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Ending Organ Donor Shortages?

Tracy2112 writes "An interesting and recurring science fiction theme is the idea of black-market traffic in human body parts -- as Larry Niven termed it, "organlegging". According to this USA Today's Op-Ed piece on Yahoo, we're getting closer . . . including LifeSharers.com, , an organization working to sign up "preferred donors" who agree to preferentially donate to other LifeSharer members. Is this a great way to reward people for being generous with their unused body parts -- or a scary flashback to how early 'subscription-only' fire departments worked?"

35 of 405 comments (clear)

  1. Huh? by James+A.+A.+Joyce · · Score: 5, Insightful

    Part of the problem is caused by dead people whose families don't allow the deceased's organs to be harvested, even if that person had given full legal consent for doctors to do so when they died. That does not make sense. If families have to follow the last will and testament of dead people, why is this an exception? Wouldn't these familie would be aware of this and wouldn't want to disrespect the wishes of their dead?

    1. Re:Huh? by Scrooge919 · · Score: 3, Insightful

      Because hospitals are too afraid of being sued by the families if they take the organs anyway. Personally, I think it's disgusting that a family would ignore a person's request like that, and that our legal system is screwed up enough that a lawsuit would probably prevail in such a case...

    2. Re:Huh? by Chasing+Amy · · Score: 3, Interesting

      Part of the problem is also that people don't usually know that there are some organs and tissues which you can safely donate while still living. Bone marrow, for one thing, is a very safe tissue to give up--of course, it's so safe to give up a small amount of it that there's usually no trouble finding a familial match when the time comes. But living kidney donation is a viable option, and kidneys are needed by non-familial recipients all the time. Kidneys from living donors also "take" much better statistically than cadaveric kidneys.

      Of course, living kidney donation does involve some relatively small risks and slightly increased possibility that you'd need a kidney transplant of your own eventually, but the statistical increses are minimal. Personally, I've considered becoming a living kidney donor--gotta be great for the karma. :-) But the fact that I drink a vast quantity of fluid each and every day has me scared that my remaining kidney wouldn't like it very much...

      --

      Chasing Amy
      (We all chase Amy...)
      "The more corrupt the state, the more numerous the laws"-Tacitus
    3. Re:Huh? by Anonymous Coward · · Score: 3, Insightful

      "Bone marrow, for one thing, is a very safe tissue to give up"

      Who told you this? Bone marrow donation is still a surgical procedure. As with all surgical procedures, there is risk, pain, and time lost.

      Bone marrow extraction is extremely painful. Don't confuse it with testing; that's a blood test. There are several magazine articles you can read about marrow donors. They harvest from your hip, requiring large gauge needles to be buried deep into your flesh as well as the bone itself. They core out for samples and do so several times during the harvest procedure.

      There is deep bruising, sometimes involving nerves, and you're lucky if you can still walk completely on your own a week after the procedure.

      Now, it's no kidney removal, but jeez, it sure as hell is no cakewalk. The iatrogenic risks alone, particular from infection from the hospital, is bad enough. Combined with the pain, time loss (think no pay for 2 weeks), it's not all golden. Karma? Big points though.

      The problem with kidneys is that you have 2 for a reason. Kidneys are amazing in that they are still effective even if like 90% of them are shot to hell. It's one of the problems why end stage renal failure is so prominant--by the time the body/you realizes there is a problem, the kidney is completely shot. At least with kidneys, there are intermediary treatments until a kidney comes available, unlike most other organs.

  2. To Increase Organ Donors by BandwidthHog · · Score: 5, Funny

    Simply make donor status mandatory for a motorcycle license and eliminate the helmet laws.

    --

    Quantum materiae materietur marmota monax si marmota monax materiam possit materiari?
    1. Re:To Increase Organ Donors by Just+Some+Guy · · Score: 5, Funny

      Motorcycles are commonly known by E.R. staffers as "donorcycles". We might as well make it official...

      --
      Dewey, what part of this looks like authorities should be involved?
  3. Need to change the approach by Robert+Hayden · · Score: 5, Insightful

    The way to encourage organ donation is to make the the default option on your driver's license instead of something you have to request. In addition, doctors shouldn't have to get permission from the family if the deceased already has an organ donor card.

    1. Re:Need to change the approach by Just+Some+Guy · · Score: 4, Insightful
      No. While I do want to donate, and my wife is also a strong organ donation advocate, I do not want that decision to be made by agreement with the state. Under no circumstances do I want my wishes known until it's too late to save me. Many of my friends are doctors; I trust them as a whole. However, I don't even want the remote possibility of a small voice in the back of the trauma surgeon's mind saying "boy, that kid in Kansas City sure could use this liver" before the result of any lifesaving attempts is pretty certain.

