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Rare 9-way Kidney Swap a Success

Okian Warrior sends news that a complex set of 18 surgeries has been successfully completed at California Pacific Medical Center and the University of California at San Francisco Medical Center that resulted in nine donors sending kidneys to recipients in need. This web of kidney swaps arose because many of the people with failing kidneys had donors willing to help them, but weren't a biological match. Rather than give up on the transplant altogether, doctors were able to arrange the willing donors in a way such that each patient who needed a kidney was able to get one. "Software matching programs have been driving the trend. The programs use blood type and other patient data from medical tests to connect people who are compatible."

130 comments

  1. Piss-poor situation by penguinoid · · Score: 2, Insightful

    Part of the problem is the big shortage of organs. I'm not sure what to think about this, in that this sort of thing might decrease any purely voluntary no-strings-attached donations. Maybe we should just allow people to buy kidneys, instead of requiring this sort of complex web of conditional donation.

    --
    Don't waste your vote! Vote for whoever you want, unless you live in a swing state it won't matter anyways
    1. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      Maybe we should just allow people to buy kidneys, instead of requiring this sort of complex web of conditional donation.

      Yeah, that's not at all fucked up.

    2. Re:Piss-poor situation by Anonymous Coward · · Score: 4, Insightful

      Beautiful libertarianism. The life saving organ transplants go to the wealthiest first, it's the free market and it's the fairest way.

    3. Re:Piss-poor situation by Ashafter · · Score: 1

      Part of the problem is rampant diabetes and obesity, which ultimately leads to kidney disease in many situations.

    4. Re:Piss-poor situation by Tablizer · · Score: 1

      Because God didn't create us for desk jobs. Sue him!

    5. Re:Piss-poor situation by penguinoid · · Score: 2

      If kidneys could be bought, insurance companies would be happy to pay quite the price for them (compared to the cost of regular dialysis and additional health problems).

      --
      Don't waste your vote! Vote for whoever you want, unless you live in a swing state it won't matter anyways
    6. Re: Piss-poor situation by Anonymous Coward · · Score: 0

      Your solution to the problem of 'conditional' donation is money? Isn't that an even whose condition for donation. I mean, how dare someone could donate a kidney on the condition that someone else pays it forward.

    7. Re:Piss-poor situation by Tablizer · · Score: 1

      If the poor could easily sell their kidneys for their family's benefit upon death, then the rest could afford them. Pay them up front even for the "rights". This is for those of you who worry about your family whacking you for profit.

    8. Re:Piss-poor situation by stevelinton · · Score: 1

      Most people who die naturally probably don't have very healthy kidneys by the time they die.

    9. Re:Piss-poor situation by dunkelfalke · · Score: 1

      Or you can do it like Austria.

      --
      "It's such a fine line between stupid and clever" -- David St. Hubbins, Spinal Tap
    10. Re: Piss-poor situation by penguinoid · · Score: 1

      As opposed to donate a kidney only if someone else is willing to donate a compatible kidney for their benefit?

      --
      Don't waste your vote! Vote for whoever you want, unless you live in a swing state it won't matter anyways
    11. Re: Piss-poor situation by Anonymous Coward · · Score: 0

      Yes. 'Forcing' someone else to donate in return for your donation is horrible, just horrible. How can they live with themselves!

      I don't think you understand how these chains work. Everyone wanted to donate. It is just beautiful, incredible, not fueled by greed as you imply.

    12. Re:Piss-poor situation by OrangeTide · · Score: 1

      Nobody is chaining you there. You can move into a cheap apartment and start digging ditches. Even stocking items at Walmart has got to be better for you than sitting at a desk for 9 hours a day.

      --
      “Common sense is not so common.” — Voltaire
    13. Re:Piss-poor situation by OrangeTide · · Score: 1

      sorry if that makes no sense. I clicked the wrong Reply To. and there are no take-backs on /.

      --
      “Common sense is not so common.” — Voltaire
    14. Re: Piss-poor situation by Anonymous Coward · · Score: 0

      You mean take your organs from Jews and assorted untermensch?

    15. Re:Piss-poor situation by fph+il+quozientatore · · Score: 2

      Yeah, sue him. He'll have a hard time finding an attorney, given that all lawyers go to hell.

      --
      My first program:

      Hell Segmentation fault

    16. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      Man I really could use more heroin, I could get $1k if I sold mine, if both my gf and I do that that's $2k cash money.

    17. Re:Piss-poor situation by 93+Escort+Wagon · · Score: 1

      Maybe the poor could also raise and sell their children to be food for the wealthy, while they're at it.

      --
      #DeleteChrome
    18. Re:Piss-poor situation by Rich0 · · Score: 2, Insightful

      Beautiful libertarianism. The life saving organ transplants go to the wealthiest first, it's the free market and it's the fairest way.

      This is zero-sum thinking. Most life saving organ transplants go to the grave right now. If there was a financial incentive to donate, then there would be a LOT more organs to go around. Sure, they would go to the wealthy first as you point out, but there aren't that many wealthy people out there (by definition), so many more will go to the rest of us.

      There isn't any aspect of life where the wealthy don't benefit more than the rest of us. If that were a reason not to do something, then for the most part nobody would do much of anything.

    19. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      One problem is that death can be arranged and one way is to simply take both kidneys. Another problem is that poor people are frequently disease ridden with poor quality kidneys. The long term solution is figuring out how to grow artificial kidneys rapidly from the patient's own tissue.

      Or, to give it any traction these days: How to 3D Print a kidney using the patient's own cells.

      There, I got 3D printing into the discussion. Now it must all be true and we will all get rich.

    20. Re: Piss-poor situation by Rich0 · · Score: 1

      Yes. 'Forcing' someone else to donate in return for your donation is horrible, just horrible. How can they live with themselves!

      I don't think you understand how these chains work. Everyone wanted to donate. It is just beautiful, incredible, not fueled by greed as you imply.

      Actually, I don't think it is nearly as pretty as you suggest.

