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Biotech Science

Ending Organ Donor Shortages? 405

Tracy2112 writes "An interesting and recurring science fiction theme is the idea of black-market traffic in human body parts -- as Larry Niven termed it, "organlegging". According to this USA Today's Op-Ed piece on Yahoo, we're getting closer . . . including LifeSharers.com, , an organization working to sign up "preferred donors" who agree to preferentially donate to other LifeSharer members. Is this a great way to reward people for being generous with their unused body parts -- or a scary flashback to how early 'subscription-only' fire departments worked?"
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Ending Organ Donor Shortages?

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  • Huh? (Score:5, Insightful)

    by James A. A. Joyce ( 681634 ) on Saturday July 26, 2003 @05:02PM (#6541306) Journal
    Part of the problem is caused by dead people whose families don't allow the deceased's organs to be harvested, even if that person had given full legal consent for doctors to do so when they died. That does not make sense. If families have to follow the last will and testament of dead people, why is this an exception? Wouldn't these familie would be aware of this and wouldn't want to disrespect the wishes of their dead?
    • Re:Huh? (Score:3, Insightful)

      by Scrooge919 ( 188405 )
      Because hospitals are too afraid of being sued by the families if they take the organs anyway. Personally, I think it's disgusting that a family would ignore a person's request like that, and that our legal system is screwed up enough that a lawsuit would probably prevail in such a case...
      • by BigBlockMopar ( 191202 ) on Saturday July 26, 2003 @06:43PM (#6541805) Homepage

        Because hospitals are too afraid of being sued by the families if they take the organs anyway. Personally, I think it's disgusting that a family would ignore a person's request like that, and that our legal system is screwed up enough that a lawsuit would probably prevail in such a case...

        How about this:

        If you want to be eligible to receive transplanted organs should you ever need them, you must be a registered organ donor.

        Otherwise, too bad.

        This way, you encourage people to register as organ donors (as I have, for example) *and* you cut down on the leeches. If someone has a religious or other dumbass objection to donating organs, then how is it fair for them to be able to receive them while other people who are willing to contribute to the system die on waiting lists?

        It's just like any peer-to-peer filesharing system: if you want to download, you really have to share for the system to work.

        • by WTFmonkey ( 652603 ) on Saturday July 26, 2003 @07:23PM (#6541952)
          The only problem with this is people who can't register as donors, like people with communicable diseases, etc. Otherwise, it's an awesome idea.
          • by Anonymous Coward
            Everybody has something that somebody else can use, so anybody can join LifeSharers, no matter how sick you are. Most people who can't donate organs can donate corneas, tissue, etc. Join LifeSharers at http://www.lifesharers.com/enroll.htm. It's free. It could save your life.
        • "If you want to be eligible to receive transplanted organs should you ever need them, you must be a registered organ donor."

          Except I'd imagine a lot of the people who need organs don't have much in the way of usable organs themselves. Or are we so desparate that we'll take organs from smoking alchoholics?
        • What about... (Score:4, Interesting)

          by cyberwench ( 10225 ) <tunalei@gmail.com> on Saturday July 26, 2003 @10:56PM (#6542724)
          How about this:

          If you want to be eligible to receive transplanted organs should you ever need them, you must be a registered organ donor.

          Otherwise, too bad.

          This way, you encourage people to register as organ donors (as I have, for example) *and* you cut down on the leeches. If someone has a religious or other dumbass objection to donating organs, then how is it fair for them to be able to receive them while other people who are willing to contribute to the system die on waiting lists?

          Well, there's a rather large problem with that. Someone already mentioned that under this system, people with certain conditions or diseases who aren't allowed to donate wouldn't be allowed to receive organs.

          My question is... what about kids? At what age do we decide that they can make their own decisions about transplants? Can their parents decide for them? There was a young (I think 5-year-old) boy around here who just had a heart transplant recently. Would it have been ethical to deny him that heart because he's not of age to decide to donate?

