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Ethics and organ sales
Organ trafficking ethics
Ethical issues from the trade of human organs
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The need for organs for transplantation is growing rapidly. Currently, the system works in an inefficient manner that forces people into illegal activities that are dangerous and could lead to death. This system makes it illegal for a person to sell their organ to another that may need it for transplant. This makes a waiting list that people must wait for donors that are willing to give up their organs for free with very little benefits if at all. There are however other options that should be considered. Some that will be discussed in this essay are different types of auctions and cadaver extractions. Also, an analysis of other countries current policies will be done. Some of these countries may have aspects of their programs that could be good, and other parts that may be bad. The beneficial aspects of some of these plans could possibly be synthesized into a unified law on organ transplantation and organ marketplaces that the whole world could use.
Domestic Organ Transplantation Concepts
Some think that the idea of having a market where a person may sell their organs would reduce the autonomy of that organ “vendor.” This is not the viewpoint of James Stacey Taylor. He says that it would actually enhance the person’s autonomy because “allowing persons to sell their organs will enable them to exercise a greater degree of control over their bodies” (Taylor, 2002). He does not however address any moral issues and implications of this market, and only addresses the fallacies of the autonomy related issues and arguments. As a preliminary remark, Taylor states that this market would only be used for renewable bodily sources such as blood, plasma, semen, ova, and some unnecessary organs such as kidneys. He also states...
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...le of Human Organs and Tissues. BRIGHAM YOUNG UNIVERSITY LAW REVIEW, 313-343.
Kelly, E. (2013). International Organ Trafficking Crisis: Solutions Adressing The Heart of the Matter. Boston College International ùf Comparative Law Review, 1317-1350.
Kuntz, J. R. (2009). A Litmus Test for Exploitation. Journal of Medicine and Philosophy, 22.
Lara Rosen, A. R. (2011). Addressing the Shortage of Kidneys for Transplantation: Purchase and Allocation through Chain Auctions. Journal of Health Politics, Policy and Law, 40.
T, B., & N, S.-H. (2006). Is It Ethical For Patients With Renal Disease To Purchase Kidneys From The World's Poor? PLoS Medicine, 5.
Taylor, J. S. (2002). Autonomy, Constraining Options, and Organ Sales. Journal of Applies Physiology, 14.
U, F., J, C., & S, G. (1998). Children Sold For Transplants: Medical And Legal Aspects. Nursing Ethics, 518-526.
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.
First of all, we can assess issues concerning the donor. For example, is it ever ethically acceptable to weaken one person’s body to benefit another? It has to be said that the practiced procedures are not conducted in the safest of ways, which can lead to complications for both donors and recipients (Delmonico 1416). There are also questions concerning of informed consent: involved donors are not always properly informed about the procedure and are certainly not always competent to the point of fully grasping the situation (Greenberg 240). Moral dilemmas arise for the organ recipient as well. For instance, how is it morally justifiable to seek and purchase organs in foreign countries? Is it morally acceptable to put oneself in a dangerous situation in order to receive a new organ? Some serious safety issues are neglected in such transactions since the procedures sometimes take place in unregulated clinics (Shimazono 959). There is also the concept of right to health involved in this case (Loriggio). Does someone’s right to health have more value than someone else’s? Does having more money than someone else put your rights above theirs? All of these questions have critical consequences when put into the context of transplant tourism and the foreign organ trade. The answers to these questions are all taken into account when answering if it is morally justifiable to purchase
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
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.