      Fred needs a kidney. I have a kidney that Fred could use. However, I could care less about Fred personally so I can't really be bothered to donate a kidney to Fred. On the other hand, Jake also needs a kidney and I care a lot about Jake and would do anything for him. Unfortunately, Jake can't use my Kidney. But, Sue has a kidney that Jake could use, but Sue doesn't care a bit about Jake and would rather see him die than give him a kidney. Fortunately Sue would love to give her kidney to Fred but can't. So, even though both Sue and I would rather see somebody die than give them our kidney, we can broker a swap where we give a kidney to somebody else so that somebody we actually do care about does get a kidney.

      It is just an extension of the general principle where most of us would go out of our way to help somebody we know, but not a complete stranger. Since most strangers are known to somebody else, that can be exploited so that we end up doing something nice for a stranger anyway. Sue and I aren't any worse than anybody else - we're just not going to give up an organ we might need ourselves for somebody we've never met.

      Look it is great that in the end kidneys got donated to folks that need them. However, this does nothing for somebody who has no friends who are able to donate a kidney, because they can't get into the game.

      I think we really need a better solution. These kinds of deals really amount to bartering for organs already, Why not just let people sell them, and watch people line up and sell kidneys that they'd never donate?

    21. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      But Republicans don't want that. They want us to die.

    22. Re:Piss-poor situation by jfern · · Score: 1

      In a few years, stem cells may allow for organs to be simply grown, making the whole situation much better.

    23. Re:Piss-poor situation by someone1234 · · Score: 1

      Actually, you could sell both of your gf's. And there is a liver there too, if she didn't drink too much.

      --
      Patents Drive Free Software as Hurricanes Drive Construction Industry
    24. Re:Piss-poor situation by GNious · · Score: 1

      Up next, remove all taxes on motorcycles, give away drivers-licenses and make organ-donation mandatory? That would solve the shortage-problem preeeetty quickly.

    25. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      big shortage of organs. Because of the Republicans.

    26. Re:Piss-poor situation by AuMatar · · Score: 3, Insightful

      Better solution- make all organs automatically donated upon death. The owners don't need them anymore. Then no money needs to be involved at all, and we'd have a ready supply. The family can get what's left of the body after any usable organs have been harvested. Bonus- a system that's actually fair, rather than making money the determining factor.

      --
      I still have more fans than freaks. WTF is wrong with you people?
    27. Re:Piss-poor situation by Anonymous Coward · · Score: 2, Insightful

      Then who would I do heroin with? I'm not some pathetic loser with no gf.

    28. Re: Piss-poor situation by Anonymous Coward · · Score: 0

      So if you could care less about Fred, you do, in fact, care, right?

    29. Re:Piss-poor situation by ecotax · · Score: 2

      This is zero-sum thinking. Most life saving organ transplants go to the grave right now. If there was a financial incentive to donate....

      It's indeed a shame a lot of potential organ transplants go to the grave right now. Reasoning about this primarily in financial terms first makes no sense, though. After all, what am I going to do with the money when I'm dead? Bury it with me? OK, it could give me a good feeling if I knew it would help my relatives. But then it's about helping others, not about money, and this should be the starting point of reasoning about this issue.

      --
      "Money is a sign of poverty." - Iain Banks
    30. Re:Piss-poor situation by ecotax · · Score: 3, Informative

      Exactly my thoughts, except that people who really have problems with this solution for religious or whatever reason should have a way to opt-out. Simply changing the default from opt-out to opt-in would already make a big difference, maybe enough, maybe not.
      If that wouldn't be enough, the deal could be that people who choose to opt-out would be placed behind people who choose opt-in in on the waiting list in case they need an organ themselves. That would be fair and still leave people the choice to opt-out if they are really uncomfortable with the whole organ donation idea (personally, I'm not - dead is dead).

      --
      "Money is a sign of poverty." - Iain Banks
    31. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      It would be awful if these people went in for a 9-way swap, but came out as a human centipede...

    32. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      > There isn't any aspect of life where the wealthy don't benefit more than the rest of us.

      A free country can be founded on the notion that all men are created equal. No free country can be founded on the notion that a rich man can buy the very constituents of other people's bodies, and it does not matter that he should buy them to integrate into himself rather than for consumption or amusement.

      This is why we need principles that are not open to financial negotiation. The ability to organise matters of life and death, to guide or sidestep the application of criminal law, and the right to set yourself apart or above any other free individual ought not be for sale.

    33. Re: Piss-poor situation by Anonymous Coward · · Score: 0

      I see nothing wrong with this.
      I couldn't give a shit about you, but if giving you a kidney saved a family member I would do it.
      What's wrong with that? Why would I give a kidney (requiring life threatening surgery) to some total stranger with absolutely no benefit to myself?
      Let me rephrase that: Why should I put my life at risk, and reduce my quality of life, for the benefit of some total stranger?
      It seems to me that if they hadn't bargained like this, and simply donated kidneys blindly, then both Fred and Jake would be dead,
      since the kidneys would have gone to some random person.

    34. Re:Piss-poor situation by jellomizer · · Score: 1

      I got mugged they stole my cellphone my wallet and a kidney!

      The reason why paying for organs is dangerious is it offers a revenue source towards a scares system. There will be a lot of people not willing to sell their kidney at any price. So we will have a market where the price will not match demand and supply. When things are not balanced you will get factors often via black market to try to get it balanced. So taking kidneys from unwilling victims, where the price is high enough to take the risk of doing the crime, and because it isn't your kidney it can be sold at market price.

      We have two kidneys for a reason, we can live on one, but as we get older one can fail, so we still have another one to keep us going.

      --
      If something is so important that you feel the need to post it on the internet... It probably isn't that important.
    35. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      Why do you want to maximise the number of expensive operations to keep people alive who are "for parts or not working"?

      It's not like we have a shortage of people. If you want more humans, just provide open access to your womenfolk.

      if that makes you feel uncomfortable, good - you want to make me & mine community property as soon as we pop our clogs?

    36. Re:Piss-poor situation by Opportunist · · Score: 1

      Oh yeah, how about going a step further? Mortgage your organs. And if you can't pay, hey, at least the bank will be happy. You'll see Paris! Ok, not you, but your eyes will!

      And it's just so perfectly capitalist. Poor people donate, rich people may live. Hey, supply and demand, you see?

      Repo comes alive!

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    37. Re:Piss-poor situation by Opportunist · · Score: 1

      If you cannot see a flaw in the plan to give a monetary incentive to people for the case when one of their relatives dies, I can.