          As good as an organ-sharing system may sound, I think that the only way organ donations will increase is if someone works out an incentive plan. Given how few people think that something bad might happen to them, how likely is this group to make much of a difference?

          Besides, personally, I have a hard time with giving organs preferentially to altruistic people. They should go to the ones who need them the most, no matter how appealing it might be to reserve them for other nice folks.

          As for religious objections to organ donation... I don't know of any religions that believe you should refuse to donate organs but that will happily allow acceptance of them, so these people are hardly abusing the system - no matter how "dumbass" you think their beliefs are.

    • Part of the problem is that you can be officially considered dead, if you are a organ donor, or not dead if you aren't. Despite what the organ donor perponents say, you really aren't as safe if you are a donor. I know someone who died "on the table" and came back, she is not a donor, but if she was, she wouldn't be alive today.

      The hard part about organ donations, is the organs need to be taken out very soon after a death, and sometimes it's too soon.
      • by ejdmoo ( 193585 )
        Someone should create an "I wanna be an organ donor only if you're 100% sure I'm dead and there's no way I'm comming back" plan to avoid this. It seems like even if you were an organ donor that if your heart stopped they would wait. (As opposed to if you had been shot in the head or whatnot)
        • Simple solution: make it illegal for the doctor to know whether you are a donor until after he pronounces you dead. If you are pronounced dead by someone who knows, that would be grounds for a big malpractice suit. Obviously this wouldn't help you, but it would ensure that common practice would be to hide your donorship from doctors.

          Frankly, this being America after all, I'm surprised nobody has sued on these grounds before. (Maybe they have.)

      • by Insanity ( 26758 ) on Saturday July 26, 2003 @07:49PM (#6542073)

        I can't be sure how it works in your area of the world, but here (BC, Canada) the doctors don't actually know you're an organ donor when you're dragged into an emergency room. There is no driver's license decal or any other sort of identification you carry with you as an organ donor. Rather, if you're ever in a situation where you're braindead but stable on life support, they'll check the registry and see if you're on it. Then, they'll verify that you're actually braindead, and take your organs.

        In theory, that's how it works. You can, of course, claim that that's a lie. In that case, I can't prove you wrong, but I can only say that your opinion of the medical profession rather low.

        I know someone who died "on the table" and came back, she is not a donor, but if she was, she wouldn't be alive today.

        Well, that's just speculation, and once again, it only reflects a strong bias against the medical profession on your part.

        But to put a lighter spin on the whole issue... let's say they're a bit more eager to let you die when you're an organ donor. Is that really so bad? In a situation where you're at the edge of life/death, you may end up brain-damaged if you recover after they've been shocking you for a few minutes. You may end up retarded and drooling for the rest of your life. Is death so much worse?

        One way or another, I'm an organ donor. I can't see a logical reason why anyone wouldn't be.


    • Hey,

      Part of the problem is caused by dead people whose families don't allow the deceased's organs to be harvested, even if that person had given full legal consent for doctors to do so when they died.

      The op-ed article does say:

      At an Orlando conference this year, donor experts agreed to promote ''donor authorization,'' which would allow organs to be harvested if the deceased had signed donor cards, even if their families disapprove. If widely adopted, that would modestly alleviate the crisis -- but sti
    • Re:Huh? (Score:4, Interesting)

      by Chasing Amy ( 450778 ) <asdfijoaisdf@askdfjpasodf.com> on Saturday July 26, 2003 @05:54PM (#6541556) Homepage
      Part of the problem is also that people don't usually know that there are some organs and tissues which you can safely donate while still living. Bone marrow, for one thing, is a very safe tissue to give up--of course, it's so safe to give up a small amount of it that there's usually no trouble finding a familial match when the time comes. But living kidney donation is a viable option, and kidneys are needed by non-familial recipients all the time. Kidneys from living donors also "take" much better statistically than cadaveric kidneys.

