[7] A Multidimensional Picture of the Healthcare System and Organ Donation Law: From Operational Pressures and ICU Protocols to Root Self-Protection Awareness
Year: 2026
Type: preprint
Abstract: The enactment of legislation governing organ donation, procurement, and transplantation (collectively referred to as Organ Donation Law) is often portrayed by mainstream media through a purely humanitarian lens: "Turning tragedy into life" or "Promoting mutual solidarity." However, viewed through the lens of institutional sociology, health economics, and public policy analysis, Organ Donation Law functions as a mandatory regulatory product arising from intrinsic contradictions between medical technology advancement, resource scarcity, and the legal risk management requirements of modern public healthcare systems. This analytical paper examines the historical and structural shifts from traditional circulatory death to brain death following the advent of modern Intensive Care Unit (ICU) technology in the 1950s–1960s. It introduces a 7-Tier Structural Model to map how macroeconomic cost pressures, healthcare self-autonomy, and bed-turnover quotas cascade down to clinical levels, positioning Organ Donation Law as a vital "structural relief valve." Furthermore, the study explores the clinical paradox where aggressive pre-hospital and ICU intervention protocols may inadvertently amplify neurological trauma, while proposing a balanced reconciliation framework that exonerates frontline medical staff and shifts the ultimate focus toward root biological preservation and proactive community health management. Keywords Organ Donation Law Institutional Sociology Intensive Care Unit (ICU) Brain Death Definition Structural Relief Valve Healthcare Economics Biopolitics Biological Preservation
Author: Pham, Minh Phuong
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7224992413