organ donation

There are some 91,000 people with severe kidney disease waiting for transplants. Alas, cadaver and living donors are insufficient to fill the need. That has some well-meaning activists pushing to increase the number of available kidneys by legalizing organ-selling. The psychiatrist and American Enterprise Institute senior fellow Sally Satel is probably the premier proponent of this approach. She has skin in the game, having received two living-donor organs. Writing in the Free Press, Satel promotes a bill that would allow kidney suppliers to become vendors and receive a tax credit. From, “I Had Two Kidney Transplants: I Want Donors to Get Paid.” But now, legislation is on the table that would save these patients’ lives while eliminating those concerns. On Read More ›

With so many people on the organ transplant waiting list, the ethics of organ donation have begun to buckle. These proposals are not only unethical, in my opinion; in some cases they also treat donors as objects rather than subjects. Each and any of them could undermine the public’s already thin trust in the organ transplant system, which would be a catastrophe. But an ethical way forward has also been researched assiduously, and it is beginning to bear fruit: xenotransplantation, that is, the use of pigs’ organs, genetically altered to be more compatible with humans. Early experiments offer cause for optimism. Recently, a woman who was dying of kidney failure received a pig kidney, and she seems to be doing well. Read More ›

In the Netherlands, Belgium, Spain, and Canada, people who want euthanasia can become organ donors. (A recent report in Spain showed that 13 percent of those euthanized donated organs.) Let’s call it “kill and harvest,” a policy heartily approved by our ever more crassly utilitarian medical establishment. Indeed, a recent study in JAMA Surgery applauds procuring the kidneys of the euthanized because, after five years, the organs of those killed by doctors and then transplanted have worked well — even better than kidneys donated by people after brain death. From the conclusion of the study, which discusses donation after circulatory death from euthanasia (DCD-V): This study found that DCD-V kidney transplantation yielded a lower incidence of DGF [delayed graft function] compared with DCD-III kidney transplantation Read More ›