      When the time comes that my death or persistant vegetative state is imminent, then my wife will give them consent - but not before.

      --
      Dewey, what part of this looks like authorities should be involved?
    2. Re:Need to change the approach by seinman · · Score: 3, Funny
      When the time comes that my death or persistant vegetative state is imminent, then my wife will give them consent - but not before.

      Too late now.
    3. Re:Need to change the approach by Mike1024 · · Score: 3, Interesting

      If it makes you feel any better, that's not official policy.

      To be honest, I think very, very few octors would entertain the idea of letting you die so your organs could be transplanted. Even if a tiny percentage have thought this without being repulsed by the clear violation of medical ethics, the chances of a doctor acting on those thoughts is even more miniscule. I suspect the chances of your wife being unavailiable are markedly higher than the chances of you being killed for your organs. If I were you, I'd just carry an organ donor card - let them get 'em while they're fresh.

      Just my $0.02,

      Michael

      --
      "Goodness me, how unlike the FBI to abuse the trust of the American public." -- The Onion
    4. Re:Need to change the approach by bobthemuse · · Score: 5, Insightful

      This is a common attitude, but from several years of working on an ambulance and speaking with ER docs, I believe it to be wrong.

      The only time your organs can be harvested is if you have zero chance of recovery (brain missing, etc..) or in rare circumstances when you have a living will which authorized the termination of life support.

      If anything, carrying a donor card would keep you alive longer (in an odd way), as the EMTs will continue CPR and other life-saving techniques when they ordinarily wouldn't in order to keep your transplantable organs from sustaining further damage.

  4. What if... by Mike1024 · · Score: 3, Interesting

    This seems like a good idea to me, except for one or two potential problems.

    What if people wanted to leave the list? Would they have to return thier organs? If not, people could join if they needed organs, get the organs, then quit. Saying 'you can't join the list if you already need an organ' wouldn't be a very good rule, but 'you can't leave the list' wouldn't be too hot either.

    Also, if organs were only availiable to donors, people whose religion said 'no donating' might not be able to get organs. Of course, a religion which allowed people to recieve organs but not give them would be a bit hypocritical.

    Just my $0.02,

    Michael

    --
    "Goodness me, how unlike the FBI to abuse the trust of the American public." -- The Onion
    1. Re:What if... by Jade+E.+2 · · Score: 3, Informative
      What if people wanted to leave the list? Would they have to return thier organs? If not, people could join if they needed organs, get the organs, then quit.

      They already have a rule to (somewhat) alleviate this - there's a 180 day waiting period after you join before you qulify to receive preferential access to other member's organs. See their FAQ, 6th question.

  5. Put donors first by einer · · Score: 4, Interesting

    I think it's Hawaii that rewards organ donors with preferred placement on the organ priority list.

  6. Organ Transplants Shouldnt Be a "Right" by Zebbers · · Score: 3, Insightful

    Im sorry. We waste way too much time energy and money prolonging the lives of halfdead people.

    So if a group wants to make it easier for THEM to prolong their lives, who cares. But noone should complain. The fire analogy is wrong. General safety in a society should be encouraged and given to the society as a whole. Artificial extension of life isn't a needed function and has little intrinsic benefits.

    1. Re:Organ Transplants Shouldnt Be a "Right" by JewFish · · Score: 3, Funny

      We waste way too much time energy and money prolonging the lives of halfdead people. Is this a crack at the /. crowd?

    2. Re:Organ Transplants Shouldnt Be a "Right" by EnlightenedDuck · · Score: 3, Insightful
      My mom is an occupational therapist, mostly retired. The one client she's kept she's been working with for about a decade. Andrea was in an auto accident when she was 16 which left her in a coma, which the doctors thought she'd never recover from. She did, with no memories, and with difficulties forming new ones.

      After a decade of work and therapy, she is now ready to move into her own place. She is pursuing an interest in writing, and has started taking classes at a local community college.

      Compare this with being dead or a vegetable. Pretty impressive.

      And before somebody points out that a great amount of money has been invested in her, and her lifetime productivity will probably never pay it back, she had a settlement from the accident which has been paying for her recovery.

      And then there is the value of her life.

      The moral of this is that by prolonging somebody's life, it might not be just a few sick years. It can be a nearly complete life that you are giving somebody.

      Think about that before you condemn radical medical procedures.

