Figuring out how to allocate limited quantities of medications and donor organs is among the largest ethical and legal issues in healthcare. There is a concern as to whether or not there will be enough medications to go around in the future and how will these limited quantities be distributed. When shortages happen it is usually because economic incentive for a manufacturer is down. Money is king and if there is no profit to be made in manufacturing these medications then manufactures will not waste production time on them. Drug shortages will be a prevailing issue unless we can figure out how to give drug companies economic incentive to create and distribute these drugs. Until then the supply and demand of these drugs are vulnerable to problems that are inherent to the laws of economics.
Allocating the dispersion of donor organs can be difficult ethically and legally for healthcare workers. On one side they want to do right by their patient but they are bound by strict laws and medical guidelines. To speak economically there is simply and excess of demand over supply so many that need those organs will often go without or wait an excessive amount of time.
Recently with the Affordable Care Act, research and campaigns to encourage organ donors these problems are being met head on. The Food and Drug Administration is also taking action to prevent future drug shortages and their causes. Major ethical dilemmas and cases will be highlighted in order to demonstrate
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.
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
The need of human organs for transplantation increases every single day and every passing month. Thousands of people are on the waiting list hoping for a chance at a new life. Unfortunately, the supply of available organs through organ donations is not able to provide for the growing demand of organs. According to a research conducted by the Hasting Center, “there are close to 100,000 people on the waiting list for a kidney, heart, liver, lung, and intestines, the pressure to find ways to increase their supply is enormous (Capland, 2014, p. 214). The shortage of human organs is leading people to participate in unethical acts. The pressure of finding available organs has resulted in healthcare professional and
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
Currently, there are over 120,000 Americans on the waiting list to receive an organ (Alter). This incredibly high number of people in need of an organ transplant is the tragic outcome of the National Organ Transplant Act of 1984, which prohibited the sale of human organs and almost all forms of compensation (Monti). The act was originally intended to prevent exploitation of the poor, who found that selling their own organs to the wealthy was a quick and easy way to earn large amounts of money. Over the years, it became more evident that banning organ donor compensation actually discriminated against the poor rather than protected them, by ensuring that only the wealthy could afford such operations. Since the act went into effect, the demand for organs has greatly increased by a whopping 1,200% while the supply for organs has basically remained
It is an indisputable fact that under the National Organ Transplant Act of 1984, there is a larger demand for organs than there is available supply. As a result, people in need of kidney or liver transplants die every year while waiting. Under the current system, the only way to receive an organ transplant is either by having a family member selflessly volunteer to donate theirs, or by being put on a waiting list to receive an organ from the recently deceased. To combat this lack of supply, some in need of transplants desperately turn to the black market, paying enormous sums of money for organs that were more than likely taken illegally. Others die waiting for a transplant that was never realistically going to happen in time. In essence, the gap between supply and demand for organs is causing both a loss in quantity and quality of lives. However, changing policy to allow payments to organ donors would drastically reduce this gap, therefore decreasing wait time for organs and saving lives. The crucial step that must be taken to save these lives is to repeal the National Organ Transplant Act of 1984 which prohibits the sale of organs.
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.
Many people are dying each day because of the lack of organs available. Waiting lists can be as long as 106,000 people. On an average 17 patients in need of transplants die each day. Is this fair to the families or is selling organs a better option?
Imagine, waking up one morning a transplant patient in need of an organ, finding out that there was a law just passed that permitted a patient to purchase the needed organ legally. Fortunately, there are those in the medical community that believe that the legalization of organ sales, is the only way to alleviate the rapidly growing problem of the shortage of available organs needed for transplants. The fact that altruism the premise that the donor program was first established under, is not able to meet the serious issue of supply and demand, has forced the medical community to look for other remedies. Consider a campaign launched by the federal government (politicians) in conjunction with the medical community, drug, and insurance companies that would bring awareness to the general public that focused on the need to legalize the sales of live human organ donor sales. There is also another side to this debate, there are those that are adamantly opposed to this concept, they believe that legalization will create more problems than it will solve. What this essay will examine is the
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
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.
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
Holding the hand of a loved one as they gradually and painfully die from kidney failure arises frequently in this country where the selling of organs is illegal. Selling organs is ignorantly viewed as unethical in the United States of America, and due to this, people that otherwise could have been saved, die. Backed into a corner, this also forces some to turn to darker means of attaining what is essential to survive: the black market. Numerous cases ranging from unjust murder to human trafficking for organs in the black market transpire when ill citizens travel this treacherous path for a body part. This could simply be prevented if the Government legalized organ sales and compensated those who donated an organ. Permitting an
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
In the United States, there are over one hundred thousand people on the waiting list to receive a life-saving organ donation, yet only one out of four will ever receive that precious gift (Statistics & Facts, n.d.). The demand for organ donation has consistently exceeded supply, and the gap between the number of recipients on the waiting list and the number of donors has increased by 110% in the last ten years (O'Reilly, 2009). As a result, some propose radical new ideas to meet these demands, including the selling of human organs. Financial compensation for organs, which is illegal in the United States, is considered repugnant to many. The solution to this ethical dilemma isn’t found in a wallet; there are other alternatives available