People consider trafficking to be only in the form of sex, but trafficking actually has many different categories. Human trafficking is defined as people who sell or trade their bodies, or other people’s bodies for different purposes like, forced labor, sex, forced marriage, and even organs. Trafficking of any kind is considered a crime in the United States and every other country in the world except Iran because it is a violation of human rights. Although trafficking is illegal, it still takes place all over the world and statistics say that trafficking brings in approximately 32 billion dollars of international trade per year. Out of all the different forms of trafficking, organ trafficking is the most dangerous. The compensation of organ donors was legal until 1984 when the National Organ Transplant Act of 1984 was put into place. Many people turn to buying organs because there is a shortage of organs and some patients may be on the organ transplant list for years. Because there is such a shortage of available organs for transplantation, many people turn to buying or selling organs on the black market illegally. If trafficking was legalized with regulations, there would rarely be a need to use the black market. Even though the 32 billion dollars that the black market makes each year would rapidly diminish, the money would be spent in other places, and legally. Many people argue that a human life should be invaluable but by legalizing the trafficking of organs, the list for organ transplants would slowly disappear. If the sale of organs was legal with heavy regulations, many more organs would be donated; therefore, many more lives would be saved all over the world.
In 1954, the first organ transplant was conducted successfully in the United States. (Clemmons, 2009) Nowadays, the technology of organ transplant has greatly advanced and operations are carried out every day around the world. According to current system, organ sales are strictly prohibited in the United States. (Clemmons, 2009) However, the donor waiting list in the United States has doubled in the last decade and the average waiting time for a kidney is also increasing. (Clemmons, 2009) In the year 2007, over 70,000 patients were on the waiting list for a kidney and nearly 4500 of them died during the waiting period. In contrast to the increasing demand for kidney, organ donation has been in a decrease. (Wolfe, Merion, Roys, & Port, 2009) Even the government puts in great effot to increase donation incentives, the gap between supply and demand of organs still widens. In addition, the technology of therapeutic cloning is still not mature and many obstacles are met by scientists. (Clemmons, 2009) Hence, it is clear that a government regulated kidney market with clear legislation and quality control is the best solution to solve the kidney shortage problem since it improves the lives of both vendors and patients.
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).
The National Organ Transplant act was enacted in 1984 as a free market for organs began to arise in America. Congress was concerned about the injustice that could arise from impoverished donors being pressured into selling their organs (Ci...
“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
It is clear that a large demand for organs exists. People in need of organ donations are transferred to an orderly list. Ordinarily, U.S. institutions have an unprofitable system which provides organs through a list of individuals with the highest needs; however, these organs may never come. A list is
Organ donations are crucial for people in emergency situations. For years organ donations have saved the lives of millions. The problem with people needing organs is that there are not enough organs to be supplied to everyone who needs it. There are many people who die because they are not able to obtain lifesaving organs. The need for organs exceeds the supply given. Thus, leading me to ask this essential question, “Should organ donation be a part of the market?” To support this question I have prepared three supportive claims, but since my answer is no my reasons will revolve around this argument. First, I will state why I do not agree with such a thing, and then I will support my claim by stating why it is so bad, and to end my paper I will state what place(s) legalizes trade.
Iran, which has the world’s only regulated system for compensating a kidney donor, has practically eliminated the wait for kidney donation. While Iran’s numbers seem promising when compared to the wait list in the United States, their numbers are still questionable. First, Iran has an authoritarian government, which is widely distrusted in the global community; therefore, many do not trust the accuracy of the numbers which they report. Additionally, Iran has not produced any long-term follow-up information about the donors and the recipients. Despite the reported $3,500 - $5,700 that living donors received, seventy-nine percent of donors could not afford follow-up care. In addition, Dr. J. Richard Thistlethwaite, a transplant surgeon at the University of Chicago, states that “The stigma associated with selling your organs was so strong that 98% did not want to be identified as organ donors” (Stevens...
Despite an increased rate in organ transplantation from living donors, the supply and demand of recipients and donors still has not met. In an effort to further encourage and increase the number of organs available for transplant by living donors, the contemplation of an organ market has been brought up into attention (Tong, 2007). While the idea of an organ market system would theoretically improve the number of living organ ...
... will check to avoid all the risks that might occur. And according to professor Nadey Hakim, he believes that there should be a market for the organs instead of the black market (Smith, 2011). This idea will be lowering the problems of the black market or might even destroy the black market. It will be saving many lives and people will know were to go to get an organ they need that is safe without any consequences.