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    38. Re:Piss-poor situation by Opportunist · · Score: 1

      But it's hard to deliver a summons whose address is "everywhere and nowhere, transcendent in space and time".

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    39. Re: Piss-poor situation by Opportunist · · Score: 1

      As far as I know it's not limited to bankers, managers and other useless vermin. Everyone gets butchered if needed.

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    40. Re:Piss-poor situation by Opportunist · · Score: 1

      Don't worry, you will die when your heart is removed to save the life of someone "valuable". I doubt that the Reps would resist that too much.

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    41. Re:Piss-poor situation by Opportunist · · Score: 1

      Is that the same few years that cold fusion is away? I keep hearing that nearly as long as I get to hear the "10 years to cold fusion".

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    42. Re:Piss-poor situation by Opportunist · · Score: 1

      How does that affect kidneys? I mean, ok, Reps have no heart, so I could see a shortage there, but kidneys?

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    43. Re:Piss-poor situation by CrimsonAvenger · · Score: 1

      It's indeed a shame a lot of potential organ transplants go to the grave right now. Reasoning about this primarily in financial terms first makes no sense, though. After all, what am I going to do with the money when I'm dead?

      Better question: what are your wife and kids going to do with the money when you're dead?

      Seriously, I've been telling my wife for years to donate my leftovers to the local medical school. Unfortunately, my cancer history means my leftovers are basically useless for transplanting. But, given that I were reasonably healthy, I'd feel quite comfortable with her getting the proceeds from whatever leftovers still were useful after I got done using them....

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    44. Re:Piss-poor situation by Rich0 · · Score: 2

      After all, what am I going to do with the money when I'm dead? Bury it with me? OK, it could give me a good feeling if I knew it would help my relatives. But then it's about helping others, not about money, and this should be the starting point of reasoning about this issue.

      In the one case it is about helping strangers (the likely recipients of your organs), and in the other case it is about helping your family (the likely recipients of the money raised from selling your organs).

      People will do a lot more for their family than strangers.

      Also, in this case we're talking about kidney donations while the donor is still alive. It is very rare to have somebody walk into a hospital and just ask if they can donate a kidney for anybody who happens to need it. However, that is how many kidney transplants actually happen for family/friends. A nine-way deal was needed in this case because there were nine pairs of donors and intended recipients - none of those donors were stepping up to donate until somebody THEY knew needed their kidney.

    45. Re:Piss-poor situation by Rich0 · · Score: 2

      If you cannot see a flaw in the plan to give a monetary incentive to people for the case when one of their relatives dies, I can.

      Insurance already creates that incentive today. That is why the first people who get investigated when somebody dies are their heirs. I don't really see organ donations changing that.

      However, as with insurance it probably would require making the money from organ sales go straight to a beneficiary and skipping the estate. Otherwise anybody in heavy debt will probably elect to just let their organs rot, since it won't benefit anybody they actually care about.

    46. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      By that logic, we should also make jobs illegal.

    47. Re:Piss-poor situation by Rich0 · · Score: 2

      That sounds nice, but NO society on Earth actually works this way, at least not with regard to medical care. Try to tell me with a straight face that some member of a royal family in Europe waits the same number of days on average for an organ as the average citizen, etc.

      I'd actually agree with you regarding the application of criminal law. However, I don't see why the rich shouldn't be able to live longer than the poor. I do fully support raising the standard of care for the poor, and socialized medicine, and all that. However, I don't see any need to put a gun to the wealthy and prevent them from actively spending more on their care than society allots for everybody.

      I'm not a big fan of trickle-down but in this particular case I think it would actually work. However, I'm all for having socialized insurance that would pay for an organ for anybody who needed it and where the organ was likely to make a difference in their outcome.

    48. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      Yeah, because the basic concept would be implemented with absolutely no checks and regulations to prevent foul play. "Money for organs, no-questions-asked" is the only possible option.

    49. Re: Piss-poor situation by Rich0 · · Score: 1

      I see nothing wrong with this.

      I don't see anything wrong with "you" - but I do see something wrong with "this."

      You're just doing what everybody does. Obviously biology has built that kind of thinking into our brains. I certainly can't fault you for being normal.

      The problem with the resulting situation is that lots of people end up not being able to get kidneys, because they can't find somebody else willing to get them into the system by donating an organ. Organ donors are rare in general.

      Why would I give a kidney (requiring life threatening surgery) to some total stranger with absolutely no benefit to myself?

      Suppose that stranger could offer you $200k for that kidney? Maybe you'd think about it more then.

      We do things for strangers all the time. Last night somebody kept walking over to the table where I was eating and refilling my drink, and he didn't even know my name. A complete stranger even cooked me a very nice dinner. Of course, when it was all over I paid them for the service they performed.

      I'm not suggesting banning targeted donations of kidneys. However, if we allowed people to sell their kidneys I bet there would be a LOT more kidneys going around. It would probably save insurance companies money as well, since that one-time payment would be cheaper than all the dialysis it eliminates the need for.

      Of course we should be spending on research on artificial organs and all that as well.

      But, it all starts with agreeing that we could be doing better than we're doing today.

    50. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      Nothing I'm saying is about ensuring an outcome that "the rich" don't live longer. If you want to pick something to "opt into" let's pick "paying for the royals" - other than that I have no comment on that useless rabble of inbred ingrates.

      It's about establishing clear inviolable boundaries which bind the citizenry.

      Financial control over deciding which criminal cases to take - no.
      Direct financially-controlled access to transplant organ pools - no.
      Ability to pay for extra medical personnel or teaching - ok.
      etc.

    51. Re:Piss-poor situation by ecotax · · Score: 2

      In the one case it is about helping strangers (the likely recipients of your organs), and in the other case it is about helping your family (the likely recipients of the money raised from selling your organs).

      People will do a lot more for their family than strangers.

      Absolutely true, and I understand the way this worked in this case. I was just thinking out loud about solving the problem of donor organ shortage in general. I'm not expecting most people to volunteer being an organ donor while alive - it's simply asking a bit much. But many people could be convinced to potentially become an organ donor after death simply for altruistic reasons. Neither organs nor money aren't going to be of any use to you. Why not help someone else, even if it's a person you don't know?

