Solving the organ transplant shortage

Posted by Marc Hodak on September 15, 2007 under Revealed preference | 7 Comments to Read

OK, here is my proposal to alleviate the organ transplant shortage: If you want to be the recipient of an organ transplant at some point in your life, you have to register somewhere as an organ donor, something as simple as checking off the box on your license, before you need an organ.

This is admittedly a proposal born of very little study on my part–you could fairly call it ignorance. I don’t know what percentage of people have checked off the organ donor box versus not. I don’t know how many potential donors’ organs go unharvested because they didn’t check off the box vs. the total need for human organs. I don’t know if we want to create a constituency that is indifferent to improved auto safety. But it seems to me that many people don’t check off the organ donor box because of a combination of the “ick” factor and laziness. In other words, for silly reasons that could be easily overcome with a little incentive.

I also understand that certain people can’t check off the box for religious reasons, thus likely placing those people below the line when it comes time for a transplant. I count my closest, dearest family members among this group. Screw em. If their religious beliefs take then out of the pool of donors, it should take them out of the pool of recipients, and leave the rest to God’s will.

Seriously, I would be happy to give my brother one of my kidneys should he ever need one. But my heart, when I no longer need mine, should go to someone who placed theirs at risk of being at my disposal. I think that’s as fair as inherently unfair circumstances can be.

  • Marina said,

    I think that’s a really, really good idea, actually.

    What are your thoughts on how to stop people from only checking the box after they discover their kidneys are failing though? A queue of sorts based on length of time as a donor, or a wait period or something?

  • M. Hodak said,

    As I said, you would need to register before you need an organ. I might give some points to someone who registers after they need an organ, but not the same consideration as someone who dived into the pool rather than reluctantly stepping into it out of necessity.

  • verc said,

    How about a further incentive in the monetary form?

    People could pledge their organs to be sold at the market rate and the proceeds to go to their estate.

    It could be a poor man’s life insurance policy.

  • Bruce Hord said,

    Your idea is already active in the form of an organization called LIFESHARERS.

    I have been a LifeSharer member for about 3 years.

    I received a kidney transplant March of 2001, when total need for organ transplants was about 75,000 people. The need has grown to about 97,000 today.

    LifeSharers membership is free to anyone who wishes to join.

    I believe in the LifeSharer program because any moral and legal method of increasing the number of donors should be given a chance to work.

    May I suggest you contact David Undis at http://www.lifeSharers.org for complete information.

    Bruce Hord

  • Dave Undis said,

    M. Hohak said “I don’t know what percentage of people have checked off the organ donor box versus not. I don’t know how many potential donors’ organs go unharvested because they didn’t check off the box vs. the total need for human organs.”

    About 50% of adult Americans are registered organ donors according to a recent survery.

    About 20,000 transplantable organs are buried or cremated every year in the United States.

    Please check out LifeSharers at http://www.lifesharers.org. It’s free. It could save your life.

  • M. Hodak said,

    Well, it took me a couple of days to check out the Life-sharers web-site, but I am impressed. I had actually heard of Life-sharers before, but didn’t get that a Life-sharer’s commitment could overrule the OPOs, providing a positive incentive to join and grow the network.

    How does Life-sharers get away with that? Will the organ distribution bureaucracy allow it to continue? Dave?

  • Dave Undis said,

    M. Hodak asked “Will the organ distribution bureaucracy allow it to continue?”

    Your organs belong to you. You have the legal right to determine who gets them. LifeSharers members use what is called directed donation to offer their organs first to other LifeSharers members. Directed donation as practiced by LifeSharers is legal under federal law and under the laws of all 50 states.