema español de donaciones y trasplantes.

Organ transplantation has been the most important therapeutic advance in the last third of the 20th century. Its development has revolutionized medicine, as demonstrated by the fact that a large number of researchers in this field have been awarded Nobel Prizes. In the beginning of this century, we are witnessing with great expectations the emergence of a new field of medicine related to the arrival of a new player on the scene: “stem cells” and their potential use in regenerative medicine. This volume aims to cover important aspects of the various facets of organ transplantation and regenerative medicine, with leading specialists in these fields setting out their vision. We try to rigorously explain current and novel scientific research in these fields—areas which arouse great interest from society in general, due to their potential use in modern medicine for the treatment of a great number of diseases.

Organ shortage is an ongoing problem in many countries. The needless death and suffering which have resulted necessitate an investigation into potential solutions. This examination of contemporary ethical means, both practical and policy-oriented, of reducing the shortfall in organs draws on the experiences of a range of countries. The authors focus on the resolution and negotiation of ethical conflict, examine systems approaches such as the 'Spanish model' and the US Breakthrough Collaboratives, evaluate policy proposals relating to incentives, presumed consent, and modifications regarding end-of-life care, and evaluate the greatly increased use of (non-heart-beating) donors suffering circulatory death, as well as living donors. The proposed strategies and solutions are not only capable of resolving the UK's own organ-shortage crisis, but also of being implemented in other countries grappling with how to address the growing gap between supply and demand for organs.

Death inhabits our collective imaginary, even though sometimes, like a squatter, it hides discretely in order to avoid conflicts. It is undoubtedly a multi-faceted subject of study, which requires consideration from an interdisciplinary perspective. This book deals with this phenomenon, and more specifically with the discourses that surround – and construct our perspectives and understanding of – death and dying. Of course, the present volume does not attempt to be exhaustive, and considers the subject from several standpoints, including linguistics, anthropology, history of medicine, and importantly, literary studies. It combines various points of view and different methodologies of knowledge, in the hope that they come together to constitute a written dialogue –or more precisely, a polylogue. The ordering of the texts in this volume provides readers with an itinerary that begins with more general approaches, such as a historical presentation of the medicalisation of death and an in-depth reflection on the best way to die, and ends with studies of specific literary works from different periods. The itinerary that this book provides is framed by a discourse analysis-based overview that explores how different approaches to death and dying intersect and complement each other in an interdisciplinary endeavour. This analysis focuses on literary and non-literary genres in order to shed some new light on a topic that is inexhaustible because of its sociocultural relevance.

The banking of human tissues for clinical transplantation has grown exponentially in the past 10-15 years. Tissue banks have been set up throughout the world, initially on an ad hoc basis. More recently these have grown and in many countries have linked up with larger international companies. While standards for the procurement, processing and storage of the tissues have kept pace with the growth of the subject, this is not so with the legal considerations associated with the practice. There is no unified legal system which is internationally operated. Europe, USA, Asia, Latin America, China have been developing legal systems on an individual basis.This book describes the present state of the development of laws to control and make the banking and use of tissues legal and safe. It describes, for the first time, the current systems which are used throughout the world and points the way to setting up a harmonized global legal system.

There has been a general assumption in the international debate surrounding organ procurement that Presumed Consent (opting-out) systems produce better results than Express Consent (opting-in) systems. This study uses the French case to challenge this widely held assumption and argues that the French presumed consent systems coexist with patterns of behaviour that in practice do not mobilize the law. It explores four key areas to current research in socio-legal studies focussing on the state and nature of social solidarity, social engineering and the changing nature of the citizen-state relations, state intervention in the event of death and discretion in use of corpses and recent modifications of the status of medical professionals as figures of authority and agents of state policy. Using material based on interviews with medical professionals, this title will be a valuable resource for researchers, academics, policy-makers and practitioners with an interest in this complex and topical subject.