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The problem of organ donation
Ethical implications of organ transplant 2018
The problem of organ donation
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In the year 2012 in the United States of America alone, 95,000 men, women, and children were on the waiting list for a transplanted kidney. This issue is discussed in the articles: “Cash for Kidneys: The Case for a Market for Organs” and “When Altruism Isn’t Moral”. The authors of “Cash for Kidneys: The Case for a Market for Organs” Gary S. Becker, a professor of economics at the University of California, and Julio J. Elias, a professor at the Universidad del CEMA in Argentina, don’t agree fully with the author of “When Altruism isn’t Moral” Sally Satel, a psychiatrist, who received a transplanted kidney herself. She explains in her article how selling one’s bodily organs for a profit is unethical (Axelrod and Cooper 225). They may not agree on how to solve the transplantable organ deficit, but both agree that it is a major issue. The transplantable organ deficit is a problem at an all-time high and providing money as a form of compensation, though it may be unethical, may be …show more content…
The number of those waiting for organs grows every year just as our population. The average amount of time someone who needs a transplant will wait is around eight years. However, some people in need of transplants will never receive the life saving organ. On average, four thousand people die every year, because they cannot survive the wait to get a transplant. Many people agree that to drum up donations, people need to be compensated for their donation, but it is not well agreed upon what the compensation should be. Both articles are about solutions to how we should compensate these donors and increase donations. Becker and Elias argue that the most effective means of compensation is monetary compensation. Conversely, Sally Satel argues that donating for monetary compensation would cause morality problems because people will donate for
Yearly, thousands die from not receiving the organs needed to help save their lives; Anthony Gregory raises the question to why organ sales are deemed illegal in his piece “Why legalizing organ sales would help to save lives, end violence”, which was published in The Atlantic in November of 2011. Anthony Gregory has written hundreds of articles for magazines and newspapers, amongst the hundreds of articles is his piece on the selling of organs. Gregory states “Donors of blood, semen, and eggs, and volunteers for medical trials, are often compensated. Why not apply the same principle to organs? (p 451, para 2)”. The preceding quote allows and proposes readers to ponder on the thought of there being an organ
It is said that “Some agree with Pope John Paul II that the selling of organs is morally wrong and violates “the dignity of the human person” (qtd. In Finkel 26), but this is a belief professed by healthy and affluent individuals” (158). MacKay is using ethos the show the morality of those that believe it is wrong for organ sales. The morals shown are those of people who have yet to experience a situation of needing a new organ. Having a healthy and wealthy lifestyle, they cannot relate to those that have trouble with money and a unhealthy lifestyle as the poor. The poor and the middle class are the ones that suffer being last on the list for a transplant, thus have different ethics. Paying an absurd amount of money and still having to be at the bottom of the list for a transplant, is something no person anywhere in the world should have to
In her article, Satel criticizes the current methods governing organ sharing in the United States, and suggests that the government should encourage organ donation, whether it was by providing financial incentives or other compensatory means to the public. Furthermore, the author briefly suggests that the European “presumed consent” system for organ donation might remedy this shortage of organs if implicated in the States.
Satel starts her essay with an appeal to emotion, detailing the shortage of organ transplants and the deaths that result. She emphasizes her personal struggle and desperation over the need of a kidney transplant. Unable to discover a match and dialysis soon approaching, she “wondered about going overseas to become a “transplant tourist”, but getting a black market organ seemed too risky.”(Satel, 128) She argues for a change in the United States donor system policy to mimic the European system of implied consent. Satel also argues for the implementation of an incentive system to compensate donors for their organs, in order to increase the amount of available donors in the system. Her argument has insignificant weaknesses in comparison to her strongly supported and validated points.