      --
      "Money is a sign of poverty." - Iain Banks
    52. Re:Piss-poor situation by ecotax · · Score: 1

      Better question: what are your wife and kids going to do with the money when you're dead?

      Agreed, after there's 'me' left that question makes more sense.

      Seriously, I've been telling my wife for years to donate my leftovers to the local medical school. Unfortunately, my cancer history means my leftovers are basically useless for transplanting. But, given that I were reasonably healthy, I'd feel quite comfortable with her getting the proceeds from whatever leftovers still were useful after I got done using them....

      I understand that, and I would feel the same. But would you consider helping your family financially more important than helping an unknown person fighting for his life? To personally, the second thing would be more important, unless my family would be in a really desperate financial situation.

      --
      "Money is a sign of poverty." - Iain Banks
    53. Re:Piss-poor situation by Applehu+Akbar · · Score: 1

      OR...we could get good at GMO technology and develop pigs that grow human organs cloned from specific people in need, so that after transplantation you wouldn't have to spend the rest of your life with no more immune system.

      An interesting long-term effect of technology like this would be the gradual displacement of the anti-GMO crowd by adverse selection.

    54. Re: Piss-poor situation by Anonymous Coward · · Score: 0

      Suppose that stranger could offer you $200k for that kidney? Maybe you'd think about it more then.

      The unintended consequence, of course, is that anyone with a pair of kidneys is seen as walking around with $200k of untapped resources. It wouldn't be that long before the first story of someone being coerced into selling a kidney.

    55. Re: Piss-poor situation by ecotax · · Score: 1

      The problem with the resulting situation is that lots of people end up not being able to get kidneys, because they can't find somebody else willing to get them into the system by donating an organ. Organ donors are rare in general.

      Why would I give a kidney (requiring life threatening surgery) to some total stranger with absolutely no benefit to myself?

      Suppose that stranger could offer you $200k for that kidney? Maybe you'd think about it more then.

      I'm afraid I would have to, if I were in serious financial problems. And I'd hate having to face that choice.
      On the other hand, that stranger could also have them for free - if he would just wait for me to die first.
      Live organ donors are rare indeed. But we could do much better with the other type and face less ethical challenges.

      --
      "Money is a sign of poverty." - Iain Banks
    56. Re: Piss-poor situation by Anonymous Coward · · Score: 0

      I gave my kidney to a friend and have a rich set of opinions on this. Her insurance company spent over a million dollars on our surgeries. They saved several million in a lifetime of dialysis for her.
      There is a lot of money transacting in the business of swapping these kidneys. The only ones who do not benefit anything are the living donors (or families of cadaveric donors).

      Nevertheless, I have thought this through and if kidneys are bought on a free market, ultimately disadvantaged are the poor and desperate, who fail to understand what price they could demand. This happens in India. People sell a kidney for a couple hundred dollars, and it does not miraculously change their life like they thought it would.
      The free market is a little too brutal for this.

      The other roughly equivalent option is to force everyone to give organs when they die. Or at least, set that as the default option. For this, I still strongly believe that families should be compensated for the assistance their family provides (and the extra grief caused by the thought of the snatching)

    57. Re:Piss-poor situation by ShanghaiBill · · Score: 1

      If kidneys could be bought ...

      Kidneys CAN be bought. They can also be sold. It is just that the donor (or the donor's family) cannot be compensated. The hospitals make a fortune, because they get something for nothing, and sell it for over $100k. This policy promotes artificial scarcity, which sustains high prices, and keeps the racket going.

    58. Re:Piss-poor situation by ShanghaiBill · · Score: 2

      But would you consider helping your family financially more important than helping an unknown person fighting for his life?

      A quick glance at reality shows that nearly everyone would choose to help their relatives over some stranger. An organ market would allow them to do both.

    59. Re: Piss-poor situation by Anonymous Coward · · Score: 0

      I gave my kidney to a friend and have a rich set of opinions on this. Her insurance company spent over a million dollars on our surgeries. They saved several million in a lifetime of dialysis for her.
      There is a lot of money transacting in the business of swapping these kidneys. The only ones who do not benefit anything are the living donors (or families of cadaveric donors).
      Nevertheless, I have thought this through and if kidneys are bought on a free market, ultimately disadvantaged are the poor and desperate, who fail to understand what price they could demand. This happens in India. People sell a kidney for a couple hundred dollars, and it does not miraculously change their life like they thought it would.
      The free market is a little too brutal for this.
      The other roughly equivalent option is to force everyone to give organs when they die. Or at least, set that as the default option. For this, I still strongly believe that families should be compensated for the assistance their family provides (and the extra grief caused by the thought of the snatching)

    60. Re:Piss-poor situation by ecotax · · Score: 1

      Why do you want to maximise the number of expensive operations to keep people alive who are "for parts or not working"?

      Basic decency?

      It's not like we have a shortage of people. If you want more humans, just provide open access to your womenfolk.

      There's certainly enough people already, and I'm not the Pope - birth control is just fine with me.

      if that makes you feel uncomfortable, good - you want to make me & mine community property as soon as we pop our clogs?

      You have a funny way of arguing - first lashing out instead of just coming up with the point you want to make. No, I don't want to take your choice about what to do with your corpse after you died away from you. Just read my comment again and you'll see.

      --
      "Money is a sign of poverty." - Iain Banks
    61. Re: Piss-poor situation by hawkinspeter · · Score: 1

      It amazes me that most places don't have organ donation as the default option when you die. That way, it increases the number of available donors as a lot of people don't particularly care about what happens after they're dead and haven't bothered to register/carry a donor card. It would mean that people who have strong feelings about it could register/carry a card to ensure that their body remains intact.

      I'm not sure I agree with compensating families for donated organs as it equates their grief to a cash payout which strikes me as insulting. Maybe some kind of donation given for the funeral of the deceased would be more appropriate as a thankyou, but ideally the family would welcome a way for their loved one to live on in some fashion.

      --
      You're a temporary arrangement of matter sliding towards oblivion in a cold, uncaring universe
    62. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      If someone is going to walk around with 1 kidney... then they may as well get paid for their trouble.

