Organ Donation

Every day some dies after waiting years on a transplant list. The National Organ Transplant Act of 1984 says that in the United States, the sale of organs is illegal. Some believe this act may be preventing thousands of people from getting the organs that will save their lives. The truth is every day someone dies and their organs could be used to help others and everyday a life of one and the livelihood of another could be saved. The reasons for allowing the sale of organs is very simple to understand. It can help others financially, save money on medical expenses and most importantly, save lives. Critiques believe this would be a mistake causing spur of the moment decisions, and illegal obtain these organs for sale. With the use of regulation, these doubts can be laid to rest. Before the problem can be solved, the problem has to be identified.

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.

Therefore, in 2009, organ transplants became a demand everywhere so abruptly that countless nationalities began selling their organs in return for money (HRSA 1). Eighty-one percent of commercial living donors (CLDs) in Egypt spent their “Kidney money” within five months after their donation (Budiani-Saberi

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)

Joy Victory 's "Need an Organ? It Helps to Be Rich" provides great factual evidence to support her main claim that the rich have more advantages for acquiring an organ than do the poor and uninsured. The extensive factual evidence includes a personal account of an uninsured organ candidate, statistics and multiple expert testimonies to indicate that many variables hinder the poor and uninsured from receiving an organ. One of the most important variables is the socio-economic status of the potential organ recipient because statistics and evidence indicate receiving organs is determined primarily on a financial basis. Also, the article suggests the uninsured and poor not only suffer from physical ailments but also from a lack of hope for obtaining an organ. One of the ways Victory uses factual evidence is by narrating a personal account of an uninsured 34- year-old who is not only suffering physically but also suffering from a lack of hope for obtaining an organ. Brian Regions, the uninsured 34- year-old, is physically in agony every day with congestive heart failure and is consistently facing insufficient health care (Victory 736). As Victory accurately points out, Regions is not the only uninsured individual who is at risk for his expensive physical problems. It is also reported that there are thousands of others who are in physical agony with incurable heart damage (Victory 736). Without future heart support and financial intervention, Regions and many others may

The article “Need an Organ? It Helps to be Rich,” by Joy Victory informs readers of how medical systems work for those who are in need of an organ transplant. In the article, Victory talks about a 34-year-old man named Brian Shane Regions - who is in need of a heart transplant, but is not able to secure one because he is not insured. Therefore, not having insurance, Brian is put into an unfortunate situation because he is simply not getting any treatment for his heart failure. This is a great example of how patients without insurance could not be provided with an organ donor. Victory argues a variety of issues concerning how the organ donation system is unfair to certain people. A transplant cost a bundle amount of money, which leads to the rich only able to have the procedure done. While the poor cannot afford the cost of the transplant, creating an unfair situation for the less fortunate. The transplant centers can do anything as they please because they simply care more about the money. However, not all transplant centers treat their patients unfairly, several centers are truly able to support the uninsured patients in need of a transplant. It is simply unfair for the patients, who do not have enough money to pay for transplant and the medical systems are unethical.

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

There are 112 thousand people on the organ transplant list and 22 people die every day because they cannot find a match ("Organ Donation Statistics", 2017). In 1984, under the National Organ Transplant Act, America outlawed the buying and selling of organs. If caught selling organs illegally, those involved shall be fined not more than $50,000 or imprisoned not more than five years, or both (Prohibition of Organ Purchases, 2011). With organizations like Planned Parenthood selling the body parts of aborted fetuses, the compensation of organs has been compared to prostitution. (Gebelhoff, 2015). If organ donors begin being compensated for their gifts of life, the Black Market organ trafficking will increase due to supply and demand of organs which in return creates a higher victim rate related to the black market. Offering money for organs can be viewed as an attempt to coerce economically disadvantaged Americans to participate in organ donation even though these groups of people have been shown to be less likely to be candidates, monetary incentives for organs could be characterized as exploitation (National Kidney Foundation, 2003). The Compensation of organ donation is unethical due to the acts by organizations such as Planned Parenthood, black market increases along with acts of cruelty towards unexpecting victims, and the increase in costs to perform the transplants.

Richard A. Epstein’s “Thinking the Unthinkable: Organ Sales” (2005) is an argument trying to convince people that selling human organs is acceptable in order to increase the availability for those in need of an organ transplant. Epstein says money will motivate more people to donate their organs to those in need. He also looks at the argument from the point of the recipient of the organ and argues that the expense of buying an organ will not increase the price of getting an organ transplant.

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).

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

The legalization of organ sales has been proposed as a solution to two distinct problems. The first is the problem of illegal organ trafficking and the second is the problem of inadequate supplies of organs available for transplants. Gregory (2011) outlined the case for legalizing organ sales by arguing that the current shortage of organs fuels a black market trade that benefits nobody except criminals. He further argues that such a move would add organs to the market, thereby saving the lives of those who would otherwise die without a transplant, while delivering fair value to the person donating the organ. There are a number of problems with the view that legalizing the organ trade is beneficial. Such a move would exacerbate negative health outcomes for the poor, strengthening inequality, but such a move would also violate any reasonable standard of ethics, by inherently placing a price on one's life and health. This paper will expand on these points and make the case that we should not allow people to pay for organs.

    Today, medical operations save lives around the world, a feat that surely would surprise our ancestors. Many operations replace defective organs with new ones; for new organs to be ready to be implanted there need to be organ donors. We are not so advanced a society that we can grow replacement organs. Thousands of organ donors in the United States every year are seen as doing the most noble of deeds in modern civilization, and most of the time death has to occur before the organ can be used. Now, though, some are suggesting that organ donors—or their beneficiaries—should be paid for their donations. This should not happen, as it creates a strain on the already tight national budget, forces

They conclude that “research shows that the underlying motivation of most paid kidney donors is poverty” and that “paid kidney donation is associated with depression, regret, and discrimination” (The State of the International Organ Trade, 2007). In other words, throwing money at the poor in exchange for their organs will not get them out of poverty. Offering a financial incentive program for organ donation will allow the rich to exploit the poor and deprive the poor from life-saving donation. The demand for organs will likely remain higher than the supply; therefore, prices for organs will become competitive and eliminate the chance for the poor to receive a transplant. Implementing financial compensation would only serve to shift the demographic of organ recipients away from those with the greatest need to those with the greatest wealth.