An Ethical Implication of Organ Transplants
Nickolus Sorenson
Health Care Ethics and Medical Law
Instructor: Kymberly Lum
September 24, 2012
All aspects of health care face the inevitability of moral and ethical issues arising on numerous fronts. The organ donation and transplantation field of medicine is no exception. Each day, approximately 18 people die waiting for an organ to become available for transplant (Taranto, 2010). In the grand scheme of things this may not seem a significant number; however, the fact that over 6,500 individuals with families, friends, and an otherwise productive life will die needlessly every year is obviously a far cry from acceptable. This particular lack
…show more content…
Organ and tissue transplantation has been around for quite some time but has only relatively recently become an accepted practice of medicine. Historically, a number of successful transplants occurred even in ancient times. Take, for example, the Indian surgeon, Shushruta, performing a skin graph to repair damage to another man’s nose in the second century B.C. (Paul, 2008). But it wasn’t until the successful kidney transplant preformed by Dr. Joseph Murray between twins and then again with a cadaver donation in 1954, for which immunosuppressant drugs were prescribed to ward off rejection, that organ transplant began to attract wide scale interest (Powell, 2011). Prior to the National Organ Transplant Act of 1984, donors were able to legally sell their organs for a substantial sum. Conceivably, the poorest members of society were still the most frequent donors but their health concerns were considered and the procedure was preformed properly (Economics Resource Center, 2006). Now that legal financial incentives for donors have been taken off the table in the United States to avoid this treatment of the poor, resulting in the advantageous yet unethical acquiring of organs no longer being available, there is now a shortage of organs for donation. The consequence is that the call for available
The medical practice of organ transplantation has grown by leaps and bounds over the last 50 years. Each year the medical profession takes more risk with decisions regarding transplants, how to allocate for organs, and most recently conducting transplants on children with adult organs. “An organ transplantation is a surgical operation where a failing or damaged organ in the human body is removed and replaced with a new one” (Caplan, 2009). Not all organs can be transplanted. The term “organ transplant” typically refers to transplants of solid organs: heart, kidneys, liver, pancreas, and intestines. There are two ways of receiving an organ transplant: from a living human or an organ from a
It was only a matter of time before a businessman in Virginia saw a way to profit from the success of transplantation. In 1983 H. Barry Jacobs announced the opening of a new exchange through which competent adults could buy and sell organs. His failing was in his decision to use needy immigrants as the source of the organs (Pence 36). As a result Congress, passed the National Organ Transplant Act (Public Law 98-507) in 1984, which prohibited the sale of human organs and violators would be subjected to fines and imprisonment (“Donation Details”).
The need of human organs for transplantation increases every single day and every passing month. Thousands of people are on the waiting list hoping for a chance at a new life. Unfortunately, the supply of available organs through organ donations is not able to provide for the growing demand of organs. According to a research conducted by the Hasting Center, “there are close to 100,000 people on the waiting list for a kidney, heart, liver, lung, and intestines, the pressure to find ways to increase their supply is enormous (Capland, 2014, p. 214). The shortage of human organs is leading people to participate in unethical acts. The pressure of finding available organs has resulted in healthcare professional and
In 1983 Dr H Barry Jacobs, a physician from Virginia, whose medical license had been revoked after a conviction for Medicare mail-fraud, founded International Kidney Exchange, Ltd. He sent a brochure to 7,500 American hospitals offering to broker contracts between patients with end-stage-renal-disease and persons willing to sell one kidney. His enterprise never got off the ground, but Dr Jacobs did spark an ethical debate that resulted in hearings before a congressional committee headed by Albert Gore, Jr., then a representative from the state of Tennessee. The offensive proposal for kidney sales led to the National Organ Transplant Act to become law in
In today’s medical field there is a profuse amount of room for ethical questioning concerning any procedure performed by a medical professional. According to the book Law & Ethics for Medical Careers, by Karen Judson and Carlene Harrison, ethics is defined as the standards of behavior, developed as a result of one’s concept of right and wrong (Judson, & Harrison, 2010). With that in mind, organ transplants for inmates has become a subject in which many people are asking questions as to whether it is morally right or wrong.
The need for organ donations creates another ethical dilemma for Emergency Room Physicians. “Obtaining organs from emergency room patients has long been considered off-limits in the United States because of ethical and logistical concerns” (Stein, 2010). The shortage of organs available for transplant has caused many patients die while waiting. A pilot project from the federal government “has begun promoting an alternative that involves surgeons taking organs, within minutes, from patients whose hearts have stopped beating but who have not been declared brain-dead” (Stein, 2010). “The Uniform Determination of Death Act
Patients with renal impairment should have a life prolonging care. For patients with renal impairment were a matter of life and death and all were willing to pay the amount it does not matter what you get dialysis. Soon, it became a controversial issue when it was realized that the demand exceeds supply and the equitable distribution of the few dialysis machines
Organ transplantation is a term that most people are familiar with. When a person develops the need for a new organ either due to an accident or disease, they receive a transplant, right? No, that 's not always right. When a person needs a new organ, they usually face a long term struggle that they may never see the end of, at least while they are alive. The demand for transplant organs is a challenging problem that many people are working to solve. Countries all over the world face the organ shortage epidemic, and they all have different laws regarding what can be done to solve it. However, no country has been able to create a successful plan without causing moral and ethical dilemmas.