      --
      Quack!Quack!.....QUACK!!
  7. Executions... by Cyno01 · · Score: 4, Interesting

    If your talking about execution, there are problems with organ donations from death row inmates. In most states lethal injection is the preferred method, the chemicals used in this process however are so powerful that they render all the organs useless, same with gas chambers. Old sparky also destroys organs pretty effectivly. I do remember hearing about one guy who chose the firing squad so his organs (asiddes from the heart and probably a lung then) could be harvested.

    --
    "Sic Semper Tyrannosaurus Rex."
  8. Careful of the unintended consequences by daveo0331 · · Score: 5, Insightful

    If there's a market for organs, and criminals sentenced to the death penalty are required to donate them, you now have an industry that profits from having more capital punishment. They might then lobby the government to expand the death penalty for the same reason a defense contractor might lobby for military expansion or a private prison industry might oppose legalizing marijuana. Scary thought.

    That said, death row inmates should be allowed to donate organs if they choose to. I just don't want it to be in some corporation's financial interest to expand the death penalty.

    --
    Remember the days when Republicans were the party of fiscal responsibility?
  9. The RIAA has a plan. by acceleriter · · Score: 4, Funny

    There will be no shortage of organs when they're HARVESTED FROM CRIMINAL P2P USERS after the death penalty copyright infringement cases roll in.

    --

    CEE5210S The signal SIGHUP was received.

  10. Try reconsidering. by Penguinoflight · · Score: 3, Insightful

    Part of the problem is that you can be officially considered dead, if you are a organ donor, or not dead if you aren't. Despite what the organ donor perponents say, you really aren't as safe if you are a donor. I know someone who died "on the table" and came back, she is not a donor, but if she was, she wouldn't be alive today.

    The hard part about organ donations, is the organs need to be taken out very soon after a death, and sometimes it's too soon.

    --
    "And we have seen and do testify that the Father sent the Son to be the Savior of the World"
    1 John 4:14
    1. Re:Try reconsidering. by Anonymous Coward · · Score: 5, Informative

      This is complete and utter bullshit.

      The CAUSE of the shortage situation is certainly not selfishness or paranoia. First, the demand for organ donation has increased. Why? Simple, technological advances, particular in surgery and immunological typing, allow a greater number of procedures and organs to be done. We are better in sheer surgical technique, as well as understanding what organs will be accepted from and to whom.

      So, the sheer number percentage and in volume of organ donors have gone up. However, the number of people who want or need organs have increased. Demand has outstripped supply. Hence, a market has developed.

      Remember that word above, cause? The need of organ donation is not the fault of the donor. Frequently, and this required revision in the organ donation system to our present day system, it's the receiver's lifestyle--somebody didn't take care of their first organ. I don't see why anyone should die sooner without the full course of potential treatment because someone didn't take of what was given to them in the first place.

      Now, there are certainly a huge number of other donations, due to disease, genetics, accidents, where there is a demand. But you seem to think that people being selfish first is the cause for pressure on the system. You don't, at all, offset some of the cause for this pressure--the organ receiver population puts pressure on the donor system too, because a good percentage of receiver's led crappy lifestyles in the first place. Remove those, as the organ donation system has compensated, and demand is still there, but much less so than you imagine.

      Second, what I give of my body is MINE FIRST, not yours to take. This isn't an income tax debate. It has nothing to do with selfishness but sanctity of self. While this may appear selfish to you, our society has chosen this line by action as well as by legal and health ramifications. If we did not follow such rules, we could go over to your house, shoot your sorry ass, and harvest your organs. After all, 10+ people could survive for your one sacrifice. If you protest, well, darn. You're just being selfish, heh? So give them up. 10 people are surely more worthwhile than your measily butt.

      "Doctors would be able to harvest organs from those patients who are most certainly dead."

      You have no reason to believe that their unethical practices would decrease. Why? Because they are bound legally and ethically to make sure the person is dead in the first place, but they don't always. They, not the people, have instilled this fear by being too obsessive-compulsive, with their first in line attitudes.

      See, a lot to do with organ donation is simply not supply. It's geographical location, time/disease progression, typing, size of the organ, age of the individuals, etc. Sheer organ supply in and of itself is just one issue; having the *right* organ is a big deal too (and, of course, sometimes where increased pressure occurs, hopefully ethically).

      A complete counter example is that doctors may approach families of non organ donors to get them to sign off on organ donation too.

      Also, if a large majority of society became donors, the number of optional, flippant procedures would increase, pushing increasing demand, again outstripping supply. The market that we see now would still remain (although, ironicly, probably be more hectic but saner--optional procedures mean big money and more front money).

      Yes, yes, I realize you believe that everything would go away if everyone gave. It doesn't work that way all the time.

