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Reimbursement, ‘rewarded gifting’, financial incentives and commercialism in living organ donation

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Procurement, Preservation and Allocation of Vascularized Organs

Abstract

Organ transplantation is among the most impressive achievements of modern biomedicine. The field has gained clinical maturity in only four decades, but this very rapid rate of development has resulted in disparities between technology on the one hand and the handling of its implications on the other. The very success of transplantation has raised important societal concerns. In the future some other area may become the main issue, but today the main issue is organ shortage. The shortage may be relative, but the problem is world-wide and is increasing. Its ramifications are still evolving. Honest individuals and teams throughout the world are working hard to find solutions to the shortage problem while unscrupulous individuals and teams are exploiting the shortage to enrich themselves. This chapter is an attempt to distinguish the work of the former from that of the latter.

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References

  1. Payne R, Perkins HA, Kountz SL et al.Unrelated kidney transplantation and matching for HL-A antigens. Transplant Proc 1971; 3: 1036–41.

    PubMed  CAS  Google Scholar 

  2. Kountz SL, Perkins HA. Payne R et alTransplant Proc 1970; 2: 427.

    Google Scholar 

  3. Starzl TE, Schroter GPJ, Hartmann NJ et al.Long term (25 year) survival after renal hemotransplantation–the world experience. Transplant Proc 1990; 22: 2361–5.

    PubMed  CAS  Google Scholar 

  4. Levey AS, Hou S, Bush HL Jr. Kidney transplantation from unrelated living donors. N Engl J Med 1986: 314: 914–16.

    Article  PubMed  CAS  Google Scholar 

  5. Tilney NL, Hollenberg NK. Use of living donors in renal transplantation. Transplant Rev 1987; 1: 225–38.

    Article  CAS  Google Scholar 

  6. Daar AS, Sells RA. Living non-related donor renal transplantation–a reappraisal. Transplant Rev 1990; 4: 238–40.

    Article  Google Scholar 

  7. Committee on Morals and Ethics, Transplantation Society. Ann Intern Med 1971; 75: 631–3.

    Google Scholar 

  8. Santiago-Delpin EA. Organ donation and transplantation in Latin America. Transplant Proc 1991: 23: 2516–18.

    PubMed  CAS  Google Scholar 

  9. Patel CT. Live renal donation: a viewpoint. Transplant Proc 1988: 20: 1068–70.

    Google Scholar 

  10. Moore FD. The ethical revolution: ancient assumptions remodelled under pressure of transplantation: Transplant Proc 1988; 20: 1061–7.

    CAS  Google Scholar 

  11. Daar AS, Salahudeen AK. Pingle A. Woods HF. Ethics and commerce in live donor renal transplantation: classification of the issues. Transplant Proc 1990; 22: 922–4.

    PubMed  CAS  Google Scholar 

  12. Little PJ, McMullin JP, MacDonald A. Live donor renal transplantation in Iraq. Transplant Proc 1989; 21: 1400–1.

    PubMed  CAS  Google Scholar 

  13. Sells RA. Ethics and priorities of organ procurement and allocation. Transplant Proc 1989: 21: 1391–4.

    CAS  Google Scholar 

  14. Daar AS. Ethics issues–a Middle East perspective. Transplant Proc 1989; 21: 1402–4

    Google Scholar 

  15. Reddy KC. Organ donation for consideration: an Indian view point. In: Land W, Dossetor JB (ed), Organ Replacement Therapy: Ethics, Justice. Commerce. Springer-Verlag, Berlin 1991; pp. 173–80.

    Chapter  Google Scholar 

  16. Thiangarajan CM. Reddy KC, Shunmugasundaran D, Jayachandran R, Nayar P, Thomas S, Ramachandran V. The practice of unconventional renal transplantation (UCRT) at a single centre in India. Transplant Proc 1990: 22: 912–14.

    Google Scholar 

  17. Daar AS, Sells RA. The problems of paid organ donation in India. Report on behalf of the Ethics Committee of the Transplantation Society to the President and Council of the Transplant. Society XIII Int Congress of the Transplant. Soc San Francisco, August 1990.

