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Related Experiment Videos

Payment for donor kidneys: pros and cons.

E A Friedman1, A L Friedman

  • 1Division of Renal Diseases, Department of Medicine, Downstate Medical Center, State University of New York, Brooklyn, New York 11203, USA. elifriedmn@aol.com

Kidney International
|February 17, 2006
PubMed
Summary
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The growing end-stage renal disease population needs more kidney transplants than available donor organs. Legalizing regulated kidney sales could expand the donor pool and potentially reduce dialysis costs.

Area of Science:

  • Medical Ethics
  • Public Health Policy
  • Transplantation Medicine

Background:

  • The number of patients with end-stage renal disease (ESRD) requiring dialysis is increasing.
  • The availability of deceased donor kidneys for transplantation is insufficient to meet demand, leading to long waiting times and daily deaths.
  • Current strategies to increase organ donation, such as public awareness campaigns and driver's license designations, have proven largely ineffective.

Purpose of the Study:

  • To explore the ethical and practical implications of legalizing the sale of human kidneys.
  • To propose a regulated system for kidney purchasing as a means to expand the donor pool.
  • To assess the potential financial viability of a federally managed kidney purchasing program.

Main Methods:

Related Experiment Videos

  • Analysis of the current organ donor shortage and its impact on ESRD patients.
  • Examination of the ethical arguments for and against bodily autonomy in the context of organ sales.
  • Economic modeling to evaluate the cost-effectiveness of paying for donor kidneys versus continued dialysis treatment.

    • Main Results:

    • The illegal black market for kidneys already facilitates thousands of transplants, indicating a demand not met by legal channels.
    • Legalizing kidney sales, with a proposed fair market price of $40,000, could provide a regulated alternative.
    • A federal agency managing kidney acquisition could be financially self-sustaining by offsetting donor payments with reduced dialysis expenditures.

    Conclusions:

    • Legalizing kidney sales aligns with the principle of individual autonomy over one's body.
    • A regulated market for kidneys could significantly increase the supply of transplantable organs.
    • A government-managed system could ensure fair compensation for donors and potentially reduce overall healthcare costs associated with ESRD.