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Ethical debate of organ donation
Organ donor scarcity of resources
Ethical debate of organ donation
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Organ Selling
For decades organ transplants have saved the lives of countless patients in need. However, over time, the gap between the supply and demand of donated organs has alarmingly widened. The shortage of altruistic donors raises the argument of whether the United States government should legalize commercial transplantation. Ethical discussions exhibit polarized debates of the topic, however, to efficiently save money and lives, the selling of organs should be legal.
In 1984, the United States government passed the National Organ Transplant Act. This law, which prohibits the buying and selling of organs, was created to allocate organs fairly and efficiently. However, the system in place today is no longer efficient. In 2016, the US
Department of Health and Human Services reported that 121,678 people were waiting for life-saving organ transplants. Furthermore, Rupert Major points out that, of these 121,678 people, only 10% would go on to receive an organ. Due to increased prevalence of diseases common to a ‘western’ lifestyle, the number of patients with chronic organ failure is rising. Thus, the necessity of more altruistic donors has become more evident over the past decades. As this pressure increases, the United States needs to consider the idea of financial compensation for organ donors. When Iran legalized the sale of organs in 1988, the number of transplants had almost doubled (Major). Iran’s well-developed system of providing incentives indisputably drew out more organ donors, solving the donor shortage and, consequently, saving the lives of thousands. Advocates of the Iranian model also insist that they have cleared their waitlist, and there is now no waiting time (Major). Legalizing a market for organs in the U. S. would bring the wait list down to zero people, thus effectively saving thousands of lives yearly. Today, the ban encourages an international black market, where desperate people end up buying organs, without protection or proper medical care (Berger). As the CATO institute affirms, these illegal practices have led to many deaths due to infections and malpractice. With a regulated organ market, patients would no longer need to take these measures, and the black market would be eliminated, thus saving the lives of many transplant patients. Along with saving lives, commercial transplantation would also save patients, donors, and taxpaying citizens thousands of dollars. For instance, the average estimated cost of dialysis is up to $70,000 per annum per patient (Major). By receiving an organ quickly from a compensated donor, a patient would be saving the money otherwise spent on dialysis due to years on the transplant list. Although the recipient’s insurance covers donors' immediate medical care, donors have to pay costs of travel and are not compensated for lost wages. Payment for organ donation would aid in covering any donor expenses. Finally, taxpayers might also benefit financially because the support of a kidney transplant recipient is less costly than dialysis.
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
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
The uncontainable despair of the weeping and screaming parents entering a room full of body bags containing the altered remains of their children. In a room drained with blood and surrounding fridges for the maintenance of the ejected organs, everything seems miserably surreal(“Children Kidnapped for Their Organs”). This is only one of the discovered cases of the daily dozens of people killed for organ harvestation. Adding up to ten thousand illegal operations in 2012 which translates to hourly sales (Samadi). These abhorrent acts add up as crimes against humanity which are triggered by a numerous amount of reasons; in order to stop these constant atrocities we must uncover the root of the causes.
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.
A pittance for your kidney? It’s highly unlikely that anyone would answer yes to that question; however what if someone offered significantly more than a pittance? A thousand dollars, or perhaps even five thousand dollars? Although the buying and selling of organs is illegal on American soil, it’s no secret that the opportunity exists in other countries around the world. “In America, we have waiting list for people who are trying to get kidneys, there they have people who are on a wait list to sell their kidneys” (Gillespie). It’s quite incredible how a country cut off from western civilization, like Iran, has found such an innovative way to encourage organ donation. In American society one needs to “opt in” if they wish to participate in 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).
My claim: I argue in favor of the right to die. If someone is suffering from a terminal illness that is: 1) causing them great pain – the pain they are suffering outweighs their will to live (clarification below) 2) wants to commit suicide, and is of sound mind such that their wanting is reasonable. In this context, “sound mind” means the ability to logically reason and not act on impulses or emotions. 3) the pain cannot be reduced to the level where they no longer want to commit suicide, then they should have the right to commit suicide. It should not be considered wrong for someone to give that person the tools needed to commit suicide.
People that are desperate to have an organ transplant normally are the buyers of illegal human organ sales. For someone in dire need of an organ transplant, a willing donor holds the key to life (Cherry, Mark J, 1999). While many people are for human organ donation, there are many that feel human organ donation is a form of exploitation (Cherry, Mark J, 1999). The question still rises today of does the right to sell one’s body parts rest within the person or the government (Wilkinson, Stephen, 2003)? Should the government be able to tell someone
Since the 1970s, organ transplants have been in trouble with over 10 Americans dying daily while waiting on the transplant list (Fentiman, 1998). Organ donation can bring about extensive ethical matters, but humans can choose and should choose to donate organs and tissues. Organs from living donors are lung, liver, intestine, pancreas, heart, and kidney (Cook, 2006). Postmortem, the entire body can be donated and used to save the life of another. In either case, the ability and/or right to donate human organs in the United States is a moral responsibility as humans because it saves lives, decreases the chance of organ sales on the black market, and aids in furthering scientific research.
Back in 1954 Dr. Joseph Murray and Dr. David Hume preformed the very first successful organ transplant that utilized a living donor ("History of Organ Donation & Transplants | New York Organ Donor Network," 2015). That miraculous event shows how far medical miracles have gone, and are continuously going. Organ transplants are permitting people to live longer and healthier lives. The only issue is that there is just not enough supply to meet the amount of demand. People should become organ donors, and be allowed to donate if they choose, because it can save lives and help to put an end the black market on organ sales.
Nadiminti, H. (2005) Organ Transplantation: A dream of the past, a reality of the present, an ethical Challenge for the future. Retrieved February 12, 2014 from http://virtualmentor.ama-assn.org/2005/09/fred1-0509.html
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.
...nts will die before a suitable organ becomes available. Numerous others will experience declining health, reduced quality of life, job loss, lower incomes, and depression while waiting, sometimes years, for the needed organs. And still other patients will never be placed on official waiting lists under the existing shortage conditions, because physical or behavioral traits make them relatively poor candidates for transplantation. Were it not for the shortage, however, many of these patients would be considered acceptable candidates for transplantation. The ban of organ trade is a failed policy costing thousands of lives each year in addition to unnecessary suffering and financial loss. Overall, there are more advantages than disadvantages to legalizing the sale of organs. The lives that would be saved by legalizing the sale of organs outweighs any of the negatives.