Living and deceased organ donation should be financially neutral acts

Delmonico, Francis L., Martin, Dominique C., Domínguez-Gil, Beatriz, Muller, Elmi W., Jha, Vivek, Levin, Adeera, Danovitch, Gabriel M. and Capron, Alexander M. 2015, Living and deceased organ donation should be financially neutral acts, American journal of transplantation, vol. 15, no. 5, pp. 1187-1191, doi: 10.1111/ajt.13232.

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Title Living and deceased organ donation should be financially neutral acts
Author(s) Delmonico, Francis L.
Martin, Dominique C.ORCID iD for Martin, Dominique C. orcid.org/0000-0001-9363-0770
Domínguez-Gil, Beatriz
Muller, Elmi W.
Jha, Vivek
Levin, Adeera
Danovitch, Gabriel M.
Capron, Alexander M.
Journal name American journal of transplantation
Volume number 15
Issue number 5
Start page 1187
End page 1191
Total pages 5
Publisher Wiley
Place of publication London, Eng.
Publication date 2015-05
ISSN 1600-6135
Keyword(s) Ethics and public policy
Law
Legislation
Donors and donation
Incentives
Ethics
Summary The supply of organs—particularly kidneys—donated by living and deceased donors falls short of the number of patients added annually to transplant waiting lists in the United States. To remedy this problem, a number of prominent physicians, ethicists, economists and others have mounted a campaign to suspend the prohibitions in the National Organ Transplant Act of 1984 (NOTA) on the buying and selling of organs. The argument that providing financial benefits would incentivize enough people to part with a kidney (or a portion of a liver) to clear the waiting lists is flawed. This commentary marshals arguments against the claim that the shortage of donor organs would best be overcome by providing financial incentives for donation. We can increase the number of organs available for transplantation by removing all financial disincentives that deter unpaid living or deceased kidney donation. These disincentives include a range of burdens, such as the costs of travel and lodging for medical evaluation and surgery, lost wages, and the expense of dependent care during the period of organ removal and recuperation. Organ donation should remain an act that is financially neutral for donors, neither imposing financial burdens nor enriching them monetarily.
Language eng
DOI 10.1111/ajt.13232
Field of Research 11 Medical And Health Sciences
019999 Mathematical Sciences not elsewhere classified
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30082355

Document type: Journal Article
Collection: School of Medicine
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