The Organ Shortage Crisis In America

Author : Andrew Michael Flescher
Publisher : Georgetown University Press
Page : 188 pages
File Size : 52,8 Mb
Release : 2018
Category : Donation of organs, tissues, etc
ISBN : 9781626165441

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The Organ Shortage Crisis in America by Andrew Michael Flescher Pdf

Cover -- Title -- Copyright -- Contents -- Acknowledgments -- Introduction: The Organ Shortage Crisis in America -- Motivations for Giving, Especially of Precious Goods -- Civic Duty -- A Word about the Audience and Purpose of This Book -- Organization -- Notes -- 1. The Case for Legalizing the Sale of Organs -- The Market as a Solution, If Not a Virtue -- Costs and Equity -- The "Tyranny of the Gift -- Financial Incentives, Libertarianism, and the Black Market -- The Unique Case of Iran -- A Legal, Regulated Market for Organ Trade -- Notes -- 2. Ethical Concerns with Legalizing the Sale of Organs -- The Utility of Utility -- Selling Organs and the Impoverished -- Selling Organs and Public Safety -- Commodification -- Moving from Ethical to Pragmatic Considerations -- Notes -- 3. Organ Donation, Financial Motivation, and Civic Duty -- Paying It Forward -- Wolfenschiessen, Switzerland -- How Buying a Good Changes a Good -- The Difference between Lump-Sum Incentives and Compensatory Measures -- Civic Duty -- Notes -- 4. Living Donors and the Confluence of Altruism and Self-Regard -- Complex Human Motivations and the Myth of Unmotivated Altruism -- Living Donors and Living Donor Advocacy -- The Health Benefits of Living Donation -- Reflections of a Living Donor Advocate -- Notes -- 5. Making Altruism Practical -- Reducing Disincentives and Opening Doors to Virtue -- Paired Exchanges and Donor Chains -- Creating Incentives to Opt In -- Lost Wages and Travel Expenses -- Publicly Acknowledging Living Donors -- Nonmonetary Valuable, Comparable Goods -- Helping Virtue Along -- Notes -- Conclusion: Two to Four Hours of Your Life -- Notes -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- Z -- About the Author

Author : Anne-Maree Farrell,David Price,Muireann Quigley
Publisher : Cambridge University Press
Page : 329 pages
File Size : 55,5 Mb
Release : 2011-03-10
Category : Law
ISBN : 9781139500104

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Organ Shortage by Anne-Maree Farrell,David Price,Muireann Quigley Pdf

Organ shortage is an ongoing problem in many countries. The needless death and suffering which have resulted necessitate an investigation into potential solutions. This examination of contemporary ethical means, both practical and policy-oriented, of reducing the shortfall in organs draws on the experiences of a range of countries. The authors focus on the resolution and negotiation of ethical conflict, examine systems approaches such as the 'Spanish model' and the US Breakthrough Collaboratives, evaluate policy proposals relating to incentives, presumed consent, and modifications regarding end-of-life care, and evaluate the greatly increased use of (non-heart-beating) donors suffering circulatory death, as well as living donors. The proposed strategies and solutions are not only capable of resolving the UK's own organ-shortage crisis, but also of being implemented in other countries grappling with how to address the growing gap between supply and demand for organs.

Author : Patrick Kimuyu
Publisher : GRIN Verlag
Page : 4 pages
File Size : 43,6 Mb
Release : 2017-11-20
Category : Medical
ISBN : 9783668575233

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Solutions to Organ Shortages for Transplantation by Patrick Kimuyu Pdf