      Of course, living kidney donation does involve some relatively small risks and slightly increased possibility that you'd need a kidney transplant of your own eventually, but the statistical increses are minimal. Personally, I've considered becoming a living kidney donor--gotta be great for the karma. :-) But the fact that I drink a vast quantity of fluid each and every day has me scared that my remaining kidney wouldn't like it very much...
      • well, if you did donate a kidney I'd appreciate it. My dad just got the donation beeper for my mom. The moment the beeper goes off we've got a short amount of time to get her to the hospital and under the knife.
      • Re:Huh? (Score:3, Insightful)

        by Anonymous Coward
        "Bone marrow, for one thing, is a very safe tissue to give up"

        Who told you this? Bone marrow donation is still a surgical procedure. As with all surgical procedures, there is risk, pain, and time lost.

        Bone marrow extraction is extremely painful. Don't confuse it with testing; that's a blood test. There are several magazine articles you can read about marrow donors. They harvest from your hip, requiring large gauge needles to be buried deep into your flesh as well as the bone itself. They core out fo
    • Optional (Score:2, Insightful)

      by Mark_MF-WN ( 678030 )
      I can't believe organ donation is even optional. Families can bite it -- the fact is, healthy organs are always in short supply, and people NEED them. There's a time to let personal preference and religious belief rule, and there's a time when the needs of the state overrule them. Personally, I'm a registered organ donor. Hell, my mother is donating anything that is isn't salvaged for sickies to medical schools for dissection.
  • They don't accept an organ donation from a member of the general public when and if the need arises - I'm fine with it.
  • Rehabilitation is a nonstarter it doesn't work it never has untill the pschological "sciences" can actually live up to the name it never will. If youre going to sentance people to death then it is only fitting that they should make the last contribution to society they can and repay they debt they could nto.
    • Executions... (Score:5, Interesting)

      by Cyno01 ( 573917 ) <Cyno01@hotmail.com> on Saturday July 26, 2003 @05:11PM (#6541356) Homepage
      If your talking about execution, there are problems with organ donations from death row inmates. In most states lethal injection is the preferred method, the chemicals used in this process however are so powerful that they render all the organs useless, same with gas chambers. Old sparky also destroys organs pretty effectivly. I do remember hearing about one guy who chose the firing squad so his organs (asiddes from the heart and probably a lung then) could be harvested.
      • I do remember hearing about one guy who chose the firing squad so his organs (asiddes from the heart and probably a lung then) could be harvested.

        That was Gary Gilmore. His brother, Mikal Gilmore, a writer for Rolling Stone, later wrote "Shot In The Heart" which was his memoir of the incidents surrounding his brother's conviction for murder and subsequent execution.

        The Adverts, a punk band from Britain, had a hit with the song "Gary Gilmore's Eyes."

    • by daveo0331 ( 469843 ) on Saturday July 26, 2003 @05:13PM (#6541369) Homepage Journal
      If there's a market for organs, and criminals sentenced to the death penalty are required to donate them, you now have an industry that profits from having more capital punishment. They might then lobby the government to expand the death penalty for the same reason a defense contractor might lobby for military expansion or a private prison industry might oppose legalizing marijuana. Scary thought.

      That said, death row inmates should be allowed to donate organs if they choose to. I just don't want it to be in some corporation's financial interest to expand the death penalty.
  • Simply make donor status mandatory for a motorcycle license and eliminate the helmet laws.
    • Motorcycles are commonly known by E.R. staffers as "donorcycles". We might as well make it official...
      • Just in case anyone thinks he's joking, my girlfriend's father is an ER doctor (at Kaiser in Oakland), and he does refer to motorcyclists as "donors."
  • So, you can't have my organs unless you give up yours when you die. I hope that when I am dead, thoughts of how my organs were "spent" don't haunt me.
  • by Anonymous Coward
    In the latest issue of Wired they have a page detailing how your body is roughly worth a cool 46 million
  • by Robert Hayden ( 58313 ) on Saturday July 26, 2003 @05:07PM (#6541329) Homepage
    The way to encourage organ donation is to make the the default option on your driver's license instead of something you have to request. In addition, doctors shouldn't have to get permission from the family if the deceased already has an organ donor card.
    • by Just Some Guy ( 3352 ) <kirk+slashdot@strauser.com> on Saturday July 26, 2003 @05:15PM (#6541382) Homepage Journal
      No. While I do want to donate, and my wife is also a strong organ donation advocate, I do not want that decision to be made by agreement with the state. Under no circumstances do I want my wishes known until it's too late to save me. Many of my friends are doctors; I trust them as a whole. However, I don't even want the remote possibility of a small voice in the back of the trauma surgeon's mind saying "boy, that kid in Kansas City sure could use this liver" before the result of any lifesaving attempts is pretty certain.

