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Personalism and boosting organ ResERVOirs: a consideration of euthanasia by removal of vital organs in the Canadian context
  1. Jamie Grunwald1,2
  1. 1 University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada
  2. 2 University of Saskatchewan Department of Family Medicine, Prince Albert, Saskatchewan, Canada
  1. Correspondence to Dr Jamie Grunwald, Leduc County, Canada; jamie.grunwald{at}


Canada’s decriminalisation of assisted death has elicited significant ethical implications for the use of assisted death in healthcare contexts. Euthanasia by removal of vital organs (ERVO) is a theoretical extension of medically assisted death with an increased plausibility of implementation in light of the rapid expansion of assisted death eligibility laws and criteria in Canada. ERVO entails removing organs from a living patient under general anaesthesia as the mechanism of death. While ERVO is intended to maximise the viability of organs procured from the euthanised patient for donation to recipients, ending the lives of patient donors in this manner solely to benefit ill or dying recipient patients merits further ethical consideration. Specifically, the paper explores the application of personalist bioethics in determining whether the means of procuring organs through assisted death justifies the end of improving the lives of those who would benefit from receiving them. Further, by discussing the medical, social and ethical implications of ERVO, I will explicate a broader philosophical understanding of the influences of legalising assisted death on human dignity and conscience.

  • medical ethics/bioethics
  • End of life care
  • Law
  • philosophy of medicine/health care

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  • Contributors JG is the sole contributor to this work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.