    63. Re:Piss-poor situation by Opportunist · · Score: 1

      Certainly, the problem is just that in this crime you'll probably have everyone who could raise a red flag involved in the spiel. The relatives get money, the hospital gets organs, society gets rid of a shortage of organs. In the example you describe there is at least an insurance that has an interest in discovering foul play, and the means to.

      I cannot detect anyone like this here, but a lot of parties interested in covering it up.

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    64. Re:Piss-poor situation by jopsen · · Score: 1

      Exactly my thoughts, except that people who really have problems with this solution for religious or whatever reason should have a way to opt-out. Simply changing the default from opt-out to opt-in would already make a big difference, maybe enough, maybe not.

      You don't even have to go that far (opt-out is too far). Just make it a requirement that once you turn 18, you file a form opting either in or out.
      Most people who aren't organ donors are so because they haven't made up their mind.

      You could also make a requirement for a drivers license that you "make up your mind". Ie. on the form for application for drivers license, make an organ donation yes/no field and require that people pick one. Sort of appropriate as considering how people drive in the US, they are likely to donate organs :)

      There most likely no need to push people to do anything but make up their mind.

    65. Re:Piss-poor situation by Bengie · · Score: 1

      Kidneys CAN be bought. They can also be sold.

      Other than it is illegal to sell an organ in any situation. Even if the hospital gets a "free" organ because someone died and is labeled an organ donor, it is illegal for the hospital to sell that organ. They can be compensated for the cost of transporting the organ in the case another hospital wants it, but no net profit should be made.

    66. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      > You have a funny way of arguing
      Nope, you need to argue more.

    67. Re:Piss-poor situation by vilanye · · Score: 1

      Wrong

      Look at the procurement column. That is how much it costs to buy the organ and the donor gets $0, but the hospital harvesting it gets that procurement fee.

      If you need a kidney you will pay, on average, $67,200 for the kidney and only the kidney.

    68. Re:Piss-poor situation by ShanghaiBill · · Score: 3, Informative

      Other than it is illegal to sell an organ in any situation.

      You are wrong. In 2011, the average procurement cost for a kidney was $67,200. For a heart, you would pay $80,400. None of that goes to the donor, or the donor's family, except for reimbursement of direct medical expenses. It is a very profitable racket.

    69. Re: Piss-poor situation by Anonymous Coward · · Score: 0

      I don't think it often works that way. Your teenage son, dead or nearly dead; you will take years to come to terms with it, but at this point you have had minutes or hours to take it in. Then the greedy transplant people are there, and you know they are salivating over all your loved one's body parts. It's a really really awkward situation, what they do, making you feel guilty like you owe the world something when you haven't even come to understand your loss yet.

      I don't think $10K would make anyone feel better, but the respect it displays would at least keep me from feeling more angry.

    70. Re: Piss-poor situation by Anonymous Coward · · Score: 0

      I hope I never end up in that situation, by the way. It sure does make a lot more sense to personally commit your body parts prior to your accident or death.

    71. Re:Piss-poor situation by ecotax · · Score: 1

      Agreed, if you'd find a way to have most people make up their mind that might be enough. Combining it with a drivers license would make sure that 90-something percent of the people would at least think about it once.

      And as for driving habits and risks.... You could do a lot worse than live in the US, trust me.

      --
      "Money is a sign of poverty." - Iain Banks
    72. Re:Piss-poor situation by Wycliffe · · Score: 1

      There isn't any aspect of life where the wealthy don't benefit more than the rest of us.

      Although I mostly agree with this statement, this is actually one area where the poor *could* benefit more.
      First off, paying for organs would make more organs available and secondly, 10k is a lot more useful to
      a poor family that just lost someone than it is to a rich family that just lost someone. Obviously there
      needs to be checks (especially on the still living) to make sure it's not abused but most poor people
      don't have life insurance and an extra 10k-100k at death could actually benefit their family greatly.

    73. Re: Piss-poor situation by sjames · · Score: 1

      It need not be a direct monetary payment. A good gesture would be covering the bills for the ultimately futile medical treatment that ended in death, helping with funeral arrangements (and costs), etc would at least ease the outer burdens on the family while they deal with their loss.

    74. Re:Piss-poor situation by Rich0 · · Score: 1

      I've heard of many reasons that people don't donate.

      One is just laziness. Depending on the jurisdiction explicit consent is required, and that takes some amount of effort. There have been laws passed in many places to eliminate this barrier, such as requiring people to answer yes/no when renewing a driver's license (which thus requires equal effort to accept/decline), or moving to a default-consent model.

      Another I've heard is fear that a doctor will act against their interests if somebody needs the kidney. The typical feared scenario is that a volunteer donor is in a coma and the president of the US gets shot and ends up in the same hospital, and happens to be a match for an organ that they need. A doctor might decide that the patient with the organs is beyond hope, and decide to give the organ to the president instead. If the patient were not a volunteer donor then that incentive to pull the plug wouldn't exist. Most organ donation proponents will point out that this cannot legally happen.

      And of course religion is a motivation in some cases, though most major religious organizations endorse organ donation.

    75. Re: Piss-poor situation by Anonymous Coward · · Score: 0

      I'm not sure that I agree that one should have to carry around a card indicating that you don't want your organs harvested.

    76. Re:Piss-poor situation by LaurenCates · · Score: 1

      I thought I was the only one with this as a first thought.

      Thank you for confirming there are other sick people in the world like me. :-P

      --
      Some people don't believe in fairies. I don't believe in The Patriarchy.
    77. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      Maybe you could set it up for lower insurance premiums while you're alive, if you opt in.

    78. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      Jobs are illegal, that's why we pay income tax you ninny.

    79. Re:Piss-poor situation by ultranova · · Score: 1

      Obviously there needs to be checks (especially on the still living) to make sure it's not abused but most poor people don't have life insurance and an extra 10k-100k at death could actually benefit their family greatly.

      Yes, it could, and pretty soon it's expected you sell your organs first before seeking public assistance. This is a horrible idea that needs to be snipped in the bud.

      --

      Forget magic. Any technology distinguishable from divine power is insufficiently advanced.

    80. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      If the patient were not a volunteer donor then that incentive to pull the plug wouldn't exist. Most organ donation proponents will point out that this cannot legally happen.