      I, personally, took the organ donation off my driver's license in the past year. After medical school and reading the cases, as well as knowing my colleagues, I sadly no longer trust the system. You think I'm scared? Damn straight, I am.

      So much so, I am considering writing a note attached to my license explicitly stating that family members cannot sign away my donation rights when or if I cannot decide for myself.

      Selfish? Damn straight. I do not find it acceptable to receive substandard health care because someone else wants my body parts.

    2. Re:Try reconsidering. by Insanity · · Score: 3, Informative

      I can't be sure how it works in your area of the world, but here (BC, Canada) the doctors don't actually know you're an organ donor when you're dragged into an emergency room. There is no driver's license decal or any other sort of identification you carry with you as an organ donor. Rather, if you're ever in a situation where you're braindead but stable on life support, they'll check the registry and see if you're on it. Then, they'll verify that you're actually braindead, and take your organs.

      In theory, that's how it works. You can, of course, claim that that's a lie. In that case, I can't prove you wrong, but I can only say that your opinion of the medical profession rather low.

      I know someone who died "on the table" and came back, she is not a donor, but if she was, she wouldn't be alive today.

      Well, that's just speculation, and once again, it only reflects a strong bias against the medical profession on your part.

      But to put a lighter spin on the whole issue... let's say they're a bit more eager to let you die when you're an organ donor. Is that really so bad? In a situation where you're at the edge of life/death, you may end up brain-damaged if you recover after they've been shocking you for a few minutes. You may end up retarded and drooling for the rest of your life. Is death so much worse?

      One way or another, I'm an organ donor. I can't see a logical reason why anyone wouldn't be.


      --
      Nix absolutably seriousness.
  11. Cool by Unregistered · · Score: 4, Funny

    So if i donate organs to organ donors, my organs will be redonated upon the recipiant's death. That's awesome. My spleen might live for 300 years in 15 differnt bodies with this program.

  12. The consent is not the problem by duvel · · Score: 5, Informative

    Getting more people to sign consent-forms, and even making sure that families aren't able to stop organ donation when consent has been given by the donor, won't solve the problem.

    Truth of the matter is that there are simply not enough donors / not the right donors to provide all necessary organs. Where I live (Belgium) organ donation works as an opt-out system. There's a law that says that everybody is an organ donor (when they die) unless they have a certain form in their wallet stating the opposite. Hardly anybody opts out yet still there are not enough organs. Reason for this is that people that die tend to have been old and sick, or (if it's someone young) have most likely been in a traffic accident. None of these are the right circumstances for organ donation. Add to this the fact that you need matching blood types, have very little time for the organ harvasting etc... and it gets pretty obvious that taking organs from humans as spare bodyparts will only help a small percentage of cases.

    I'd place my money on using organs specifically grown for harvasting: e.g. pigs are used to grow skin that helps burn victims.

    --

    I have a photographic memory for numbers. I know almost a hundred of them.

  13. Re:You have a valid point but... by 73939133 · · Score: 3, Insightful

    Wait until YOU are the one who needs an organ transplant... I hope you never need, but think about it.

    We all need to come to terms with our inevitable death. Medicine is nice when it can give us a few more years of good life, but we shouldn't come to expect it.

  14. Good idea by FatAssBastard · · Score: 3, Interesting

    I have a friend who's wife is a nurse in an emergency room. She talked me out of being an organ donor on my driver's license for this very reason.

    It's not a case of doctors being 'evil', simply that if there's incentive for you to be dead, they might be pushed to make that decision about you while you still have a chance of 'coming back'.

    She said you can put that kind of thing in your will. I haven't done that, but I guess I'm more worried about keeping me alive than someone else.

    --
    /.: why the hell am I here?
  15. China: Black Market for Organs Already Exists by reporter · · Score: 4, Informative

    The black market for organs already exists. Please read "Kill and cull: China rejects doctor's testimony". This article gives a chilling description of how Chinese "doctors" harvest organs from prisoners while they are still alive. These organs then go to wealthy customers in a growing black market.

  16. Subscription Paramedics (OT) by Embedded+Geek · · Score: 4, Informative
    subscription fire department

    I live in the city of Fullerton, CA. Like most municipalites in the U.S., it has faced a severe funding crunch over the past few years. In response, they have established a Paramedic Subscription Program. Basically, if you call a paramedic, you get billed by the city $200 for Basic Life Support and $300 for Advanced Life Support. If, on the other hand, you sign up for the service and pay an annual fee of $30, you do not pay. Ambulance costs (as they are pretty much everywhere in the U.S.) are not covered. Regardless of your payment status, though, they will come if you call.