Scientific Essay from the year 2016 in the subject Medicine - Public Health, grade: 1, Egerton University, language: English, abstract: Organ transplantation has become one of the most reliable life-saving medical approaches in the medical field. Miller et al. (2003) report “many lives have been saved that would not have been otherwise, and yet waiting lists for organs continue to increase” (par. 3). Historically, organ transplantation dates back to 1954 when the first human kidney was transplanted successfully. Later on in 1967, Christian Barnard carried out the first heart transplant. In general, a number of organ transplants were performed in 1960s including liver, pancreas and lung transplants, and this opened up treatment options for patients with organ failures. However, it is worth noting that, the success of organ transplant was enhanced by an array of clinical research findings. For instance, the discovery of immunosuppressive drugs, which prevented the rejection of organ grafts served as a significant breakthrough in organ transplantation. Currently, organ transplantation has gained popularity owing to its reliability although organ procurement and allocation laws appear to have limited its clinical use. Abouna (2008) reports “In the United States, for example, the number of patients on the waiting list in the year 2006 had risen to over 95,000 while the number of patient deaths was over 6,300” (p. 34). However, organ transplantation has been faced with unprecedented organ shortage crises. It has been reported that about 18 patients in the waiting list die every day owing to the shortage of organ donations (Rall, 2013). Therefore, this paper will provide solutions which appear relevant in addressing the shortage of organs available for transplantation.

Author : T. Randolph Beard,David L. Kaserman,Rigmar Osterkamp
Publisher : Stanford University Press
Page : 261 pages
File Size : 48,7 Mb
Release : 2013-01-09
Category : Political Science
ISBN : 9780804784641

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The Global Organ Shortage by T. Randolph Beard,David L. Kaserman,Rigmar Osterkamp Pdf

Although organ transplants provide the best, and often the only, effective therapy for many otherwise fatal conditions, the great benefits of transplantation go largely unrealized because of failures in the organ acquisition process. In the United States, for instance, more than 10,000 people die every year either awaiting transplantation, or as a result of deteriorating health exacerbated by the shortage of organs. Issues pertaining to organ donation and transplantation represent, perhaps, the most complex and morally controversial medical dilemmas aside from abortion and euthanasia. However, these quandaries are not unsolvable. This book proposes compensating organ donors within a publicly controlled monopsony. This proposal is quite similar to current practice in Spain, where compensation for cadaveric donation now occurs "in secret," as this text reveals. To build their recommendations, the authors provide a medical history of transplantation, a history of the development of national laws and waiting lists, a careful examination of the social costs and benefits of transplantation, a discussion of the causes of organ shortages, an evaluation of "partial" reforms tried or proposed, an extensive ethical evaluation of the current system and its competitors.

Author : Andrew Michael Flescher
Publisher : Georgetown University Press
Page : 192 pages
File Size : 41,8 Mb
Release : 2018-03-01
Category : Medical
ISBN : 9781626165458

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The Organ Shortage Crisis in America by Andrew Michael Flescher Pdf

Nearly 120,000 people are in need of healthy organs in the United States. Every ten minutes a new name is added to the list, while on average twenty people die each day waiting for an organ to become available. Worse, our traditional reliance on cadaveric organ donation is becoming increasingly insufficient, and in recent years there has been a decline in the number of living donors as well as in the percentage of living donors relative to overall kidney donors. Some transplant surgeons and policy advocates have responded to this shortage by arguing for the legalization of the sale of organs among living donors. Andrew Flescher objects to this approach by going beyond concerns traditionally cited about social justice, commodification, and patient safety, and moving squarely onto the terrain of discussing what motivates major and costly acts of human selflessness. What is the most efficacious means of attracting prospective living kidney donors? Flescher, drawing on literature in the fields of moral psychology and economics, as well as on scores of interviews with living donors, suggests that inculcating a sense of altruism and civic duty is a more effective means of increasing donor participation than the resort to financial incentives. He encourages individuals to spend time with patients on dialysis in order to become acquainted with their plight and, as an alternative to lump-sum payments, consider innovative solutions that positively impact living donor participation that do not undermine the spirit of the National Organ Transplant Act of 1984. This book not only re-examines the important debate over whether to allow the sale of organs; it is also the first volume in the field to take a close look at alternative solutions to the organ shortage crisis.

