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• Dr. Arthur Caplan, a bioethicist at New York University's Langone Medical Center, said the vote showed that the medical profession doesn't believe that they should be pressured into making hasty changes to the entire national transplant system based on a single case. • The meeting was prompted by the cases of 10-year-old Sarah Murnaghan of Newtown Square, Pa., and 11-year-old Javier Acosta of New York City, two terminally ill children who are awaiting transplants at Children's Hospital of Philadelphia. Last week, federal Judge Michael Baylson ruled that they should be eligible for adult lungs after U.S. Health and Human Services Secretary Kathleen Sebelius declined to intervene in such cases. Both children have end-stage cystic fibrosis, and Javier's brother died two years ago while on the waiting list. • Their families have challenged existing transplant policy that made children under 12 wait for pediatric lungs to become available or be offered lungs donated by adults after adolescents and adults on the waiting list had been considered. They say pediatric lungs are rarely donated. • ___
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