      Doctors giving lethal doses of opiates to terminal patients "cannot legally happen" either (in most US jurisdictions). Good luck finding a practicing physician with hospital privileges who hasn't done it or doesn't know another who has, however.

      People know that it doesn't matter what's illegal -- it matters what will get prosecuted. Doctors making a terminal, or arguably terminal, patient die a little sooner are understood to be even less likely to be prosecuted than an off-camera shooting by police.

    81. Re:Piss-poor situation by jabuzz · · Score: 1

      There is a simple answer to the shortage of organs. At the moment there is no downside to not being on the "register" or whatever it is in your country. Therefore to fix the supply problem we need to create a downside if you are not a registered organ donor.

      The most objectively fair way to do this is if you are not on the donor register you are ineligible to receive a donated organ. Put simply if you are not willing to donate an organ what makes you think you should receive them?

      Obviously we need to require people to be on the register for say a year before they become eligible to receive them to stop people simply joining when they find they need an organ donation. Further if you ever find you need one and don't have that year of registration then you are forever locked out.

      Set up the laws so that you can join the register at say 16, and by 18 you must be on it to receive an organ donation. By the time you are 19 you need to have been on a year to receive the donation. Further changes of law as necessary so next of kin are unable to override your decision to donate (a problem in some countries).

      You will find that with suitable publicity over a phase in period that the supply of organs will basically be fixed in a couple of years.

    82. Re:Piss-poor situation by Rich0 · · Score: 1

      Obviously there needs to be checks (especially on the still living) to make sure it's not abused but most poor people don't have life insurance and an extra 10k-100k at death could actually benefit their family greatly.

      Yes, it could, and pretty soon it's expected you sell your organs first before seeking public assistance. This is a horrible idea that needs to be snipped in the bud.

      Being expected to sell your organs before seeking public assistance certainly is a horrible idea. I'm not convinced that this means that selling your organs is a horrible idea.

      Look, the only body who can require anybody to sell their organs to receive public assistance is the legislature. That happens to be the only body who can also allow people to sell their organs in the first place. So, if you can't trust the legislature to do the right thing, then you're up the creek already.

      I don't think that we should prohibit something because we automatically assume that it will be regulated in the worst possible way.

    83. Re:Piss-poor situation by Talderas · · Score: 1

      Does you idea include skin donations for grafts and burn victims?

      --
      "Lack of speed can be overcome. In the worst case by patience." --Znork
    84. Re:Piss-poor situation by Anonymous Coward · · Score: 0

      What other system would be more fair in determining who should get the limited resource? Should it not go to the person who contributes the most to society? If the person has no money personally but brings joy to others, would that person not be the most valuable target for charity from others?

      Allowing a government to control decision just means a corruptible bureaucrat will get to choose for reasons of his or her own.

    85. Re:Piss-poor situation by Tablizer · · Score: 1

      Kind of like Comcast.

    86. Re:Piss-poor situation by stoatwblr · · Score: 1

      "Maybe we should just allow people to buy kidneys"

      Hello organlegging.

    87. Re:Piss-poor situation by StikyPad · · Score: 1

      I was skeptical that that would increase supply enough, but surprisingly, it would*. Only 40% of people are registered as donors, which covers more than half of the necessary transplants. Supply exists to meet demand, but people just don't register. That's disappointing.

      Honestly, though, this is one case where technology has the potential to solve a problem, and it happens to be more palatable. And if organs could be grown from a person's own tissue, rejection would be a non-issue as well, which would be a greater victory. Increasing the donor pool is certainly essential as a stopgap, but hopefully one day soon it's a non-issue.

    88. Re:Piss-poor situation by AuMatar · · Score: 1

      From the dead? Sure, why not? Prioritize from areas that would be covered at burial.

      --
      I still have more fans than freaks. WTF is wrong with you people?
    89. Re: Piss-poor situation by beastofburdon · · Score: 1

      The system is already setup in such a way that the poor are disadvantaged. It is also designed to hide this fact. Your chances to get on a recipient list for a donated organ are dictated by several factors: age, likelihood of surviving, if it is not your first then compliance (taking your medicine and going to all your scheduled doctor's appointments), and very important is your level of insurance. If you have no insurance or Medicaid you are not likely to get that transplant to save your life, but if you have great insurance you will be moved to the front of the list.

  2. Facinating by Anonymous Coward · · Score: 0

    But what is the connection to horse racing?

  3. Swapping by The+Raven · · Score: 1

    Like a wife swap. Just two of you, and it's quite possible the swap won't be fun because at least one pair doesn't hit it off. But bring 10 couples together and the chances of finding a way to pair everyone up so that they have a good time is a lot better.

    You know. In theory.

    --
    "I will trust Google to 'do no evil' until the founders no longer run it." Hello Alphabet.
    1. Re:Swapping by Anonymous Coward · · Score: 0

      > But bring 10 couples together and the chances of finding a way to pair everyone up so that they have a good time is a lot better.

      You've never *traced* relationships among the polyamorous, have you? That evening may be a lot of fun for some, but several men and several women are likely to be rejected by all, one woman is going to be pursued by 5 men, and the man who collects the most women will give at least 2 of them herpes over the next month.

    2. Re:Swapping by mwvdlee · · Score: 1

      You know that is NOT true, and I would kindly ask you to stop slandering me.

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    3. Re:Swapping by Anonymous Coward · · Score: 0

      So you weren't the man that got rejected and were in fact the man that spread herpes?

  4. Lots of Much smaller swaps by stevelinton · · Score: 1

    This made headlines because it's the longest cycle ever, but the people who run these programmes see long cycles as undesirable -- what they mostly do is identify hundreds of opportunities for two or three way swaps, or for "open" chains where one altruistic donor can result in two or three people getting kidneys. The maths behind it is quite interesting.

    1. Re:Lots of Much smaller swaps by mwvdlee · · Score: 1

      I'm guessing shorter chains make it more likely for the donors involved to agree, as it's less "anonymous".
      Also; why make these chains any longer than necessary.
      At the end of the day though, these chains should be as long as necessary, and I'm thoroughly impressed by the organisational skills involved here and the willingness of the donors to go through with it.

