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But then how does she consent if she is not of legal age to do so?
Simple assent isnt enough...
New ethical question:
two kidney transplant patients are presented.
Patient 1 is a rich donor who has agreed (contractual agreement) to donate an entire dialysis wing if he is given the kidney.
Patient 2 is a poor woman working two jobs and a single mother.
Both patients present at the same time and have the same lab values (and thus everything else is held equal)
Who do you decide to treat?
There are certain situations when minors aren't considered minors and can give consent without parent involvement or knowledge. Abortion is one of those situations.
For your second question, I understand that you're giving a hypothetical situation, but it's completely unrealistic, so I don't see what insight you gain from someone's response (assuming we're keeping in line with the thread and this is an interview question). The kidney goes to whoever is the best match, or if that's equal in your scenario, whoever is higher on the waiting list (whoever has been waiting longer). There are set guidelines for dealing with this, so in reality, it's not a big ethical dilemma.