Author : Georgios Tsoulfas
Publisher : BoD – Books on Demand
Page : 454 pages
File Size : 55,6 Mb
Release : 2018-07-25
Category : Medical
ISBN : 9781789233407

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Organ Donation and Transplantation by Georgios Tsoulfas Pdf

One of the most interesting and at the same time most challenging fields of medicine and surgery has been that of organ donation and transplantation. It is a field that has made tremendous strides during the last few decades through the combined input and efforts of scientists from various specialties. What started as a dream of pioneers has become a reality for the thousands of our patients whose lives can now be saved and improved. However, at the same time, the challenges remain significant and so do the expectations. This book will be a collection of chapters describing these same challenges involved including the ethical, legal, and medical issues in organ donation and the technical and immunological problems the experts are facing involved in the care of these patients.The authors of this book represent a team of true global experts on the topic. In addition to the knowledge shared, the authors provide their personal clinical experience on a variety of different aspects of organ donation and transplantation.

Author : Institute of Medicine,Roger Herdman,John T. Potts
Publisher : National Academies Press
Page : 103 pages
File Size : 40,7 Mb
Release : 1998-01-18
Category : Medical
ISBN : 9780309064248

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Non-Heart-Beating Organ Transplantation by Institute of Medicine,Roger Herdman,John T. Potts Pdf

Non-heart-beating donors (individuals whose deaths are determined by cessation of heart and respiratory function rather than loss of whole brain function) could potentially be of major importance in reducing the gap between the demand for and available supply of organs for transplantation. Prompted by questions concerning the medical management of such donorsâ€"specifically, whether interventions undertaken to enhance the supply and quality of potentially transplantable organs (i.e. the use of anticoagulants and vasodilators) were in the best interests of the donor patientâ€"the U.S. Department of Health and Human Services asked the Institute of Medicine to examine from scientific and ethical points of view "alternative medical approaches that can be used to maximize the availability of organs from [a] donor [in an end-of-life situation] without violating prevailing ethical norms...." This book examines transplantation supply and demand, historical and modern conceptions of non-heart-beating donors, and organ procurement organizations and transplant program policies, and contains recommendations concerning the principles and ethical issues surrounding the topic.

Author : Aslihan Sanal,Aslıhan Sanal
Publisher : Duke University Press
Page : 265 pages
File Size : 51,5 Mb
Release : 2011-07
Category : Law
ISBN : 9780822349129

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New Organs Within Us by Aslihan Sanal,Aslıhan Sanal Pdf

An ethnographic analysis of organ transplantation in Turkey, based on the stories of kidney-transplant patients and physicians in Istanbul.

Author : Sally L. Satel
Publisher : A E I Press
Page : 0 pages
File Size : 40,6 Mb
Release : 2008
Category : Health & Fitness
ISBN : 084474266X

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When Altruism Isn't Enough by Sally L. Satel Pdf

When Altruism Isn't Enough explores the key ethical, theoretical, and practical concerns of a government-regulated donor compensation program.

Author : Ernesto A. Pretto,Gianni Biancofiore,Andre DeWolf,Claus Niemann,John R. Klinck,Peter D. Slinger
Publisher : Oxford Textbook in Anaesthesia
Page : 497 pages
File Size : 51,6 Mb
Release : 2015
Category : Medical
ISBN : 9780199651429

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Oxford Textbook of Transplant Anaesthesia and Critical Care by Ernesto A. Pretto,Gianni Biancofiore,Andre DeWolf,Claus Niemann,John R. Klinck,Peter D. Slinger Pdf

Saving lives through organ transplantation has become increasingly possible thanks to advances in research and care. Today, the complex field of transplantation continues to develop rapidly, fuelled by demographic change and further evolutions in scientific understanding. The Oxford Textbook of Transplant Anaesthesia and Critical Care has been written and edited by pioneers in the field of organ transplantation with an international team of authors, in order to equip anaesthetists and intensivists with the knowledge and training necessary to provide high quality and evidence-based care. The text addresses fundamentals aspects of scientific knowledge, care of the donor patient, transplant ethics and special considerations. Dedicated sections address each of the major organs; kidney, pancreas, liver, heart and lung, intestinal and multivisceral. Within each organ-based section, expert authors explore underlying disease, planning for transplantation, specialized procedures, perioperative and critical care management as well as post-transplant considerations. Focus points for future developments in transplant immunology are also set out, inspiring current practitioners to engage with current clinical research and help participate in the further advancement of the science of transplantation. The print edition of the Oxford Textbook of Transplant Anaesthesia and Critical Care comes with a year's access to the online version on Oxford Medicine Online. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables.

Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Increasing Rates of Organ Donation
Publisher : National Academies Press
Page : 358 pages
File Size : 47,6 Mb
Release : 2006-08-24
Category : Medical
ISBN : 9780309164641

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Organ Donation by Institute of Medicine,Board on Health Sciences Policy,Committee on Increasing Rates of Organ Donation Pdf

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.

Author : Ralf J. Jox,Galia Assadi,Georg Marckmann
Publisher : Springer
Page : 352 pages
File Size : 44,8 Mb
Release : 2015-08-06
Category : Philosophy
ISBN : 9783319164410

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Organ Transplantation in Times of Donor Shortage by Ralf J. Jox,Galia Assadi,Georg Marckmann Pdf

This book analyzes the reasons for organ shortage and ventures innovative ideas for approaching this problem. It presents 29 contributions from a highly interdisciplinary group of world experts and upcoming professionals in the field. Every year thousands of patients die while waiting for organ transplantation. Health authorities, medical professionals and bioethicists worldwide point to the urgent and yet unsolved problem of organ shortage, which will be even intensified due to the increasing life expectancy. Even though the practical problem seems to be well known, the search for suitable solutions continues and often restricts itself by being limited through disciplinary and national borders. Combining philosophical reflection with empirical results, this volume enables a unique insight in the ethics of organ transplantation and offers fresh ideas for policymakers, health care professionals, academics and the general public.

Author : Collectif
Publisher : Éditions de la Maison des sciences de l’homme
Page : 432 pages
File Size : 48,6 Mb
Release : 2017-12-19
Category : Social Science
ISBN : 9782735122851

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New Cannibal Markets by Collectif Pdf

Thanks to recent progress in biotechnology, surrogacy, transplantation of organs and tissues, blood products or stem-cell and gamete banks are now widely used throughout the world. These techniques improve the health and well-being of some human beings using products or functions that come from the body of others. Growth in demand and absence of an appropriate international legal framework have led to the development of a lucrative global trade in which victims are often people living in insecure conditions who have no other ways to survive than to rent or sell part of their body. This growing market, in which parts of the human body are bought and sold with little respect for the human person, displays a kind of dehumanization that looks like a new form of slavery. This book is the result of a collective and multidisciplinary reflection organized by a group of international researchers working in the field of medicine and social sciences. It helps better understand how the emergence of new health industries may contribute to the development of a global medical tourism. It opens new avenues for reflection on technologies that are based on appropriation of parts of the body of others for health purposes, a type of practice that can be metaphorically compared to cannibalism. Are these the fi rst steps towards a proletariat of men- and women-objects considered as a reservoir of products of human origin needed to improve the health or well-being of the better-off? The book raises the issue of the uncontrolled use of medical advances that can sometimes reach the anticipations of dystopian literature and science fiction.

Author : Sigrid Fry-Revere
Publisher : Unknown
Page : 0 pages
File Size : 50,7 Mb
Release : 2014
Category : Kidneys
ISBN : 1611635128

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The Kidney Sellers by Sigrid Fry-Revere Pdf

Rarely does an adventure story carry such social significance as in this groundbreaking ethnographic research book. Dr. Fry-Revere's exploration of the medical ethics of compensating organ donors takes us deep inside Iranian culture to provide insight and understanding into how Iran has solved its kidney shortage. The Kidney Sellers: A Journey of Discovery in Iran addresses the question: How it is possible that in Iran there is a waiting list to be a donor, while in the United States hundreds of thousands of people have died for lack of a kidney? Dr. Fry-Revere is the first Westerner ever to witness firsthand Iran's organ procurement system. She shares what she discovered in this fascinating book: part diary of living in a dangerous country, part ethnographic essay, and part tale of people working together to overcome death and financial ruin. The Kidney Sellers is a shocking, thought-provoking true story.

Author : Felix T. Rapaport,Jean Dausset
Publisher : Unknown
Page : 898 pages
File Size : 47,7 Mb
Release : 1968
Category : Medical
ISBN : UOM:39015003252296

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Human Transplantation by Felix T. Rapaport,Jean Dausset Pdf