Spare parts: organ replacement in American Society

Introduction: Rebuilding People

I. Organ Transplantation: Patterns and Issues in the 1980s. 1. Of Wonder Drugs, the Transplant "Boom," and Moratoria. The "Advent" of Cyclosporine. The Expansion of Organ Transplantation. The Experiment-Therapy Status of Organ Transplantation. A Multiplicity of Clinical Moratoria. The Coming of FK 506. 2. Organ Transplantation as Gift Exchange. Marcel Mauss' Gift-Exchange Paradigm. Obligations to Give Organs. Obligations to Receive Organs and Patients' Reservations About Accepting Them. Obligations to Receive Organs and Surgeons' Reservations About Live Donations. Obligations to Repay the "Gift of Life" and the "Tyranny of the Gift" 3. Alterations in the Theme of the Gift. Who Are My Kin? Who Are My Strangers? Live-Donor Kidney Transplants. The Debut of Live-Donor Liver and Lung Transplants. Making a Live Donor: Bone Marrow Transplants. Efforts to Increase Gifts of Life. From Gifts of Life to Market Commodities? 4. Transplantation and the Medical Commons. The Transplantation Commons. Transplantation and the Medical Commons. Transplantation, Medicine, and the Societal Commons

II. The Jarvik-7 Artificial Heart Experiment. 5. Desperate Appliance: A Short History of the Jarvik-7 Artificial Heart. Cast of Characters and Their Locales. Prologue. Act I: The Development of the Jarvik Heart. Act II: Barney Clark's Heart. Act III: The Move to Humana. Act IV: The Experiment Continues. Entr'acte: The Artificial Heart as a Bridge to Transplant. Act IV: Continued. Act V: Endings. Epilogue. 6. "Made in the U.S.A.": American Features in the Rise and Fall of the Jarvik-7 Artificial Heart. American Places, Portraits, and Scenarios. American Astronaut Imagery. The American Land of Oz. Factors Shaping the American Features of the Artificial Heart Experiment. Meanings of the Heart. The Role of Mormonism. Corporate Connections. The Rise and Fall of Cold Fusion. 7. Who Shall Guard the Guardians? Initiating Human Testing. Jarvik-7 Implants as Clinical Research. The Gatekeepers. Moratoria and Endings

III. The Participant Observers: Final Journeys. 8. Leaving the Field.