Putting Patients First Increasing Organ Supply For Transplantation

Each day, nearly 60 Americans receive a transplanted kidney, liver, or other organâ€"a literal "second chance at life"â€"but 11 others die waiting for an organ transplant. The number of donors, although rising, is not growing fast enough to meet the increasing demand. Intended to improve the current system of organ procurement and allocation, the "Final Rule," a 1998 regulation issued by the U.S. Department of Health and Human Services, sparked further controversy with its attempts to eliminate the apparent geographic disparities in the time an individual must wait for an organ. This book assesses the potential impact of the Final Rule on organ transplantation. It also presents new, original analyses of data, and assesses medical practices, social and economic observations, and other information on: access to transplantation services for low-income populations and racial and ethnic minority groups; organ donation rates; waiting times for transplantation; patient survival rates and organ failure rates leading to retransplantation; and cost of organ transplantation services.

Organs for Sale is a study of the bioethical question of how to increase human organ supply. But it is also an inquiry into public moral deliberation and the relationship between economic worth and the value systems of a society. Looking closely at human organ procurement debates, the author offers a critique of neoliberalism in bioethics and asks what kind of society we truly want. While society has shown concern over debates surrounding organ procurement, a better understanding of the rhetoric of advocates and philosophical underpinnings of the debate might indeed improve our public moral deliberation in general and organ policy more specifically. Examining public arguments, this book uses a range of source material, from medical journals to congressional hearings to newspaper op-eds, to provide the most up-to-date and thorough analysis of the topic. Organs for Sale posits that deciding together on the limits of markets, and on what is and ought to be for sale, sheds light on the moral fibre of our society and what it needs to thrive.

Rates of organ donation lag far behind the increasing need. At the start of 2006, more than 90,000 people were waiting to receive a solid organ (kidney, liver, lung, pancreas, heart, or intestine). Organ Donation examines a wide range of proposals to increase organ donation, including policies that presume consent for donation as well as the use of financial incentives such as direct payments, coverage of funeral expenses, and charitable contributions. This book urges federal agencies, nonprofit groups, and others to boost opportunities for people to record their decisions to donate, strengthen efforts to educate the public about the benefits of organ donation, and continue to improve donation systems. Organ Donation also supports initiatives to increase donations from people whose deaths are the result of irreversible cardiac failure. This book emphasizes that all members of society have a stake in an adequate supply of organs for patients in need, because each individual is a potential recipient as well as a potential donor.