    Google Scholar 

  18. Abouna GM, Sahawi MM, Kumar MSA and Samhan M. The negative impact of paid organ donation. In: Land W and Dossetor JB (eds). Organ Replacement Therapy: Ethics, Justice, Commerce. Springer-Verlag Berlin, 1991; pp. 164–72.

    Chapter  Google Scholar 

  19. Land W, Dossetor JB (eds), Organ Replacement Therapy, Ethics, Justice, Commerce, Springer-Verlag, Berlin, 1991.

    Book  Google Scholar 

  20. Cohen LR. The ethical virtues of a futures market in cadaveric organs. In: Land W and Dossetor JB (eds), Organ Replacement Therapy: Ethics, Justice. Commerce, Springer-Verlag Berlin, 1991; pp. 302–10.

    Chapter  Google Scholar 

  21. Caplan AL. Requests, gifts and obligations: the ethics of organ procurement. Transplant Proc 1986; 18: 49–56.

    PubMed  CAS  Google Scholar 

  22. Gutmann Th. Living kidney transplantation: aspects of legal philosophy. Transplantationsmedizin 1993: 5: 75–87.

    Google Scholar 

  23. Hanford JT. Religion, medical ethics and transplants. J Med Humanities 1993: 14: 33–8.

    Article  Google Scholar 

  24. Engelhardt HT Jr. Is there a universal system of ethics or are ethics culture-specific? In: Land W and Dossetor JB (eds), Organ Replacement Therapy: Ethics, Justice, Commerce, Springer-Verlag Berlin, 1991; pp. 147–53.

    Chapter  Google Scholar 

  25. Veatch RM. Theories of medical ethics: the professional model compared with the societal model. In: Land W. Dossetor JB (eds), Organ Replacement Therapy: Ethics, Justice, Commerce, Springer-Verlag Berlin, 1991 pp. 3–8.

    Chapter  Google Scholar 

  26. Dickens BM. Human rights and commerce in health care. Transplant Proc 1990: 22: 904–5.

    PubMed  CAS  Google Scholar 

  27. Peters TG. The regulation of human tissue and organs. Washington DC Transplant News, 1990; 192: 5.

    Google Scholar 

  28. Childress JF. The body asproperty: some philosophical reflections. Transplant Proc 1992; 24: 2143–8.

    PubMed  CAS  Google Scholar 

  29. Slahudeen AK, Woods HF. Pingle A, Nur-el-Huda Suleyman M. Shakuntala K. Nadakumar M. Yahya TM. Daar AS. High mortality among recipients of Nought living-unrelated donor kidneys. Lancet 1990: 336: 725–8.

    Article  Google Scholar 

  30. Morris & Sells 1985.

    Google Scholar 

  31. Abouna GM, Kumar MSA, Samhan M, Dadah SK, John P, Sabawi NM. Commercialization in human organs: a Middle East perspective. Transplant Proc 1990; 22: 918–21.

    PubMed  CAS  Google Scholar 

  32. Sells RA. Voluntarism of consent in both related and unrelated living organ donors. In: Land W. Dossetor JB (eds), Organ Replacement Therapy: Ethics. Justice, Commerce, Springer-Verlag Berlin, 1991; pp. 18–24.

    Chapter  Google Scholar 

  33. Guttman A, Guttman RD. Attitudes of health care professionals and the public towards the sale of kidneys transplantation. J Med Ethics 1993. 19: 148–53.

    Article  Google Scholar 

  34. Feinberg J. Harm to Self. The Moral Limits of the Criminal Law, Vol. III. Oxford University Press: Oxford, 1986.

    Google Scholar 

  35. Land W. The problem of living organ donation: facts, thoughts and reflections. Transplant Im 1989; 2: 168–79.

    CAS  Google Scholar 

  36. Land W. Das belohnte Geschenk? lJberlegungen zur Organspende von gesunden Menschen. Klett-Cotta Stuttgart, Merkur, 1991: 45: Heft 2, 120–9.

