During my first clinical rotation I was assigned a patient who, down to his last kidney, was living with end stage renal disease. I noticed quickly that this man, one of ethnical minority, relied on his family members to give him information and advice pertaining to his treatment, as he himself seemed ignorant to his own medical problems. I found his case fascinating, as he not only had one kidney, but he was also suffering many other debilitating medical crisis’, all brought on by his failing renal system. I distinctly remember wondering why transplantation was not being discussed, or if it was even an option for him. My interest led me to discovering a disproportionate disparity among those who receive live donor kidney transplants, referred to as LDKT, in the United States.
It is first important to understand that live kidney transplants have many benefits when compared to deceased donor transplants. Among these benefits include prolonged survival rates of up to 18 years. Also, living donor kidneys begin functioning almost immediately after surgery, and, lastly, there is the added benefit of bypassing a waiting list, limiting time spent, if any, on dialysis (Mysel, 2016). Interestingly, the majority of recipients of LDKT transplants in the United States are white. In juxtaposition, renal disease is actually more prominent in minorities such as African Americans and Hispanics. End Stage Renal Disease has an incidence rate three times higher in African Americans than
“Of the more than 101,000 people in the United States who need a kidney, fewer than 17,000 will receive a transplant this year.” Every day people die from not receiving the transplants they need and every day more people are added to the transplant list. “Tragically, more than 7,000 of the people waiting for a kidney either died or were dropped from the list because they had become too sick to qualify for a transplant.” The majority of the donors in the United States are deceased at the time that their organs are harvested. Society is just not donating their organs, even when we can live a perfectly healthy and happy
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
For over 13 year I have worked in healthcare and I have seen multiple patients die from organ failure as they waited on the transplant list. I’ve seen patients lose their quality of life as they sit in hospitals for weeks and months at a time as they waited for a kidney transplant. I also know people who have donated the organs of their loved ones and were blessed to know that their loss was the beginning of another person’s life.
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.
To further commend her argument, Satel analyzed the short term amd long term risks an organ donor faces and to a reasonably fact, “The truth is that a normal person can get along perfectly well with one kidney. The risk a donor runs is that his single functioning kidney will become deceased or injured and he’ll need a transplant himself—a highly unlikely event” (Satel 451).
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
In the essay " Kidneys for Sale: A Reconsideration" by Miriam Schulman, kidneys are fair in our lives. The writer talks with important things in our lives related to our organs specificly kidneys. Everyday almost 17 people die when they wait for a suitable organ. In 2011, in United States, kidney transplants were about 15,417. They had a healthy way to transplant kidneys to other people. As they got it tested wheather if they can accept it or not. After transplangt there has been seen no harm. Ninty percent of people got kidneys from a living- donor and 82 % of people from died-donor. When they get it from poor people, they remain still alive at least five years. Actually the poor people sell their kidneys.
Dr. Richard Martin Ruiz, MD, FACS has the background that can influence health policy at the local, state, and national level. The information that is gained through the research projects, he shares through national publications as well as through oral presentations at state and national conferences. By being a voting member of the United Network for Organ Sharing (UNOS)/Organ Procurement and Transplant Network (OPTN) Minority Affairs Committee, Dr. Ruiz can influence health policy. UNOS is “the private, non-profit organization that manages the nation’s organ transplant system under contract with the federal government” (UNOS, 2017). OPTN is the “public-private partnership that links all professionals
David Trujillo is a 29-year-old man who was born with renal dysplasia, which caused his kidneys to be too small to work correctly. He has needed four kidney transplants in his life, receiving the first when he was four years old. One kidney came from his father, his aunt, his uncle, and his brother. All four transplants have been successful, and without the transplants Trujillo would have to receive dialysis three times a week for four hours a day (Knoll, 2012). Trujillo’s family has been remarkably generous in donating their own kidneys to keep Trujillo alive. Others, however, are not as lucky as Trujillo.
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.
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).
Innovative advances in the practice of medicine have increased the life span of the average American. This along with the growing population in the United States and has created a shortfall in the number of organs available for transplant today. The current system of allocation used to obtain organs for transplant faces difficulty because of two primary reasons according to Moon (2002). The two perceptions that stop potential organs donors are that the allocation criteria is unfair and favors certain members of society and/or that organs may be allocated to someone who has destroyed their organs by misuse (Moon, 2002). Many individuals decline to donate organs because anyone requiring an organ transplant is placed on a waiting list and it is possible that individuals who have destroyed their organs by their own actions or convicted criminals could receive donated organs before someone whose organs are failing through no fault of their own and positively contribute to society. When a celebrity or wealthy individual requires a transplant they are often viewed as "jumping" the waitlist but
Kidney disease has become more prevalent over the years, one in nine Americans has chronic kidney disease, resulting in the need for a kidney transplant. Kidney failure is caused by variety of factors resulting in damage of the nephrons, which are the most important functioning unit of the kidneys. Kidney failure can be broken down into three groups: acute, chronic, end-stage. Once kidney failure is irreversible, dialysis or transplantation is the only method of survival. To avoid a kidney transplant, one needs to be aware of the pre-disposing factors, signs and symptoms, available treatments, and proper diet.
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.