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Ethical issues with organ donation
Ethical issues with organ donation
Ethical issues with organ donation
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Should donors be paid for organ donations?
People die every day awaiting a kidney transplant. Many of these deaths will be avoided if organ donors were allowed to be paid. According to the article “"Cash for Kidneys: The Case for a Market for Organs," the need for organs is great. "In 2012, 95,000 American men, women and children were on the waiting list for new kidneys, the most commonly transplanted organ" (Becker, Gary S. and Julio J. Elias 222). The need for organs far exceeds the number of people willing to donate an organ. Why can someone not pay people to donate one of their organs? Is it unethical to offer financial compensation for human organs?
The majority of kidney donations from live donors come from a family member. Often,
Obviously, people who are rich already have an easier time getting an organ transplant. The rich can more easily afford the costs; the poor will not have any more of a cost disadvantage than they already have. Epstein gives these reasons to support his idea that selling organs is not immoral. He does not accurately consider the immoral consequences of allowing organ sales by law. Compensating people for a good deed that is supposed to be selfless will completely change the nature of the action and the motivation behind it. Using money as motivation can be dangerous because of the manner in which harvesting the organ may occur and because of who may be reaping the benefit of the organ sale. Someone could use violence or could misuse their judgment to obtain the money from the organs of another person. Organs should only be allowed to be donated, not sold. Traditionally, donating organs is an act of giving in order to save someone else’s life; it allows a person to be a Good Samaritan. Willingly donating an organ keeps the focus on giving to others, instead of using a motivator that can corrupt, such as money.
Do you want to be a superhero in someones life then you should consider being an organ donor. Why would I want to be an organ donor you may ask? Well for one after you die your organs could be used to help someone else live. Wouldn't that be cool, you could help people after you have passed on. You can be a organ donor at any age. You can also be a organ donor while you are still alive. The need is constantly growing for organ donors and it is very simple to be an organ donor when you die. Signing up for organ donation will save more lives. Becoming an organ donor is simple and can save the lives of many individuals needing your help. You have the power to save.
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.
The human body; it starts off as a single cell, and grows into a complex machine made of seventy eight distinct organs, two hundred and six bones, and millions of nerves that all communicate with each other to regulate body processes and keep the machine alive and healthy. This seemingly perfect system undergoes countless attacks every day, and manages to recover from most, although occasionally, it can not. Diseases such as Cystic Fibrosis and Coronary Artery Disease, or abnormalities and defects such as biliary atresia, can all disrupt the function of human organs (“Transplant Australia”, n.d ). Thankfully, through radical advancements in modern medicine, organ transplants are a safe and highly viable option to restore the human body’s perfect harmony. No matter the reason for organ failure, once it occurs, the patient’s journey to receiving a new organ begins. Through the matching of organs, the process and the complications that come with it, the ethical issues, and trials of new advancements, the journey is a long one.
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).
When viewing organ donation from a moral standpoint we come across many different views depending on the ethical theory. The controversy lies between what is the underlying value and what act is right or wrong. Deciding what is best for both parties and acting out of virtue and not selfishness is another debatable belief. Viewing Kant and Utilitarianism theories we can determine what they would have thought on organ donation. Although it seems judicious, there are professionals who seek the attention to be famous and the first to accomplish something. Although we are responsible for ourselves and our children, the motives of a professional can seem genuine when we are in desperate times which in fact are the opposite. When faced with a decision about our or our children’s life and well being we may be a little naïve. The decisions the patients who were essentially guinea pigs for the first transplants and organ donation saw no other options since they were dying anyways. Although these doctors saw this as an opportunity to be the first one to do this and be famous they also helped further our medical technology. The debate is if they did it with all good ethical reasoning. Of course they had to do it on someone and preying upon the sick and dying was their only choice. Therefore we are responsible for our own health but when it is compromised the decisions we make can also be compromised.
The federal government prohibits the sale, as opposed to the donation, of human organs. Under the National Organ Transplant Act of 1984 (NOTA), it is a felony to give or receive compensation for them. Legalizing sales has been discussed in some circles, but proposals to let people sell their own organs as they see fit do not appear at the top of the list of most discussed issues, or anywhere close to the top (Jason). Recently, as the danger, rarity, and cost of organ transplants have gone down, the number of available organs has followed.
But it exists today: an illegal market in human organs, black markets. Selling a body part seems unethical, but a closer look, reveals no bright line in the laws of most countries. It is legal for men to sell their sperm, for women to sell their limited number of reproductive eggs or use their wombs as surrogate mothers, people who selling their hairs and blood. And it is not understandable and clear why the same standards should not be applied to organs donation such as kidney, part of liver. These organs donation are not riskier than other plain medical surgeries or operations. Research and experience in medicine shows that with one kidney and part of the liver which grow back fast person can live normal healthy life. Many people who might be persuaded that organ donation is safe have another problem: the burden of organ donation fall on those who are already financially disadvantage. Suffering of the poor people would be increased by a market for a human organ is not a trivial one. American law attempts to protect poor people by prohibiting for selling organs. The problem is these attempts hurt poor, donors, human lives. The results of not enough organ donors in United States, combined with the legal sale of organs, there is a black market also. Every year a thousands of people from wealthy countries, including US, travel to poorer, less legally serious countries to buy kidneys
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.
Rachael Rettner comments “One of the biggest fears with introducing financial incentives is that it might lead to an organ market and create a situation in which the rich could exploit the poor for organs.” Delmonico shares that “Once you insert monetary gain into the equation of organ donation, now you have a market. Once you have a market, markets are not controllable, markets are not something you can regulate. The problem with markets is that rich people would descend upon poor people to buy their organs, and the poor don’t have any choice about it.” However, if we make it so that it is regulated and insurance pays for organs it will not matter how rich or poor you are it will only matter about the person 's health and who needs the organ the most. People may see it has morally wrong. That the human body should not be sold and traded for money. That an individual 's body should be protected. However, it is also thought that it is an individual 's body and they should be able to do what they want with it. Overall, it will be better to save lives of thousands of people.
One of the most important and prevalent issues in healthcare discussed nowadays is the concern of the organ donation shortage. As the topic of organ donation shortages continues to be a growing problem, the government and many hospitals are also increasingly trying to find ways to improve the number of organ donations. In the United States alone, at least 6000 patients die each year while on waiting lists for new organs (Petersen & Lippert-Rasmussen, 2011). Although thousands of transplant candidates die from end-stage diseases of vital organs while waiting for a suitable organ, only a fraction of eligible organ donors actually donate. Hence, the stark discrepancy in transplantable organ supply and demand is one of the reasons that exacerbate this organ donation shortage (Parker, Winslade, & Paine, 2002). In the past, many people sought the supply of transplantable organs from cadaver donors. However, when many ethical issues arose about how to determine whether someone is truly dead by either cardiopulmonary or neurological conditions (Tong, 2007), many healthcare professionals and transplant candidates switched their focus on obtaining transplantable organs from living donors instead. As a result, in 2001, the number of living donors surpassed the number of cadaver donors for the first time (Tong, 2007).
Organ transplantation is apperceived as one of the most prehending achievements for preserving life in medical history. This procedure provides a means of giving life to patience’s who suffer from terminal organ failure, which requires the participation of individuals; living or deceased, to donate their organs for the more preponderant good of society.
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.
Selling organs will saves lives in many different ways also. People are dying because they are illegally selling their organs in the black market or even selling there organs in insane prices to other people. As in Germany, it will coast around $3500 to donate a liver. But in other i...