    Google Scholar 

  37. Radcliff-Richards J. From him that hath not. In: Land W. Dossetor JB (eds). Organ Replacement Therapy: Ethics, Justice, Commerce, Springer- Verlag Berlin, 1991; pp. 190–6.

    Chapter  Google Scholar 

  38. Warnock M (ed) A Question of Life. The Warnock Report on Human Fertilisation and Embryology. Basil Blackwell, Oxford 1985; p. 65.

    Google Scholar 

  39. Dossetor JB. Rewarded gifting: is it ever ethically acceptable? Transplant Proc 1992; 24: 2092–4.

    PubMed  CAS  Google Scholar 

  40. Brams M. Transplantable human organs: should their sale be authorized by State statutes? Am J Law Med 1977; 3: 183–96.

    PubMed  CAS  Google Scholar 

  41. Perry C. Human organs and the open market. Ethics 1980, 91: 63–71.

    Article  PubMed  Google Scholar 

  42. Peters DA. Marketing organs for transplantation. Dialysis Transplant 1984: 13: 40–2.

    Google Scholar 

  43. Schwindt R. Vining AR. Proposal for a friture delivery market for transplant organs. J Health Politics Policy Law 1986; 11: 483–500.

    Article  CAS  Google Scholar 

  44. Hansmann H. The economics and ethics of markets for human organs. In: Blumstein JF. Sloan FA (eds). Organ Transplantation Policy: Issues and Prospects. Duke University Press, Durham 1989: pp. 57–85.

    Google Scholar 

  45. Blumstein JF. The case for commerce in organ transplantation. Transplant Proc 1992; 24: 2190–7.

    PubMed  CAS  Google Scholar 

  46. Boadle 1993.

    Google Scholar 

  47. Persijn G, Cohen B. Press communiqué; reproduced in Eurotransplant News 1994; 3.

    Google Scholar 

  48. Reuters 1994.

    Google Scholar 

  49. Time (International Edition). Guatemala. Dangerous rumours, suspicious rise over the origin of anti foreigner hostility that provoked assault on American Women. Reported by Trish O’Kane, written by Laura Lopez. 35, 18 April 1994.

    Google Scholar 

  50. Eurotransplant. Introduction by B. Cohen. Eurotransplant News 1994; 116: 1.

    Google Scholar 

  51. Friedlander MM, Gofrit O, Eid A. Unrelated-living-donor kidney transplantation. Lancet 1992, 342: 1061–2.

    Article  Google Scholar 

  52. Daar AS. The case for using living non-related donors to alleviate the worldwide shortage of cadaver kidneys for transplantation. Ann Acad Med Singapore 1991; 20: 443–52.

    PubMed  CAS  Google Scholar 

  53. Childress JF. The place of autonomy in bioethics. Hastings Cent Rep 1990; 20: 12–17.

    PubMed  CAS  Google Scholar 

  54. United Network for Organ Sharing 1991 Ethics Committee. Ethics of organ transplantation from living donors. Transplant Proc 1992; 24: 2236–7.

    Google Scholar 

  55. Spital AL. The ethics of unconventional living organ donation. Clin Transplant 1991; 5: 322–6.

    PubMed  Google Scholar 

  56. Evans M. Organ donations should not be restricted to relatives. J Med Ethics 1989; 15: 17–20.

    Article  PubMed  CAS  Google Scholar 

  57. Daar AS. Rewarded gifting and rampant commercialism in perspective: is there a difference? In: Land W, Dossetor J (eds), Organ Replacement Therapy: Ethics, Justice, Commerce, Springer-Verlag Berlin, 1991; pp. 181–9.

    Chapter  Google Scholar 

  58. Beauchamp TL, Childress JF. Principles of Biomedical Ethics, 3rd edn. Oxford University Press, Oxford, 1989.

    Google Scholar 

  59. Spital A. Unconventional living kidney donors–attitudes and use among transplant centers. Transplantation 1989; 48: 243–8.

