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Statement of the Declaration of Istanbul Custodian Group regarding payments to families of deceased organ donors

Capron, Alexander Morgan, Delmonico, Francis L., Dominguez-Gil, Beatriz, Martin, Dominique, Danovitch, Gabriel and Chapman, Jeremy 2016, Statement of the Declaration of Istanbul Custodian Group regarding payments to families of deceased organ donors, Transplantation, vol. 100, no. 9, pp. 2006-2009, doi: 10.1097/TP.0000000000001198.

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Title Statement of the Declaration of Istanbul Custodian Group regarding payments to families of deceased organ donors
Author(s) Capron, Alexander Morgan
Delmonico, Francis L.
Dominguez-Gil, Beatriz
Martin, DominiqueORCID iD for Martin, Dominique orcid.org/0000-0001-9363-0770
Danovitch, Gabriel
Chapman, Jeremy
Journal name Transplantation
Volume number 100
Issue number 9
Start page 2006
End page 2009
Total pages 4
Publisher Lippincott, Williams & Wilkins
Place of publication Philadelphia, Pa.
Publication date 2016-09
ISSN 1534-6080
Keyword(s) medical ethics
deceased donation
transplantation
financial incentives
Summary Governmental and private programs that pay next of kin who give permission for the removal of their deceased relative's organs for transplantation exist in a number of countries. Such payments, which may be given to the relatives or paid directly for funeral expenses or hospital bills unrelated to being a donor, aim to increase the rate of donation. The Declaration of Istanbul Custodian Group-in alignment with the World Health Organization Guiding Principles and the Council of Europe Convention Against Trafficking in Human Organs-has adopted a new policy statement opposing such practices.Payment programs are unwise because they produce a lower rate of donations than in countries with voluntary, unpaid programs; associate deceased donation with being poor and marginal in society; undermine public trust in the determination of death; and raise doubts about fair allocation of organs. Most important, allowing families to receive money for donation from a deceased person, who is at no risk of harm, will make it impossible to sustain prohibitions on paying living donors, who are at risk.Payment programs are also unethical. Tying coverage for funeral expenses or healthcare costs to a family allowing organs to be procured is exploitative, not "charitable." Using payment to overcome reluctance to donate based on cultural or religious beliefs especially offends principles of liberty and dignity. Finally, while it is appropriate to make donation "financially neutral"-by reimbursing the added medical costs of evaluating and maintaining a patient as a potential donor-such reimbursement may never be conditioned on a family agreeing to donate.
Language eng
DOI 10.1097/TP.0000000000001198
Field of Research 220106 Medical Ethics
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Wolters Kluwer Health
Free to Read? Yes
Use Rights Creative Commons Attribution Non-Commercial No-Derivatives licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30084777

Document type: Journal Article
Collections: School of Medicine
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.