Compensation for Live Organ Donors
HU 280 – Bioethics
February, 19, 2012
Compensation for Live Organ Donors Currently, there are over 100,000 people on the United Network for Organ Sharing (UNOS) waiting list for organ transplantation (2012, Transplant Trends). Only 26, 246 transplantations occurred between January and November of 2011, (UNOS, 2012, Transplant Trends). There is a huge contrast in the number of people needing organs and the number of organs actually available for transplantation. This lack of organs creates a serious dilemma regarding how to increase the supply of organs for transplantation. So far, many of the efforts to increase organ donation have focused on the procurement from deceased donors;
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It does not seem right that an organ donor should be expected to risk their health and life with absolutely no consideration afforded to the potential consequences that may be inflicted upon the donor.
Considering all of the risks a donor must take on, it only seems fair to provide some sort of compensation for their actions. Justice theory focuses on the rights persons are entitled to, while also taking into considerations the duties imposed on persons in society (Parks, 2010, p. 10). Duties are the actions that are required of citizens living within a community as part of their social contract (Parks, 2010, p. 10). Although being altruistic and donating an organ to another human being is the current process utilized for obtaining organs, it is not necessarily a citizen’s duty to do so. Since donating organs is not a duty that citizens must uphold, it only makes sense that these persons should be compensated for their actions. The current process of altruism may actually inhibit those who would otherwise donate if some sort of compensation was offered. Not everyone can afford to miss 1-2 months of work, develop debilitating health concerns, or run the risk of losing health insurance. These issues are easily overlooked when donating to a relative, but sometimes even having a relative in need is not enough. Consider the following example: A potential donor has a sister in need of an organ, but that donor is also a single mother raising a
Today we are in great need of a solution to solve the problem of the shortage of human organs available for transplant. The website for Donate Life America estimates that in the United States over 100 people per day are added to the current list of over 100,000 men, women, and children that are waiting for life-saving transplants. Sadly enough, approximately 18 people a day on that list die just because they cannot outlive the wait for the organ that they so desperately need to survive. James Burdick, director of the Division of Transplantation for the U.S. Department of Health & Human Services confirms, “The need for organ transplants continues to grow and this demand continues to outpace the supply of transplantable organs”. The
In the United States, there are currently 116,608 people in need of a lifesaving organ transplant, and 75,684 people that are currently active waiting list candidates (HRSA, 2017). Between January and September 2017, there have only been 12,211 organ donors (HRSA, 2017) which is far less that the current demand for lifesaving organs. The shortage of donors could lead to an individual looking for outside sources such as the black market to find their lifesaving organ. Offering incentives to persons who chose to donate their organs or those of a deceased loved one is important because it could stop the illegal selling of organs, save the life of someone in need of an organ transplant and benefit both the donor and recipient.
The demand for organ donors far exceeds the supply of available organs. According to the United Network for Organ Sharing (UNOS) … there are more than 77,000 people in the U.S. who are waiting to receive an organ (Organ Selling 1). The article goes on to say that the majority of those on the national organ transplant waiting list are in need of kidneys, an overwhelming 50,000 people. Although financial gain in the U.S and in most countries is illegal, by legalizing and structuring a scale for organ donor monetary payment, the shortage of available donors could be reduced. Legalizing this controversial issue will help with the projected forecast for a decrease in the number of people on the waiting list, the ethical concerns around benefitting from organ donation, and to include compensation for the organ donor.
