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Monetary compensation for organ donors
Ethical dilemmas of legalizing organ sales
Ethical dilemmas of legalizing organ sales
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Organ Sales: An Exploratory Essay
Imagine being a hospitalized patient waiting for an organ donation to save your life, knowing that the amount of people in need of organs outweigh the amount of donors. This is a sad reality for many people across the United States due to the lack of available organs. The debate over monetary payment to donors to increase available organs has been an ongoing fight for over 30 years. In 1984 an act was passed to put tight restrictions on organ sales through Task Force on Organ Procurement and Transplantation, which resulted in a depleted amount of available organs. This act that changed the organ sales industry was called the National Organ Transplant Act (NOTA). NOTA was originally created to stop exploitative and illegal sales between donors and patients, but turned into a method of decreasing organ availability for patients around the world. I explored two articles over the complications of organ sale legality to discover if the monetary payment of organs should be outlawed. The first article focuses on the different market factors that affect the public opinion and the second explores the financial incentive declined caused by organ donations.
In, “Kidneys For Sale: Who Disapproves, and Why?”, Stephen Leider and Alvin Roth conducted a study to research the general opinion of kidney sales. Leider and Roth investigated three hypotheses on the disapproval of kidney markets by sending out internet surveys to a representative sample of Americans. They compared four potential kidney markets: living versus deceased donor types and individual versus government purchaser types. The different markets were described through low context questions and the respondents were given a 7-point scale to rate the...
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...ehind their decision on selling organs. Though my understanding of the deciding process behind organ sales has broadened, I still have questions concerning how the financial aspect of organ sales effects the problem of organ shortages. The idea of the “crowding out” effect perplexes me and I want to know more about how it can sway the overall drive to avoid selling organs. I now understand the difference between “intrinsic” and “extrinsic”, but I would like to know more about the role it plays in the influence of organ sales on a person’s general opinion. After learning the reasoning behind monetary sales of organs, I would like to gain more knowledge about the financial side of this topic to fully understand all sides of the organ sales problem. It’s safe to say, before deciding whether to be for or against organ sales, it’s important to get the inside scoop first.
“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
However, Saunders begins his argument by arguing that the current opt-in system leads to a shortage in the supply of organs and this is a major concern. This results in numerous people who need organs dying while on waiting lists and also suffering while waiting for transplant as one of their organs is failing. This is Saunders’ first premise to support his conclusion to put an opt-out system in place. By putting an opt-out system in place, this will contribute to an increase in the supply of organs.
Joanna MacKay says in her essay, Organ Sales Will Save Lives, that “Lives should not be wasted; they should be saved.” Many people probably never think about donating organs, other than filling out the paper work for their drivers’ license. A reasonable amount of people check ‘yes’ to donate what’s left of their bodies so others may benefit from it or even be able to save a life. On the other hand, what about selling an organ instead of donating one? In MacKay’s essay, she goes more in depth about selling organs. Honestly, I did not really have an opinion on organ sales, I just knew little about it. Nonetheless, after I studied her essay, I feel like I absolutely agreed with her. She argues that the sale of human organs should be authorized. Some crucial features in an argument consist of a clear and arguable position, necessary background information, and convincing evidence.
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
Imagine being told that your kidney does not function anymore, and having to wait an average of ten years of waiting for a transplant, and yet being afraid of dealing with the black market for a new organ. Joanna Mackay believes that these lives lost every day can be saved, as said in her essay “Organs Sales Will Save Lives”. MacKay’s purpose is to decriminalize organs sales. The rhetorical strategies used by MacKay are ethos, logos and pathos. These 3 strategies are used to persuade the audience of the benefits that may come to both the donor and the patient if decriminalized.
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 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.
Organ sales and donation are a controversial topic that many individuals cannot seem to agree upon. However, if someone close; a family member, friend, or someone important in life needed a transplant, would that mindset change? There are over one hundred and nineteen thousand men, women, and children currently waiting on the transplant list, and twenty-two of them die each day waiting for a transplant (Organ, 2015). The numbers do not lie. Something needs to be done to ensure a second chance at life for these individuals. Unfortunately, organ sales are illegal per federal law and deemed immoral. Why is it the government’s choice what individuals do with their own body? Organ sales can be considered an ethical practice when all sides of the story are examined. There are a few meanings to the word ethical in this situation; first, it would boost the supply for the
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)
In the essay “Organ Sales Will Save Lives” by Joanna McKay, she uses claims, reasons, and evidence to support her idea that it should be legal to sell organs. One claims made by McKay is “Governments should not ban the sale of human organs; they should regulate it.” Ms. McKay feels strongly about the selling of organs being legalized, and she uses ample amounts of reasons and evidence to argue her claim. A reason McKay gives for legalizing organ sales is by legalizing the sale of organs, more people would be willing to part with an organ to save a stranger’s life. In her argument, she points out that legalizing organ sales would give more people the opportunity to have transplants to save their lives because more people would want to give up
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).
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.
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.