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    2. Re:Lots of Much smaller swaps by dj245 · · Score: 1

      I'm guessing shorter chains make it more likely for the donors involved to agree, as it's less "anonymous". Also; why make these chains any longer than necessary. At the end of the day though, these chains should be as long as necessary, and I'm thoroughly impressed by the organisational skills involved here and the willingness of the donors to go through with it.

      I think it has more to due with what happens when a kidney is rejected. With a single swap, if things go bad, that is tragic but the two matches probably got to know each other a little bit. With a long chain, the chances of at least one of the kidneys being rejected increases, and the politics may get more complicated when that happens.

      --
      Even those who arrange and design shrubberies are under considerable economic stress at this period in history.
    3. Re:Lots of Much smaller swaps by stevelinton · · Score: 1

      The other complication is that all surgeries in a cycle have to be simultaneous -- to avoid allowing donors to opt out after their relative has received a new kidney. So in this case you need 18 operating theatres and 18 surgical teams.

  5. This all sound so very Republican by Anonymous Coward · · Score: 0

    Their kind doesn't think we are entitled to keep our own kidneys so they beat us until we are unconscious and then they steal our kidneys. This is the legacy of the Bush Crime Family. Their kind has arranged it so that so many of us lose our kidneys. That is the way of their kind.

  6. hopefully sooner rather than later by Gravis+Zero · · Score: 1

    i'm hopeful that soon we will be replacing our organs with regrown versions of our own. they are making excellent progress in this field.

    --
    Anons need not reply. Questions end with a question mark.
  7. This is just another Bush Crime Family scam... by Anonymous Coward · · Score: 0

    Any one intelligent knows this didn't happen. We are not stupid enough to believe this happened. Only a Republican is that stupid.

  8. Lego People by Anonymous Coward · · Score: 0

    Look at all the humans, let's play mix and match, Frankenstein.

    Steak and kidney pie.

  9. And also more poor people live by foreverdisillusioned · · Score: 1

    Self-described libertarians can say some pretty stupid stuff sometimes, but this isn't one of them. If person to person monetary incentives are allowed (within certain guidelines), then there are more kidneys available period. Structured the right away, this could easily mean more kidneys and shorter waiting lists for poor people as well.

    1. Re:And also more poor people live by Opportunist · · Score: 1

      More kidneys will be available, right. The question that remains, though, is whether all donors didn't need them anymore...

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    2. Re:And also more poor people live by foreverdisillusioned · · Score: 2

      A laughably worthless statement. Legalizing compensation for kidney donation in no way implies that someone who walks into a hospital with a bloody baggie refusing to tell them where the kidney came from must be served. The transplant team would obviously be working on both patients and do an assessment beforehand. This isn't Tor for kidneys; this is just compensation.

      If the black market for kidneys really does exist (isn't an urban legend), then increasing the supply of legal kidneys can only shrink the black market, not enlarge it. The demand for kidneys is, in other words, rather inelastic. People don't get addicted to them. They don't grind them up and inject them into a vein for a high. At least, I am assuming they don't.

    3. Re:And also more poor people live by Anonymous Coward · · Score: 0

      If the black market for kidneys really does exist (isn't an urban legend), then increasing the supply of legal kidneys can only shrink the black market, not enlarge it. The demand for kidneys is, in other words, rather inelastic. People don't get addicted to them. They don't grind them up and inject them into a vein for a high. At least, I am assuming they don't.

      It makes more sense than using rhino horn as medicine..

      (which is to say not much sense at all)

    4. Re:And also more poor people live by Opportunist · · Score: 1

      If the enterprising organ harvester is the only foul play you could think of, you're not looking hard enough. Allow me to elaborate?

      I'd guess the main culprits of this crime would actually work in hospitals. Especially in areas that serve poor people, simply because they are the least likely to defend against it. During the operation we had to remove a kidney, sorry, but thanks that you signed that form that indemnifies us. And your uncle Jack, he won't make it, he's already pretty much brain dead, let's pull the plug on him. You don't wanna? Hmm... well, you're next of kin, and you can decide that... I wanna be level with you, he might make it, but chances are really low and he'll probably be a vegetable anyway, but if we harvest, I mean, if we put him out of his misery now, his organs would still be usable. And you'd get $big_bucks_for_someone_on_social_security. And let's not forget, intensive care is costly... what do you wanna do, go out with LOTS of money or spend LOTS of it on someone who will probably only be a liability for the rest of his life?

      I'm petty sure if I put my criminal mind to it, I'll come up with a lot of more elaborate schemes how to cash in on this. Still, the main abusers of such a system would be medical personnel and relatives selling their comatose who can't defend themselves off.

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    5. Re: And also more poor people live by Anonymous Coward · · Score: 0

      Hmm, very insightful point.

    6. Re:And also more poor people live by foreverdisillusioned · · Score: 1

      I'm pretty sure these objections are pretty easy to defend against. No compensation for dead or comatose donors, for instance. Ideally you would allow a way around this with a detailed written directive, but if you're so positive that this could be abused then it can be disallowed--there are billions of healthy, mentally sound people walking around with a spare. With a properly regulated incentive system and public education about the relative safety of kidney donation, it seems pretty clear that everyone on the waiting list could be taken care of.

      "During the operation we had to remove a kidney, sorry, but thanks that you signed that form that indemnifies us." ==> that's nonsense. They aren't doing that now, are they? They would be sued into oblivion if they tried. And when you amend the law, you can simply stipulate that the donor (alive and conscious and lucid) must be the one who receives the money, and this is not transferable to any third party.

  10. A small fraction is enough by ecotax · · Score: 1

    If the organs of most people dying would be available for transplantation, only a small fraction would be needed. A significant minority of people dies with perfectly fine kidneys.
    I once heard about a traumatologist cynically referring to motor cyclists as 'future organ donors', for example.

    --
    "Money is a sign of poverty." - Iain Banks
    1. Re:A small fraction is enough by Opportunist · · Score: 1

      That's why you should always wear those kidney protectors when cycling. These things can turn bad so easily and they're so valuable...

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    2. Re:A small fraction is enough by stoatwblr · · Score: 1

      "If the organs of most people dying would be available for transplantation, only a small fraction would be needed."

      If we can work out how to grow cloned parts in the lab then we don't have the ethical issues of transplants OR having to worry about keeping people on anti-rejection drugs for the rest of their lives.