    Article  PubMed  CAS  Google Scholar 

  60. Conference on Ethics, Justice and Commerce: a global view, report by the Progress Committee, Epilogue. Transplant Proc 1990; 22: 1054.

    Google Scholar 

  61. Council of the Transplantation Society. Commercialisation in transplantation: the problem and some guidelines for practice. Lancet 1985; 2: 715–16.

    Google Scholar 

  62. WHO Guiding Principles. In: Human Organ Transplantation: A report on developments under the auspices of WHO (1987–1991). WHO, Geneva, 1991.

    Google Scholar 

  63. WHO. Legislative Responses to Organ Transplantation. Kluwer Academic Publishers, Dordrecht 1993.

    Google Scholar 

  64. Dickens BM. Legal aspects of transplantation: judicial issues. Transplant Proc 1992; 24: 2118–19.

    PubMed  CAS  Google Scholar 

  65. Fuenzalida-Fuelma HL. Organ transplantation: the Latin American legislative response. Bull Pan Am Health Org 1990; 24: 425–45.

    Google Scholar 

  66. Daar AS. Current practice and the legal, ethical and religious status of postmortem organ donation in the Islamic world. In: Land W, Dossetor J (eds), Organ Replacement Therapy: Ethics, Justice, Commerce. Springer-Verlag, Berlin, 1991; pp. 291–9.

    Chapter  Google Scholar 

  67. Fluss SS. Legal aspects of transplantation: emerging trends in international and national legislation. Transplant Proc 1992; 24: 2121–2.

    PubMed  CAS  Google Scholar 

  68. May W. In discussion of session on commerce in human organs. Transplant Proc 1990; 22: 937.

    Google Scholar 

  69. Colabawalla BN. Letter to the Editor. Lancet 1990; 2:

    Google Scholar 

  70. Daar AS. Cross-cultural perspectives in transplantation - a view from the borderline. In: Levine RJ, Andreopoulos J. Days DS (eds), Organ Transplantation and Human Rights: Cross-Cultural Perspectives. 1995; in press.

    Google Scholar 

  71. Daar AS. 1992.

    Google Scholar 

  72. Dossetor JB, Manichavel V. Ethics in organ donation: contracts in two cultures. Transplant Proc 1991; 23: 2508–11.

    PubMed  CAS  Google Scholar 

  73. Sells RA. Towards an affordable ethic. Transplant Proc 1992; 24: 2095–6.

    PubMed  CAS  Google Scholar 

  74. Sells RA. Resolving the conflict in traditional ethics which arises from our demand for organs (Var couver SOS Conference 1993). Transplant Proc 1993, 25: 2983–4.

    PubMed  CAS  Google Scholar 

  75. Simforoosh N, Amir Ansari B, Bassin A, Col S. Social aspects of kidney donations in 300 living related and unrelated renal transplantations. In: Land W, Dossetor J (eds), Organ Replacement Therapy: Ethics, Justice, Commerce. Springer-Verlag Berlin, 1991; pp. 77–82.

    Chapter  Google Scholar 

  76. NFK. Consensus conference on financial incentives, New Orleans, Chair: N. Feduska, 1991;

    Google Scholar 

  77. Kittur DS, Hogan MM, Thukral VK, McGaw LJ, Alexander JW. Incentives for organ donation? Lancet 1991; 338: 1441–3.

    Article  PubMed  CAS  Google Scholar 

  78. Monaco AP. Comment: a transplant surgeon’s view on social factors in organ transplantation. Transplant Proc 1989. 21: 3403–6.

    PubMed  CAS  Google Scholar 

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Daar, A.S., Gutmann, T., Land, W. (1997). Reimbursement, ‘rewarded gifting’, financial incentives and commercialism in living organ donation. In: Collins, G.M., Dubernard, J.M., Land, W., Persijn, G.G. (eds) Procurement, Preservation and Allocation of Vascularized Organs. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5422-2_37

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  • DOI: https://doi.org/10.1007/978-94-011-5422-2_37

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6280-0

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