Media Appeals for Directed Altruistic Living Liver Donations: Lessons from Camilo Sandoval Ewen
Bibliographic record
Abstract
Recently, a Canadian couple sought media help to find a person who was willing to donate part of his or her liver to their infant son, Camilo Sandoval Ewen, who suffered from biliary atresia. Although Canadian transplant programs do not perform transplants from non-emotionally related living donors, they are accepted by some U.S. transplant centers, particularly when donated in a nondirected fashion. This paper examines the ethical questions raised by media appeals for directed altruistic living donations of solid organs, specifically liver lobes, and argues that media-directed altruistic donations are ethically problematic. While they can and do succeed, they raise ethical concerns regarding (1) who has access to the media; (2) who will be successful in their media campaigns; and (3) how coercion and inducement by brokers (families or institutions) can be prevented. Justice requires that the media adopt a policy not to cover organ appeals by families, despite their human interest value, and that transplant centers develop a unified policy restricting directed living donations to those who have an emotional relationship.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".