Every day, 20 people die because they are unable to receive a vital organ transplant that they need to survive. Some of these people are on organ donation lists and some of them are not. The poor and minorities are disproportionately represented among those who do not receive the organs they need. In the United States alone, nearly 116,000 people are on waiting lists for vital organ transplants. Another name is added to this list every 10 minutes. This paper will argue that organ donation should not be optional. Every person who dies, or enters an irreversible vegetative state with little or no brain function, should have his or her organs-more specifically, those among the organs that are suitable for donation-harvested. A single healthy donor who has died can save up to eight lives (American Transplant Foundation).
Throughout history physicians have faced numerous ethical dilemmas and as medical knowledge and technology have increased so has the number of these dilemmas. Organ transplants are a subject that many individuals do not think about until they or a family member face the possibility of requiring one. Within clinical ethics the subject of organ transplants and the extent to which an individual should go to obtain one remains highly contentious. Should individuals be allowed to advertise or pay for organs? Society today allows those who can afford to pay for services the ability to obtain whatever they need or want while those who cannot afford to pay do without. By allowing individuals to shop for organs the medical profession’s ethical
In addition, surgeons have learned how to keep increasingly patients alive longer and how to make more people eligible for transplants. Still, there are shortage of organs donation. According to the United Network for Organ Sharing (UNOS), a non-profit, scientific and educational organization, organizes transplant registration. 3448 people died in 1995 because organs were not available for them in time. A third to a half of all people on waiting lists die before an organ can be found for them. This shortage raises several difficult ethical problems. How should the limited supply of organs be distributed? Should donors be encouraged to donate by the use of financial incentives? Opponents of the sale of organs point out that the inevitable result will be further exploitation of poor people by the
In the United States today, people lose their lives to many different causes. Though this is tragic, there are also a large group of people who could benefit from these deaths; and those people are people in need of an organ transplant. Although a sudden or tragic death can be heart breaking to a family, they could feel some relief by using their loved ones' organs to save the lives of many others. This act of kindness, though, can only be done with consent of both the victim and the family; making the donation of organs happen much less than is needed. The need for organs is growing every day, but the amount provided just is not keeping up. Because of the great lack of organ donors, the constant need for organs,
In February 2003, 17-year-old Jesica Santillan received a heart-lung transplant at Duke University Hospital that went badly awry because, by mistake, doctors used donor organs from a patient with a different blood type. The botched operation and subsequent unsuccessful retransplant opened a discussion in the media, in internet chat rooms, and in ethicists' circles regarding how we, in the United States, allocate the scarce commodity of organs for transplant. How do we go about allocating a future for people who will die without a transplant? How do we go about denying it? When so many are waiting for their shot at a life worth living, is it fair to grant multiple organs or multiple
There are lists for everything, what to needs to be done for the day, what to buy at the grocery store, but there is one with more lasting implications. The organ transplant list is a lengthy list filled with hopeful patients waiting for their turn to receive the next available organ. Sadly, this increasing list overshadows the organ donation list which fails to meet the demand of organs required. “The United States has the most successful transplant program in the history of medicine, yet it lacks the proper amount of organs to transplant” (Chapman, Jeremy). This causes patients to wait weeks, months, sometimes years for their new replacement. Some patients die before they even come close to receiving an available organ, yet no movement for change has been made. This donation system should be revised and alternatives like incentives for donating organs should be implemented.
Many people’s lives come to an end earlier than expected. When this happens, families mourn the loss of the loved one. However, do people mourn the loss of another life if the individual is not an organ donor? The National Kidney Foundation believes that “legalizing payments of human organs” should continue to be opposed, as codified in the third title of the National Organ Transplant Act. (220). If this title is changed, then there will be multiple unexpected side effects that could corrupt the system of organ donation to people who need the organs. What exactly would define the price of saving a life? Who is paying the cost of the organ? Many things could backlash from the beginning of financially compensating people for their organs. This specific concept subtly generates monetary issues between the donor and the receiver of the organ, takes advantage of the poor, increases funeral costs, creates problems with trading organs, is inconsistent in moral values, and increases an untrust of health care. Thus, financial compensation for organs should be banned.