    While I have issues with calling paramedics and being charged in the first place (and, yes, I understand why they're doing it - to make ends meet and reduce frivilous calls), I can see where this fee makes a lot of sense to a business owner, who might see numerous 911 calls over a year (especially restaraunts, with choking/heart attack calls).

    --

    "Prepare for the worst - hope for the best."

  17. The Onion by eap · · Score: 3, Funny

    Just raise speed limits in school zones to 170 MPH, as The Onion recommended.

  18. Not a registered organ donor? Then no transplant! by BigBlockMopar · · Score: 4, Insightful

    Because hospitals are too afraid of being sued by the families if they take the organs anyway. Personally, I think it's disgusting that a family would ignore a person's request like that, and that our legal system is screwed up enough that a lawsuit would probably prevail in such a case...

    How about this:

    If you want to be eligible to receive transplanted organs should you ever need them, you must be a registered organ donor.

    Otherwise, too bad.

    This way, you encourage people to register as organ donors (as I have, for example) *and* you cut down on the leeches. If someone has a religious or other dumbass objection to donating organs, then how is it fair for them to be able to receive them while other people who are willing to contribute to the system die on waiting lists?

    It's just like any peer-to-peer filesharing system: if you want to download, you really have to share for the system to work.

    --
    Fire and Meat. Yummy.
  19. Re:China: Black Market for Organs Already Exists by Big_Breaker · · Score: 3, Insightful

    My wife is taiwanese and still has relatives on the mainland.

    We visited the mainland in January and I met her cousin who is an organ transplant surgeon. He spoke openly about how in China you can can examine a catalog of potential donors on death row with blood and tissue work already done. If you find a match you can designate ahead of time who will donate the body part that you need. When that persons time is up the surgeons are waiting to harvest.

    The surgeon said he couldn't drink that night because he had surgery the next day. He joked how you wouldn't be able to do that in the US, ie schedule your transplant surgeries in advance. Many executions are done around the new year as a sort of cleansing/celebration/unrest quelling. The surgeon said that was a very busy time for him. I asked him whether they still bill the prisoners family for the bullet - they do. Strange when the body parts are worth much more than the bullet huh?

    Given all that I bet if you are VIP in China and deathly ill that the execution of "your" prisoner might be pushed up?

    One last thing people may not know that mitigates some of this. There are no voluntary donors. Everyone in China wants to be buried whole. It is VERY important to them. I joked that the world should adopt a system where only people who are willing to donate should receive organs because not every country allowed what China did.

    My wife made a funny face and then translated. To the mainlanders at the dinner THAT was a funny idea. Why not use the prisoners that are full of shame and have hurt society?

  20. Re:Not a registered organ donor? Then no transplan by WTFmonkey · · Score: 5, Insightful

    The only problem with this is people who can't register as donors, like people with communicable diseases, etc. Otherwise, it's an awesome idea.

  21. Re:Not a registered organ donor? Then no transplan by Anonymous Coward · · Score: 3, Interesting

    Everybody has something that somebody else can use, so anybody can join LifeSharers, no matter how sick you are. Most people who can't donate organs can donate corneas, tissue, etc. Join LifeSharers at http://www.lifesharers.com/enroll.htm. It's free. It could save your life.

  22. What about... by cyberwench · · Score: 3, Interesting
    How about this:

    If you want to be eligible to receive transplanted organs should you ever need them, you must be a registered organ donor.

    Otherwise, too bad.

    This way, you encourage people to register as organ donors (as I have, for example) *and* you cut down on the leeches. If someone has a religious or other dumbass objection to donating organs, then how is it fair for them to be able to receive them while other people who are willing to contribute to the system die on waiting lists?

    Well, there's a rather large problem with that. Someone already mentioned that under this system, people with certain conditions or diseases who aren't allowed to donate wouldn't be allowed to receive organs.

    My question is... what about kids? At what age do we decide that they can make their own decisions about transplants? Can their parents decide for them? There was a young (I think 5-year-old) boy around here who just had a heart transplant recently. Would it have been ethical to deny him that heart because he's not of age to decide to donate?

    As good as an organ-sharing system may sound, I think that the only way organ donations will increase is if someone works out an incentive plan. Given how few people think that something bad might happen to them, how likely is this group to make much of a difference?

    Besides, personally, I have a hard time with giving organs preferentially to altruistic people. They should go to the ones who need them the most, no matter how appealing it might be to reserve them for other nice folks.

    As for religious objections to organ donation... I don't know of any religions that believe you should refuse to donate organs but that will happily allow acceptance of them, so these people are hardly abusing the system - no matter how "dumbass" you think their beliefs are.

    --
    ~ Leilah