Join the club: a modest proposal to increase availability of donor organs
Related Experiment Video
Updated: Nov 4, 2026

Functional Human Liver Preservation and Recovery by Means of Subnormothermic Machine Perfusion
Published on: April 27, 2015
1University College of Swansea, Swansea.
Abstract:
The shortage of suitable donor organs is the most significant single limiting factor in transplant programmes. More lives could be saved or immeasurably improved if more organs were available. I look at two traditional solutions to the shortfall, and suggest that they are ineffective and/or offensive, and consider the features common to any answer to the problem. I then suggest a third solution: that admission to future transplant lists be conditional on registration as a potential organ donor, outlining its benefits, and defending it against one possible objection.
Insights
Increasing organ donation is crucial for transplantation. A proposed solution makes future transplant list eligibility conditional on becoming a registered organ donor, addressing organ shortages.
Area of Science:
- Medical Ethics
- Transplantation Medicine
- Public Health Policy
Background:
- The critical shortage of suitable donor organs significantly limits organ transplantation programs worldwide.
- Existing organ donation strategies face challenges regarding effectiveness and ethical considerations.
- Expanding the organ donor pool is essential to save and improve more lives through transplantation.
Purpose of the Study:
- To evaluate traditional approaches to increasing organ donation and identify their limitations.
- To propose a novel strategy for enhancing organ availability for transplantation.
- To examine the ethical implications and practical benefits of a new organ donation policy.
Main Methods:
- Analysis of current organ donation strategies and their shortcomings.
- Development of a policy proposal linking transplant list eligibility to organ donor registration.
- Exploration of the potential benefits and ethical considerations of the proposed policy.
Main Results:
- Traditional methods for increasing organ donation are deemed insufficient or ethically problematic.
- A conditional registration policy offers a potential solution to the organ donor shortfall.
- The proposed policy may increase organ availability while addressing ethical concerns.
Conclusions:
- The organ donor shortage remains a critical barrier in transplantation.
- A policy making transplant list admission conditional on organ donor registration presents a viable and ethically defensible solution.
- This approach could significantly improve organ availability and patient outcomes in transplantation programs.
Related Concept Videos
Accessory Organs
Blood Transfusion
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Bone Marrow Sampling and Transplants
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy the...
Tissue Transplantation
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
Kidney Transplant I: Introduction
Kidney Transplant II: Surgical Procedure

