Inthe Government of Tamil Nadu put together government orders laying down procedures and guidelines for deceased organ donation and transplantation in the state. With an organ donation rate of 1. The small success of Tamil Nadu model has been possible due to the coming together of both government and private hospitals, NGOs and the State Health department. Most of the deceased donation programmes have been developed in southern states of India.
Abstract Incentives for organ donation, currently prohibited in most countries, may increase donation and save lives.
Discussion of incentives has focused on two areas: We herein address the second concern and propose for discussion standards and guidelines for an acceptable system of incentives for donation.
Ultimately, until there are trials of incentives, the question of benefits and harms cannot be satisfactorily answered. Incentives, organ donation Introduction Every country with an active kidney transplant system is working to increase organ donation.
The reasons are clear—for patients with end-stage kidney disease ESRDa kidney transplant offers significant advantages compared to dialysis: Patients can receive a kidney transplant from either a living biologically related or unrelated or deceased donor.
However, kidneys from living vs.
Because of the benefits of transplantation, patients with ESRD increasingly opt for a transplant. Because of the increasing demand for a transplant and a relatively static supply of organs, there is a widening gap between the number of patients wanting a kidney and the number of available organs.
This growing shortage persists in spite of efforts to prevent ESRD and the recent expansion of both deceased donation through the use of such strategies as expanded donor criteria and donation after cardiac death and living donation through increased unrelated and nondirected donation, paired exchanges, ABO incompatible transplants, desensitization and transplant chains.
Because of the ongoing shortage, many suitable transplant candidates suffer and ultimately die while waiting for a transplant. Within some countries, only biologic relatives are permitted to be living donors.
Such underground, unregulated markets have been associated with exploitation of the poor and vulnerable. Living donors who participate in these unregulated markets are often poorly informed about the procedure, deprived of appropriate screening and of quality postoperative and continuing medical care, and not compensated as agreed upon 6 — 9.
At the same time, because of limited donor screening, some recipients have developed serious infections transmitted by the donor organ; others have received little postoperative care or immunosuppressive treatment and have returned to their native country with active rejection and no knowledge of which immunosuppressive medications they were given 9 — Often, the medical and surgical details have not been sent with them, so that their home transplant center has tremendous difficulty with continuation of care.
Thus, these unregulated markets have been associated with adverse consequences for both donors and recipients. A regulated system of incentives for donation has the potential to increase both living and deceased donation while eliminating the harms of unregulated markets.
When the concept of incentives was first proposed, almost 3 decades ago, there was immediate condemnation Over the ensuing years, the pros and cons of incentive programs have been debated.
At first, many opposed incentives as a matter of principle, claiming that an incentive for donation was wrong in itself.
Yet, numerous scholars and consensus conferences have concluded that there are no ethical principles by which incentives should be rejected under all circumstances 15 — Surveys have shown that the public: More recently, critics of donor incentives have argued on utilitarian grounds that incentives should be prohibited because they would do more harm than good We are fully cognizant of the harms that have occurred with unregulated markets and unreservedly condemn the practice of organ trafficking However, there are no data to suggest that similar harms would occur in a carefully controlled, transparent and regulated system of incentives.
The debate surrounding the principle of incentives per se will no doubt continue. Our view, however is that there is no objection of principle and that a system of incentives for donation could potentially provide enormous benefit to both recipients and donors and is worthy of systematic investigation.
Instead of treating the hypothetical harms as a reason for forgoing these benefits outright, we believe the international community should try to devise ways of identifying and eliminating the dangers while maximizing the benefits.
To further the discussion, we propose principles and guidelines that would, assuming legal frameworks were changed to make this permissible, provide the basis for an acceptable system of incentives. While not intended as definitive, we suggest that any system that conformed to the proposed guidelines would meet the standards, which both supporters and opponents of incentives could agree are necessary if not sufficient for any system of donation and are consistent with the standards that we have developed for current conventional donation.
Donor Motivation The discipline of transplantation is suffused with assumptions of an idealized vision of current motives for donation: There are two problems with this reasoning. The first is that any realistic discussion of donation must acknowledge the many different and overlapping motives that underlie donation within and outside of families What is Organ Donation.
According to Wikipedia, organ donation is the donation of biological tissue or an organ of the human body, from a living or dead person to a living recipient in need of a transplantation.. The Cleveland Clinic defines organ donation as the process of surgically removing an organ or tissue from one person (the organ donor) and placing it into another person (the recipient).
Read chapter 1 Introduction: Rates of organ donation lag far behind the increasing need. At the start of , more than 90, people were waiting to re.
Organ Donation Essay Examples. 37 total results. An Introduction to the Reasons for Organ Donation. words. 1 page. An Introduction to the Importance and Positive Effects of Organ Donation.
words. 1 page. The Reasons Why You Should Become an Organ Donor. words. 1 . This paper will give facts and reasons why you should become an or It looks like you've lost connection to our server.
Please check your internet connection or reload this page. Though many lives are saved through organ donation, many people die while waiting on a list. On average, about people are added to an organ waiting list every day, and 18 people die each day waiting for an organ [source: LifeShare ].
For organ donation after death, a medical assessment will be done to determine what organs can be donated. Certain conditions, such as having HIV, actively spreading cancer, or severe infection.