TY - JOUR
T1 - Incentives for organ donation in the United States
T2 - Feasible alternative or forthcoming apocalypse?
AU - Hippen, Benjamin
AU - Matas, Arthur
N1 - Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2009/4
Y1 - 2009/4
N2 - PURPOSE OF REVIEW: Several factors have generated interest in proposals to offer incentives in exchange for kidneys from living donors, including the growing shortage of available organs, the apparent asymptote of traditional means of organ procurement, and the intimate link between the inadequacies of organ procurement policies in developed countries with the flourishing of underground organ trafficking in developing countries. RECENT FINDINGS: Herein, we review the scope and dimensions of the growing shortage of organs in the United States, with attention to how each of the proposed solutions to same has proven insufficient. With special attention to the concerns leveled by Gabriel Danovitch in his 'Open Letter,' we conclude that each of his concerns are unfounded, and offer a prospectus on how a trial of such systems might be pursued in the United States. SUMMARY: The failure of current approaches to organ procurement in the United States and other developed countries has led to unnecessary suffering and death, with morally unacceptable consequences for developing countries. For these reasons, a structured trial of incentives for organ procurement in the United States is a moral imperative.
AB - PURPOSE OF REVIEW: Several factors have generated interest in proposals to offer incentives in exchange for kidneys from living donors, including the growing shortage of available organs, the apparent asymptote of traditional means of organ procurement, and the intimate link between the inadequacies of organ procurement policies in developed countries with the flourishing of underground organ trafficking in developing countries. RECENT FINDINGS: Herein, we review the scope and dimensions of the growing shortage of organs in the United States, with attention to how each of the proposed solutions to same has proven insufficient. With special attention to the concerns leveled by Gabriel Danovitch in his 'Open Letter,' we conclude that each of his concerns are unfounded, and offer a prospectus on how a trial of such systems might be pursued in the United States. SUMMARY: The failure of current approaches to organ procurement in the United States and other developed countries has led to unnecessary suffering and death, with morally unacceptable consequences for developing countries. For these reasons, a structured trial of incentives for organ procurement in the United States is a moral imperative.
KW - Ethics
KW - Incentives for organs
KW - Organ procurement
KW - Organ supply
KW - Public policy
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U2 - 10.1097/MOT.0b013e3283295e0d
DO - 10.1097/MOT.0b013e3283295e0d
M3 - Review article
C2 - 19307965
AN - SCOPUS:67651028293
SN - 1087-2418
VL - 14
SP - 140
EP - 146
JO - Current Opinion in Organ Transplantation
JF - Current Opinion in Organ Transplantation
IS - 2
ER -