      Foreign donor transplantation is a last resort and it leaves the recipient in need of constant medical care for life. We can do it, but it shoul dbe a stepping stone, not an end in itself.

  11. Piss-poor solution, too by ecotax · · Score: 1

    You really don't need the invisible hand of the market to fix everything. A much more sensible solution, for example, would be to find ways more people would agree to be organ donors after death.
    For example, switching the default from opt-in to opt-out would make a significant difference in organ availability without actually forcing anyone to make a choice they're not comfortable with or could have an adverse influence on their health.

    --
    "Money is a sign of poverty." - Iain Banks
  12. The advantage of Electronic Health Records by jellomizer · · Score: 1

    Doctors especially older ones hate Electronic Health Records (EHR), they don't understand why they should use them, it takes longer to enter the data, they don't get any additional detail from the patient, it just seems a waste of time and money.

    But the key advantage is when you can do analysts on the data, find matches and trends. Not on one patient but on a population. If I were willing to donate, it shouldn't be because one person needs it at that location it should be a wider search.

    --
    If something is so important that you feel the need to post it on the internet... It probably isn't that important.
    1. Re:The advantage of Electronic Health Records by Anonymous Coward · · Score: 0

      Yes, the great thing about Electronic Health Records is that they cannot be kept private.

      You can talk all you want about the benefits of non-private health records, but don't assume that people are too dumb to understand that your actual intent is to breech doctor-patient confidentiality.

    2. Re:The advantage of Electronic Health Records by Applehu+Akbar · · Score: 1

      Doctors don't like the move to electronic records because it threatens the medical cartel. They see only too well what the Internet has done for Fungibility Of Things.

    3. Re:The advantage of Electronic Health Records by dfenstrate · · Score: 1

      Doctors don't like the move to electronic records because it threatens the medical cartel. They see only too well what the Internet has done for Fungibility Of Things.

      .....because greed and racism are the only reasons someone would dare disagree with Obama and Democratic party decrees.

      --
      Alcohol, Tobacco and Firearms should be the name of a store, not a government agency.
    4. Re:The advantage of Electronic Health Records by jellomizer · · Score: 1

      HIPAA prevents sharing of any personal heal information but we can use to track trends and get a general population view.

      Otherwise how would we know that x condition is a 1 out of a billion or 1 out of 10,000 unless the doctors share the data even without electronic means?

      --
      If something is so important that you feel the need to post it on the internet... It probably isn't that important.
  13. Why transport the kidneys? by Anonymous Coward · · Score: 1

    Why do they transport some of the kidneys between hospitals instead of putting the donar and the recipient in the same hospital? It adds an additional risk factor for no benefit, as far as I can see.

    1. Re:Why transport the kidneys? by Anonymous Coward · · Score: 0

      It is likely that there was not enough capacity at one hospital to perform all 18 surgeries.

  14. These are live donors... by MMC+Monster · · Score: 1

    A lot of the posters are missing the point here.

    These are live donors who have joined a group of other live donors who made a promise to give a kidney now (while they are alive) in return for a kidney to be donated to a loved one in the near future (as the case may be). With the advent of national databases they were able to find a sequence of matches (involving 9 donors) so that they were able to get a kidney donated to their loved ones.

    This is more a networking or graph design problem than a organ donation issue. I expect more of these sort of things in the future with other live donations (ie: liver, pancreas, bone marrow).

    (I had a friend give a kidney to his twin brother. Wasn't a big deal. They just had to run a load of tests to make sure the healthy twin wasn't otherwise at risk for renal failure.)

    --
    Help! I'm a slashdot refugee.
  15. The Dining Philosopher and the Musical Kindey by goombah99 · · Score: 1

    This reminded me of Dining Philiopher Problem
    http://en.wikipedia.org/wiki/D...

    And you post seems to indicate the Philophers got Diabetes from eating too much.

    While obesity is rampant it's not always a matter of bad habits. There are lots of reasons people have difficulty controlling their weight and it's not just self control around food.

    --
    Some drink at the fountain of knowledge. Others just gargle.
  16. Bartering Organs? For shame... by Anonymous Coward · · Score: 0

    Bartering organs? You know what the solution to the problems of barter is right? Money! But no, you would rather people die.

  17. I've donated a kidney... by flogger · · Score: 1

    I think more people should look into this and other donations.. I've donated a kidney and am on the Bone Marrow Donor registry (http://bethematch.org/)

    The three times I've cried in my life: Wedding day, birth of child, and walking to meet my kidney recipient after the operation.

    I went through the Transplant Facility at MUSC (Medical University of South Carolina). The operations, while major, are somewhat common and straight forward. I never doubted anything would go wrong, and to be honest, I'd do it again... This is not to say that it wasn't painless. Day one, it felt like I was hit by a bus; day two felt like I was kit by a car; day three I don;t remember... (lots of morphine); day four I was home. It took about 8 weeks before I really felt like myself again. Well worth a summer vacation... You want to pick up chicks, drop the info that you donated a kidney....

    I'm actually surprised that there isn't a Be The Match program for Kidney donations as there is for Bone Marrow. (Maybe there is and I am unaware--just did a google search... egads.)

    Anyway, if you don;t want to donate while you're alive; sign up to do it afterward when you aren't using the organs any more.

    --
    ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
    "First things first -- but not necessarily in that order"
    -- The Doctor, "Doctor
    1. Re:I've donated a kidney... by Anonymous Coward · · Score: 0

      Married, kids, and apparently giving out kidneys is a pickup line?

      I think you have some issues.

  18. Fuck everything by sootman · · Score: 1
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  19. You had me at... by Anonymous Coward · · Score: 0

    9-way

  20. Even more-way... by sotweed · · Score: 1

    As good and impressive as this is, in 2012, there was a "chain" of 60 people, 30 kidneys,
    transplanted... It's quite amazing.

    http://www.nytimes.com/2012/02...

  21. poor semantics... by Anonymous Coward · · Score: 0

    The object is useless without the installation procedure. You can't install it yourself so you have to get somebody to do it for you. They need to carry insurance in case they screw up and you sue them. There's no way money doesn't change hands here, but the object itself is not for sale.