Frank Delmonico writes in response to my previous post as follows:
"Re: the Times of London story
"It is well-known that patients from Greece and Israel and the Gulf countries travel to destinations that provide priority organ transplants for those recipients.
"This practice has become termed “ transplant tourism” and the ethical objection arises from two important aspects:
"1. Rich patients with ample resources are prioritized for example in the UK (as evident by this Times of London story) to undergo transplantation which diverts resources and expertise from the native patients living in that destination country;
2. The impetus to develop or expand deceased donation in the client country is diminished. Why develop a program of deceased organ transplantation, if residents of the client country can readily buy an organ in the destination country?
"Transplant tourism ( and organ trafficking) has been condemned by the Istanbul Declaration.
"The Transplantation Society is working diligently country by country to expose these practices and bring them to a halt. Alternatively, each country should develop a national self-sufficiency in organ donation and transplantation to provide a sufficient number of organs for their own native patients. "
Francis L. Delmonico, M.D.
Director of Medical Affairs
The Transplantation Society
World Health Organization
Advisory for Human Transplantation
Professor of Surgery
Harvard Medical School
Showing posts with label organ sales. Show all posts
Showing posts with label organ sales. Show all posts
Sunday, January 4, 2009
Saturday, January 3, 2009
Market for transplantable organs
The Times of London reports on Outrage over organs ‘sold to foreigners’
Much of the discussion of sales of transplantable organs focuses on whether the organ donors may receive compensation. Most countries forbid such sales as repugnant. The issue here is quite different. Britain has both private medicine and a National Health Service, and in transplants performed privately, the transplantable organ is essentially sold in a package with the surgery and hospitalization. That is, even without any payments to donors, hospitals and surgeons sell organs, and when the transplant recipients are not British nationals, questions are being raised, the paper reports:
"THE organs of 50 British National Health Service donors have been given to foreign patients who have paid about £75,000 each for private transplant operations in the past two years, freedom of information documents show.
The liver transplants took place at NHS hospitals, despite severe shortages that mean many British patients die while waiting for an organ that could save their lives.
The documents disclose that 40 patients from Greece and Cyprus received liver transplants in the UK paid for by their governments. Donated livers were also given to people from non-European Union countries including Libya, the United Arab Emirates, China and Israel.
The surgeons who carry out the transplants receive a share of the operation fee — believed to be about £20,000 — as all the work is done privately in NHS hospitals. "
See my recent posts on the ongoing discussion in the U.S. on compensation for donors here and here. In the U.S. too, of course, although no payments to donors or their survivors are permitted, patients receive organs as part of a package that they or their insurers are charged for.
Much of the discussion of sales of transplantable organs focuses on whether the organ donors may receive compensation. Most countries forbid such sales as repugnant. The issue here is quite different. Britain has both private medicine and a National Health Service, and in transplants performed privately, the transplantable organ is essentially sold in a package with the surgery and hospitalization. That is, even without any payments to donors, hospitals and surgeons sell organs, and when the transplant recipients are not British nationals, questions are being raised, the paper reports:
"THE organs of 50 British National Health Service donors have been given to foreign patients who have paid about £75,000 each for private transplant operations in the past two years, freedom of information documents show.
The liver transplants took place at NHS hospitals, despite severe shortages that mean many British patients die while waiting for an organ that could save their lives.
The documents disclose that 40 patients from Greece and Cyprus received liver transplants in the UK paid for by their governments. Donated livers were also given to people from non-European Union countries including Libya, the United Arab Emirates, China and Israel.
The surgeons who carry out the transplants receive a share of the operation fee — believed to be about £20,000 — as all the work is done privately in NHS hospitals. "
See my recent posts on the ongoing discussion in the U.S. on compensation for donors here and here. In the U.S. too, of course, although no payments to donors or their survivors are permitted, patients receive organs as part of a package that they or their insurers are charged for.
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