| Introduction: Rebuilding People | |
| I | Organ Transplantation: Patterns and Issues in the 1980s | |
| 1 | Of Wonder Drugs, the Transplant "Boom," and Moratoria | 3 |
| The "Advent" of Cyclosporine | 3 |
| The Expansion of Organ Transplantation | 7 |
| The Experiment-Therapy Status of Organ Transplantation | 8 |
| A Multiplicity of Clinical Moratoria | 13 |
| The Coming of FK 506 | 24 |
| 2 | Organ Transplantation as Gift Exchange | 31 |
| Marcel Mauss' Gift-Exchange Paradigm | 32 |
| Obligations to Give Organs | 33 |
| Obligations to Receive Organs and Patients' Reservations About Accepting Them | 35 |
| Obligations to Receive Organs and Surgeons' Reservations About Live Donations | 38 |
| Obligations to Repay the "Gift of Life" and the "Tyranny of the Gift" | 39 |
| 3 | Alterations in the Theme of the Gift | 43 |
| Who Are My Kin? Who Are My Strangers? Live-Donor Kidney Transplants | 46 |
| The Debut of Live-Donor Liver and Lung Transplants | 49 |
| Making a Live Donor: Bone Marrow Transplants | 55 |
| Efforts to Increase Gifts of Life | 56 |
| From Gifts of Life to Market Commodities? | 64 |
| 4 | Transplantation and the Medical Commons | 73 |
| The Transplantation Commons | 74 |
| Transplantation and the Medical Commons | 83 |
| Transplantation, Medicine, and the Societal Commons | 89 |
| II | The Jarvik-7 Artificial Heart Experiment | |
| 5 | Desperate Appliance: A Short History of the Jarvik-7 Artificial Heart | 95 |
| Cast of Characters and Their Locales | 95 |
| Prologue | 98 |
| Act I: The Development of the Jarvik Heart | 100 |
| Act II: Barney Clark's Heart | 109 |
| Act III: The Move to Humana | 117 |
| Act IV: The Experiment Continues | 121 |
| Entr'acte: The Artificial Heart as a Bridge to Transplant | 128 |
| Act IV: Continued | 130 |
| Act V: Endings | 138 |
| Epilogue | 149 |
| 6 | "Made in the U.S.A.": American Features in the Rise and Fall of the Jarvik-7 Artificial Heart | 154 |
| American Places, Portraits, and Scenarios | 155 |
| American Astronaut Imagery | 158 |
| The American Land of Oz | 158 |
| Factors Shaping the American Features of the Artificial Heart Experiment | 159 |
| Meanings of the Heart | 161 |
| The Role of Mormonism | 162 |
| Corporate Connections | 166 |
| The Rise and Fall of Cold Fusion | 168 |
| 7 | Who Shall Guard the Guardians? | 170 |
| Initiating Human Testing | 172 |
| Jarvik-7 Implants as Clinical Research | 174 |
| The Gatekeepers | 178 |
| Moratoria and Endings | 189 |
| III | The Participant Observers: Final Journeys | |
| 8 | Leaving the Field | 197 |
| Notes | 211 |
| References | 223 |
| Index | 245 |