Health Policy Expert Interview Paper

The decision to determine who gets an organ is something that cannot be taken lightly. If proper protocol is not followed, issues such as biasness and judging people based on factors like socioeconomic status may be used to determine this dilemma. For this reason, organ transplantation is overseen by government regulators. The Division of Transplantation (DoT), which falls under the US Department of Health and Human Services, oversees this process. Organs are allocated according to strict rules that take into account physical matching, tissue and blood type matching, medical criteria, waiting time, severity of illness. The allocation system is blind to name, race, sex and wealth. The allocation rules have been developed over many years of deliberation by physicians and other transplant professionals, transplant candidates and recipients, donor families, and representatives of the federal government. (CITE ThIs) Removing these variables and following protocol causes the medical professional to make a decision on fairness rather than feelings, biasness, and possibly corruption such as bribery.

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”).

There are many sides to how one may view the current health care system. Patients, Providers, and Government all have their idea as to how things should be taken care of when it comes to the policies and the finances involved. Unfortunately these groups don’t always see eye to eye in the methodology. This essay is about one Chiropractors opinions in regards to Government and health care system, the ACA involvement and Obamacare, and the providers’ role in health care and with the vulnerable population.

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

Transplantation in Canada is growing. Over the past decade, organ transplants have increased by 44 percent in Canada. The need for transplants continues to exceed the supply of organs and Canada’s organ donation rate is unacceptably low. CNA believe that a national comprehensive integrated approach is needed to improve organ donor rates in Canada. CNA made the following recommendations ; increase education of health professionals to ensure that they have a good knowledge and understanding of: the benefits of organ transplantation and the suitability of organs for donation or referral, the process to be followed within the particular institution; techniques to manage the sensitivities cultural, religious and ethical components of communicating

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.

However, because of the extreme decline in the U.S. of organ donors and an extreme increase in patients in need an organ transplant, the likelihood of their loved ones’ receiving one of these lifesaving transplants is quickly deteriorating more and more each day. As the national rates for the number of organ transplants preformed continue to rise more and more each year, the gap between supply and demand for these organs still continue to expand (Organ Procurement and Transplantation Network).

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).

Our current transplant regimen is a qualified failure. Transplant operations have been basically flat for the last eight years. In 2013, over 4300 people died while waiting and about 3000 were permanently removed from the queue because they developed a medical condition that precluded transplant.1 “Twenty-seven years ago, the average wait for a deceased-donor kidney in the United States was about one year; now, the average wait is approaching five years”.2 In many parts of the country, it has reached a ten-year wait from listing to transplant if one can survive that long. Unlawful Selling of organs in America is a result of Substantially more people in America are going out of the country to receive the essential organ they need., People in America passing away awaiting an organ donation has risen. The need for organs has accelerated enormously benefiting the black-market industry.

One of the must have necessities of a human being is the provision of sound health care and every government, both national or local is obligated to offer this essential service to all the citizens without favor or any discrimination of any kind. Where else it is paramount that every employer to make sure the health and the safety of the employees are given the first priory. This will make sure the employees who are injured during the work are taken care of, and they are relieved the burden of the cost of health care. Thus, it is common to find most companies get the services of insurance companies and other organizations which provide health care programs for workers such as IndUShealth to make sure the welfare of the employees is in safe

D. Thesis - Organ donation and Transplants are the most remarkable success stories in the history of medicine. They give hope to

Keywords: NOTA (National Organ Transplant Act), OPTN (Organ Procurement and Transplantation Network), UNOS (United Network for Organ Sharing) OPO (organ procurement organizations)

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 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

During the opening, it was mentioned that every age, race and ethnic group is effected and have a need for organ donations. Below are graphs from the US Department of Health & Human Services that clearly illustrate the needs for the waiting recipients. Illustration 1 shows the percentage of waiting candidates by their ethnicity. Statistically, Latinos suffer from obesity which leads to diabetes and heart disease. African Americans suffer higher rate of diabetes and high blood pressure. Asians and Hawaiians reportedly have a higher rate of kidney and liver diseases. Each of these dispositions can lead to other complications effecting the organs and eventually causing organ failure, even with treatment. Illustration 2 show that the people needing an organ donation is not limited to the aged or infirmed but range from newborn to over 65 years old.