'Proponents of financial incentives for organ donation assert that a demonstration project is necessary to confirm or refute the types of concerns mentioned above. The American Medical Association, the United Network for Organ Sharing and the Ethics Committee of the American Society of Transplant Surgeons have called for pilot studies of financial incentives. Conversely, the National Kidney Foundation maintains that it would not be feasible to design a pilot project that would definitively demonstrate the efficacy of financial incentives for organ donation. Moreover, the implementation of a pilot project would have the same corrosive effect on the ethical, moral and social fabric of this country that a formal change in policy would have. Finally, a demonstration project is objectionable because it will be difficult to revert to an altruistic system once payment is initiated, even if it becomes evident that financial incentives don 't have a positive impact on organ donation. '(http://www.kidney.org/news/newsroom/positionpaper03)
Organ donations not only save lives but also money and time. If organ donations became prevalent the organ recipient would no longer need dialysis. Since there is no need for dialysis the cost to use the machine would lessen; this means that the cost of equipment would decrease, saving the hospital and insurance company’s money. More lives would be saved as well as benefit from those that no longer need an organ. In the book titled “Elements of Bioethics” adult organ transplants are only that have medical insurance. If organs are taken from recently deceased the cost for those that has no medical coverage was lessen. The process of organ transplantation is life changing and time is crucial. With shorter waiting time it would put ease on the person’s heart to know that this lifesaving event would happen sooner rather than later. In addition, when the organ is taken from the recently deceased the risk would be eliminated from
Recent medical advances have greatly enhanced the ability to successfully transplant organs and tissue. Forty-five years ago the first successful kidney transplant was performed in the United States, followed twenty years later by the first heart transplant. Statistics from the United Network for Organ Sharing (ONOS) indicate that in 1998 a total of 20,961 transplants were performed in the United States. Although the number of transplants has risen sharply in recent years, the demand for organs far outweighs the supply. To date, more than 65,000 people are on the national organ transplant waiting list and about 4,000 of them will die this year- about 11 every day- while waiting for a chance to extend their life through organ donation
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.
No one wants to voluntarily sign up for an unnecessary surgery, which is why there is a five to ten year wait limit for an organ donation. The New York Times Article “Test Incentives for Organ Donations – There’s No Reason Not To,” written by Sally Satel, states that in order to raise the number of donations, people should be rewarded (Satel). Based on the statistics Satel provides, she says altruism is not producing enough donations. Instead, she believes the government should offer some form of incentive to lure people into doing a good deed (Satel). Satel’s article does develop solid points to teach readers about her topic effectively while simultaneously providing evidence to endorse her argument. She gets her purpose across by
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
As technology continues to progress the feasibility of organ transplantation becomes a commonplace. It is very common for organs to be donated after one passes if it is the wishes of the deceased. As the supply of organs from the deceased is greatly outnumbered by the number of patients on waitlists living donors becomes an issue. Many times a relative or close friend is willing to give up an organ to help save a life. The question is: Is it ethical to accept a monetary payment in exchange for an organ to save a life?
The ethical issue for the majority of people in the U.S. does not seem to be whether donating organs should be allowed, but instead should someone be compensated for their donation. As described earlier, the U.S. has a major shortage of organs and an even greater shortage is found in some areas of the world. However, countries like Iran have found a way to eliminate their shortage completely. “Iran adopted a system of paying kidney donors in 1988 and within 11 years it became the only country in the world to clear its waiting list for transplants.” (Economist, 2011) Although this sounds promising, it is important to look at the effects on the organ donor. In a study done on Iranian donors who sold their kidneys, it was found that many donors were negatively affected emotionally and physically after donating and that given the chance most would never donate again nor would they advise anyone else to do so. (Zargooshi, 2001) Additionally, many claimed to be worse off financially after donating due to an inability to work. (Goyal, 2002) To some, this last set of findings would be enough to supersede the benefit of clearing the organ waiting lists.
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
Organ donation can be a beautiful gesture, but not necessarily for everyone involved. For the recipient of an organ, his or her body can function easier now. However, the same cannot be said for organ donors, who are limited due to the unequal trade for an organ and nothing. In fact, the number of organ donors decreases annually. Organ donors pay a huge price, so it is only fair that they should receive payment for what they do because they undergo difficult procedures, suffer physical consequences later in life, and most of them cannot afford the procedures needed to help them heal.
About three thousand unnecessary deaths occur each year waiting for an organ transplant that will more than likely never occur because of the shortage of available organ donors not just in the United States but worldwide.* How are we consciously letting so many people suffer and die when we can make a change for the better? Organ donors should receive some type of financial compensation for willingly signing up to save a life because it will help reduce the chronic waiting list, prevent unnecessary deaths and will give a sense of security to donors