Ethical Aspects Of Organ Allocation

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.

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.

One of the areas that is currently affecting the United States is the ethical issue of organ transplant allocation. Since the first single lung transplant in 1983 and then the first double lung transplant in 1986 there have been thousands of people who have lived because of the surgery. One must examine, evaluate, and apply the four ethical principles to Organ transplant allocation to look at the ethical issues involved. Once must look at the fact that not every patient who would benefit from a transplant will receive one in time

This paper is going to focus on the importance of getting a better way for Medicare to handle the needs of transplant patients. The current situation isn’t a good one. The patients are the ones that suffer while the medical insurance companies and centers keep making more and more money. This is showing to me how much of the healthcare has turned to be about that. The transplant centers are needed but there is so much red tape that they have to go through to be approved by Medicare it makes it hard for them to open. What seems like should be an easy fix sure isn’t when you look into it.

England currently practices an opt-in system of organ donation. The waiting list for organ donor transplants exceeds 10,000 meaning that people are losing their lives everyday due to a shortage of donor organs. It has been suggested for a while that England adopts the opt-out system, in order to increase donation rates and decrease the number of people dying whilst waiting for an organ transplant. This systematic review aims to present the different ethical arguments supporting a change of organ donation system to opting-out instead of opting-in.

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

One of the most classic ethical dilemmas of medical practice is that of the organ transplant, typically a liver or kidney to go to the lesser of two abusers of their own bodies when discussed at the dinner table. The real plight that many people have to face is the fact that organs available for transplant are few and far between, so committees have to decide who gets first rights to various organs. Now, an already complex medical dilemma is becoming even more complicated with the prospect of artificial intelligence possibly determining who gets any given organ.

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

The medical industry had been achieving more in the stage of medical advancements, though they are still in the early phase. Artificial organs have been one of those achievements. Although they have achieved such, artificial organs are not perfect. Most doctors as well as patients would prefer to replace a dying organ with a compatible human organ, rather than with an artificial or animal organ. Yet due to a there being less organs donated than recipients, artificial and animal organs are becoming more common in transplants. Most of this issue is because people are unaware of how organ donation works, the organs that can be donated, how many people are in need, and the advancements that have happened in the field. Organ donation saves hundreds of lives every year, but many lives are recklessly lost due to a shortage of organ donors.

The issue of organ rationing has been a large debate in the field of medical ethics ever since it has existed. Due to scarce amount of transplantable organs available it is an inevitable issue. The first time rationing received national attention was in the 1960s when kidney dialysis machines were first invented and were available on a limited basis.1 During this issue a commenter succinctly described the main question at hand:

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

Available became controversial. While the question of the dialysis machine is still controversial, the health system was caught in another ethical dilemma regarding organ transplantation. Organ transplantation is closely linked to the issue of cleanliness because patients with kidney failure can get an organ transplant as an alternative to hemodialysis. The issue is complicated by the fact Medicare is financed by organ transplant, and there are those who believe that the distribution of rare transplant is not right. There are thousands of terminal patients whose lives can be saved by organ transplantation, but there are no formulas of work that can be used to determine which of the thousands of patients will be given priority. It is left to the discretion of medical officers to decide who is worth saving. The ability to keep someone alive by replacing one or more of their major organs is a splendid achievement of medicine of the 20th century.

Another potential strategy is mandated choice where every individual would have to indicate their wishes regarding organ transplantation in legal documents e.g. drivers licenses and hospitals must comply with the written wishes of the individual regardless of what their family may want. This method has a positive aspect in that it enforces the concept of individual autonomy, but the downside being that it requires an enormous level of trust in the medical system.

Organ donation can be a lifesaving transaction that can save people from all walks of life. The justice-based ethics theory ensures that these transactions are without bias. That a person who receives an organ will not be discriminated against based on their life. This theory is supposed to give everyone an equal chance at receiving the medical help they may require. This is very important when trying to distribute vital, lifesaving organs. Unfortunately, this theory does not always get put into practice.

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