Intended for healthcare professionals

Analysis And Comment Controversy

Payment for living organ donation should be legalised

BMJ 2006; 333 doi: (Published 05 October 2006) Cite this as: BMJ 2006;333:746

Fear of commercialism

I agree with Prof. Friedman that organ donation is saving many
patients and dependants’ lives.
But what are the possible consequences of legalization of organ donation?
From my point of view,It may partially sort the current problem of
shortage but on the other hand, it may push more poor people to sell their
organs, as they are the most vulnerable.
Others may get motivated to share in the market due to its guaranteed
financial incentives and otherwise they may never have thought about organ
Operative cost will increase which may cause difficulty with meeting
Black market may still continue if donors refused to sell their organs
through official ways looking for a higher price through rear doors.
I think that investing more money on researches for tissue engineering and
artificial organs may be the only hope to avoid commercialism of human
organs and its consequences.

Competing interests:
None declared

Competing interests: No competing interests

10 October 2006
Dr. Mohamed Salah El Toukhy
SHO Anaesthesia
Portsmouth Hospitals NHS Trust, Cosham, PO6 3LY