Intended for healthcare professionals

Analysis And Comment Controversy

Payment for living organ donation should be legalised

BMJ 2006; 333 doi: https://doi.org/10.1136/bmj.38961.475718.68 (Published 05 October 2006) Cite this as: BMJ 2006;333:746

An extra kid for organs

We read with intrest the proposal and arguements in favour of paying
for organ donation legally[1].

Commoditizing organs in this fashion can come with inadvertent
effects. A culture of having more children to harvest organs in the future
will arise.Regulations may not alter this trend which may transcend
borders and cultures.Again financial and geographical equations come into
play.A wealthy heir would not sell his/her organs.Likewise an average
middle classer from third world nation will not afford to buy one.

Looking at renal transplants , current 5 year survival of
hemodialysis patients in USA is about 35% [2]. The waiting period for
kidney transplant is about 4 years .Theory of natural selection in
play?.Only the fit shall recieve organs.Deservingly younger , more healthy
patients get promoted on the list.

The overall goal is to increase organ procurements.In one of our
limited population based studies , we found high percentage of people
willing to donate organs [3].Not many end up donating organs though.Better
awareness , easier procurements are needed.Drastic legislations where all
cadaveric organs are up for donation unless documented otherwise in an
advanced directive by the person can be considered.

[1]Payment for living organ donation should be legalised
BMJ 2006; 333: 746-748
[2] usrds.org/2006/ref/I_survival_06.pdf
[3] clinicaltrials.gov NCT00378430

Competing interests:
None declared

Competing interests: No competing interests

12 October 2006
kiran toor
Resident Physician
University of SanFrancisco , Fresno.93702 USA