Critics of kidney sales argue that impoverished people are more likely to sell their organs than the rich. (Matas, 2004) They claim that the practice of kidney sales is injustice since vulnerable vendors are targeted and that they may suffer from lengthy health problems after the operations which may eventually lead to the loss of jobs. (Bramstedt, 2010)
The selling of human organs for transplants is a highly debated topic in the healthcare industry today. The National Organ Transplant Act of 1984 prohibits compensating organ donors for their donations. Over 100,000 Americans have kidney or liver disease, and are in need of transplants to survive. The average waiting time for a kidney transplant, once on the list, is 4.5 years, while, liver disease is less common with a waiting time of 430 days. Nonetheless, the fact is that there are not enough organs donated annually to meet these high demands. By creating a regulated market for buying and selling human organs, it would increase the number of lives saved, help families with expenses, and greatly ease the anguish that many sick individuals endure while in hope of a transplant.
It’s important to realize that many Americans believe organ donation should simply be just that, a donation to someone in need. However, with the working class making up roughly 60% of society it’s extremely unlikely that a citizen could financially support themselves during and after aiding someone in a lifesaving organ transplant. The alarming consequence, says bioethicist Sigrid Fry-Revere, is that people waiting for kidneys account for 84 percent of the waiting list. To put it another way Tabarrok explains, “In the U.S. alone 83,000 people wait on the official kidney-transplant list. But just 16,500 people received a kidney transplant in 2008, while almost 5,000 died waiting for one” (607). Those numbers are astronomical. When the current “opt-in” policy is failing to solve the organ shortage, there is no reason compensation should be frowned upon. By shifting society’s current definition regarding the morality of organ donation, society will no longer see compensation for organs as distasteful. Citizens will not have to live in fear of their friends and family dying awaiting an organ transplant procedure. A policy implementing compensation would result in the ability for individuals to approach the issue with the mindset that they are helping others and themselves. The government currently regulates a variety of programs that are meant to keep equality and fairness across 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 belief in equal medical care for every individual regardless of their ability to pay for the service is severely violated (Caplan, 2004).
“Organ Sales Will Save Lives” by Joanna MacKay be an essay that started with a scenario that there are people who died just to buy a kidney, also, thousands of people are dying to sell a kidney. The author stood on her point that governments should therefore stop banning the sale of human organs, she further suggests that it should be regulated. She clearly points that life should be saved and not wasted. Dialysis in no way could possibly heal or make the patient well. Aside from its harshness and being expensive, it could also add stress to the patient. Kidney transplant procedure is the safest way to give hope to this hopelessness. By the improved and reliable machines, transplants can be safe—keeping away from complications. Regulating
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.
Death is an unavoidable factor in life. We are all expected to die, but for some of the people the end does not have to come too soon. Joanna MacKay in her article Organ Sales Will Save discuss how the legalization of the organs sale, possesses the capability of saving thousands of lives. MacKay in her thesis stipulates that the government should not ban the human organs sale rather they should regulate it (MacKay, 2004). The thesis statement has been supported by various assertions with the major one being that it shall save lives. The author argues that with the legalized sale of organs, more people would be eager to donate their kidneys.
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 to increase the number of donated organs which would be morally and ethically acceptable.
“Kidneys for Sale: A Reconsideration” written by Miriam Schulman, tells the story about a time when she was an assistant director for the Santa Clara University. She has once published, an article about kidneys and organs being for sale? In this article Schulman explains, about the ethical issues that are raised by a market in human body parts. This article has people asking for advice on what to do if they wanted to sell their own organs. There are, three things that has impacted Schulman’s story they are shortages of donated organs, commodification of human life, and organ not doing any harm.
Kidney Function Introduction and definition of terms: The kidneys are the main organs in the urinary system. They filter waste products out of blood from the renal artery. These are then excreted. Useful solutes are reabsorbed into the blood. They also have a major homeostatic role in the body, and help to control the water content (osmoregulation) and pH of the blood.
In conclusion, although there are some valid reasons to support the creation of an organ market based on the principles of beneficence and autonomy, there are also many overriding reasons against the market. Allowing the existence of organ markets would theoretically increase the number of organ transplants by living donors, but the negative results that these organ markets will have on society are too grave. Thus, the usage of justice and nonmaleficence as guiding ethical principles precisely restricts the creation of the organ market as an ethical system.