Mandated Choice Policy: A Solution to Organ Donor Shortage

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The shortage of organ donations for transplants is an ongoing problem in the United States. The number of individuals in need of organ transplants greatly exceeds the number of authorized and registered organ donors, both living and deceased. Furthermore, the waitlist for individuals in need of transplants continues to grow every day3. In other words, the supply of organs does not meet the demand for them, and there is an ongoing debate as to how to address this issue. Concerns about individual autonomy and informed consent also play a large role in organ donation. This paper will focus primarily on a mandated choice policy proposal that is a potential solution to the shortage of organ donors. This policy aims to increase the number of registered …show more content…

Unfortunately, the life-saving potential of transplantation is limited by the shortage of organs available for donation. In general, several suitable organs from deceased individuals are not harvested for donation (for reasons that will be discussed later) and this largely contributes to the shortage1. In 1968, the Uniform Anatomical Gift Act gave individuals the right to donate organs and tissue in the United States1. Donors can either be living or deceased. Living donors are individuals who choose to donate portions of vital organs or a single kidney. Their donations can be directed to a specific recipient or can be an indirect altruistic donation; however, altruistic donations are very rare. Majority of donations come from deceased donors2. Deceased donors are individuals who have been medically declared dead, and who have previously registered as organ donors or whose legal representatives (usually their family members) have authorized organ donation on their behalf. One deceased donor can make up to eight donations from different organs, and therefore, can save up to eight lives4. Candidates for donation are chosen based on their blood-type (it must match the donated organ) and their medical need for a donation (the most critically ill patients are more likely to receive donations). The organs that are currently approved for transplantation are the kidney, heart, lung, and liver. Although living donations are a significant proportion of donations in the United States, this paper will focus on increasing the number of deceased

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