Organ Transplantation and Ethical Considerations
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
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First, let's address equality as it applies to justice. All other things being equal, who holds a claim to the organs available for transplant in the United States—just citizens, or illegal immigrants, too? A recent Chicago news source cited the tragedy of "American taxpayers and their children who died last year waiting for the transplant that Duke University Hospital chose to give to a citizen of a foreign nation" (Bailey, 2). This article went on to state that our system "rewards illegal aliens for entering the United States to access our health care system, thus condemning some of the American taxpayers who pay for that system to premature deaths. Few could deny the sheer unfairness of such a situation" (Bailey, 2). But how true are these statements? Are organs allocated in a way that promotes inequality for American citizens? An ethicist's first responsibility is to look at the facts, and the facts in this instance tell a different story.
According to the United Network for Organ Sharing (UNOS), American citizens are more likely to receive organs of non-citizens than vice versa; "As a percentage, every year, U.S. citizens receive more organs than they donate" (Vedantam, 2). Also, UNOS limits the number of transplants allotted to non-citizens to no more than five percent of available organs; however, no limits on donations are made (Vedantam, 2). These facts indicate that Americans are benefiting from the organ donations of
“The principle of nonmaleficence states that we should act in ways that do not inflict evil or cause harm to others” (Morrison, 2011). Specifically, we should not cause preventable or intentional harm. The principle of nonmaleficence can be applied to transplant allocation because the modern array of medical interventions has the capacity to do good or harm, or both, thereby involving principles of nonmaleficence. An example of this would be the procurement of an organ though exploitation of payment to the
A continuing problem exists in trying to close the gap between the supply and demand of procured organs in the United States. An increase in the amount of transplant operations performed has risen significantly over time. As a result, a new name is added to the national waiting list every 16 minutes (Duan, Gibbons, & Meltzer, 2000). It is estimated that about 100,000 individuals are on the national transplant waiting list at all times (Munson, 2012). Something needs to be done before these numbers get completely out of control. Despite the introduction of Gift of Life and many other educational efforts, the United
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”).
Nicky Santos, S.J., a visiting scholar at the Ethic Center, claims that people who are desperate often make decisions that are not the most beneficial for themselves, which then results in the rich having the privilege of excellent health care while the poor do not. There is also the “do no harm” rule in bioethics that forbid procedures that might harm donors. The question lies in whether we can make sure that donors’ health won’t be jeopardized in the transaction. On the contrary, some might say that not giving donors incentives actually put their health to more risk since no incentives have been given to pay for their medical bill in case the donors are harmed. There has also been debates about whether organ donation should remain as an act of altruism or should we instead move along to justice. While some might value such humanity and hate the idea of it being
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
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.
In this paper I will be using the normative theory of utilitarianism as the best defensible approach to increase organ donations. Utilitarianism is a theory that seeks to increase the greatest good for the greatest amount of people (Pense2007, 61). The utilitarian theory is the best approach because it maximizes adult organ donations (which are the greater good) so that the number of lives saved would increase along with the quality of life, and also saves money and time.
There are a lot of different things that are going on in this world today that keep people from doing right by God. People need to know that the selling of the organs can make things worst in the country that can cause lots of problem for people who do not have the money to pay the price for organs. It comes a time that if someone needs an organ real bad to help save their life and do not have the money to pay for the organ, what will happen then. There would be people who would like for people to be able to just donate organs so they can help save lives in our country without looking for something in return. People can make a lot of different in our children life if they see that we as adults are doing something positive in the world makes them want to follow in our footsteps and love and care for everyone knows matter what the situation is looking like. People feel that if the selling of the organs would become legal to do, the only people who would be able to afford to buy organs would be the ones who has lots of money and want miss a dime when buying organs. “Being able to pay for an organ, would give an unfair disadvantage to those who may need the transplant more urgently but don’t have the money to offer. Being that there is limited number of organs from dying patients, and limited organs that can be donated from living patients.” (https://answers.yahoo.com/question/index?qid)
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 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.
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.
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 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,
Should organ donors get compensation for giving their organs to somebody else? Organ donors should get compensation because they are giving away their own organs to someone they may not even know or even met. They also have to deal with the medical expenses for getting their organ removed which shouldn’t be necessary because they are helping save someone’s life. They are also giving up something that belongs to them for the benefit of someone else, which they should at least get rewarded for their act of kindness.
Twenty people die each day waiting on something they thought they would receive (“Organ Donation Statistics”). Organ donation has given people a second chance at life since 1954. However, many people do not take the step of registering to become an organ donor. Some people simply do not understand organ donation, therefore are unwilling to register as a donor. Everyone needs to register to become an organ donor because it is free, it is giving people a second chance at life, it will increase the opportunities for medical research, and each year more and more people need an organ donation.