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Related Experiment Videos

Debating Organ Procurement Policy Without Illusions.

Benjamin Hippen1

  • 1Metrolina Nephrology Associates, PA, and The Carolinas Medical Center, Charlotte, NC.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|June 23, 2015
PubMed
Summary
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Financial incentives for organ procurement are warranted, despite claims that transplant waiting lists overstate kidney demand. Current organ shortage solutions ignore critical realities of transplantation centers.

Area of Science:

  • Nephrology
  • Transplantation Medicine
  • Public Health Policy

Background:

  • The organ transplant waiting list, particularly for kidneys, is a critical issue in the United States.
  • Debate exists regarding the accuracy of waiting list numbers as a true measure of demand.
  • Structural barriers and existing solutions to organ shortages are frequently debated.

Purpose of the Study:

  • To review and critique claims that transplant waiting lists overstate kidney demand.
  • To correct mischaracterizations of structural barriers impacting transplantation rates.
  • To evaluate the validity of arguments against financial incentives for organ procurement.

Main Methods:

  • Perspective piece involving critical review of existing claims and literature.
Keywords:
Kidney transplantationaltruistic organ donationend-stage renal disease (ESRD)financial incentivesliving donorsmedical ethicsorgan procurementtransplant waiting list

Related Experiment Videos

  • Analysis of clinical, regulatory, and financial realities within US transplantation centers.
  • Examination of proposed solutions to organ shortages and their underlying assumptions.

    • Main Results:

    • Claims that waiting lists overstate kidney demand are challenged.
    • Existing barriers to increasing transplantation rates are re-examined.
    • Opponents' solutions to organ shortages are found to inadequately address transplantation center realities.

    Conclusions:

    • Financial incentives for organ procurement warrant consideration and trial.
    • Current arguments against financial incentives are undermined by a failure to consider practical transplantation constraints.
    • Progress in the debate surrounding organ procurement incentives remains slow and pessimistic.