      When the time comes that my death or persistant vegetative state is imminent, then my wife will give them consent - but not before.

      • by seinman ( 463076 ) on Saturday July 26, 2003 @05:46PM (#6541525) Homepage Journal
        When the time comes that my death or persistant vegetative state is imminent, then my wife will give them consent - but not before.

        Too late now.
      • by Mike1024 ( 184871 ) on Saturday July 26, 2003 @06:08PM (#6541640)
        If it makes you feel any better, that's not official policy [organdonor.gov].

        To be honest, I think very, very few octors would entertain the idea of letting you die so your organs could be transplanted. Even if a tiny percentage have thought this without being repulsed by the clear violation of medical ethics, the chances of a doctor acting on those thoughts is even more miniscule. I suspect the chances of your wife being unavailiable are markedly higher than the chances of you being killed for your organs. If I were you, I'd just carry an organ donor card - let them get 'em while they're fresh.

        Just my $0.02,

        Michael
      • by bobthemuse ( 574400 ) on Saturday July 26, 2003 @06:22PM (#6541693)
        This is a common attitude, but from several years of working on an ambulance and speaking with ER docs, I believe it to be wrong.

        The only time your organs can be harvested is if you have zero chance of recovery (brain missing, etc..) or in rare circumstances when you have a living will which authorized the termination of life support.

        If anything, carrying a donor card would keep you alive longer (in an odd way), as the EMTs will continue CPR and other life-saving techniques when they ordinarily wouldn't in order to keep your transplantable organs from sustaining further damage.
      • That's quite easy to solve. The way it works here is we have a national donor register where you can register. Only a very limited number of people have access to the register.

        Once someone is declared legally dead, as in no more brain activity, they'll be kept on respirator until doctors can apply for a search in the register and/or ask relatives, in case there was no registration in the register. The registered wish takes precedence, then the relatives wish. Without any obtainable statement from anyone or
    • In other words, you want to make organ donating opt-out instead of opt-in. I hope you realize how stupid this is, since, as with spam, the overwhelming majority of people are going to want to opt out. Besides, if you change the default, there will be thousands of people who unwittingly become organ donors against their wishes. No matter how much you advertise the change, it will happen.

      No, the solution here isn't to trick people into becoming organ donors (which is what you're suggesting). The solutio

      • Where I live we already have opt-out organ donations.

        About 10 percent of the population choose to opt out of donating their organs. Hardly an overwhelming majority.

        I think you'd be surprised how many people actually dont care what happens to their organs when they're dead.
    • I don't know where you live, but here in Soviet Russ Err..Florida, you don't have to ask, they ask you. When I got my license, I was asked if I wanted to be a organ donor, and I responded no. If I wasn't listening, I could have said the wrong thing, because they do put the question with all the other dumb questions.

      You have to realize also, some people just think the idea that someone else has their organ is pretty scary, I'm kind of undecided on that, but I'm not a donor for other reasons [slashdot.org]
    • Great, opt-out organ donation... just what we need. :(
    • Almost all, if not all, people currently donating organs are doing so in a state that cannot be described as "informed consent". There should be a greater awareness of the option of whole body or head only cryonic suspension within our society. If people elect whole body cryonic suspension then their organs should not be removed under any circumstances. If people only elect for head only cryonic suspension then one might harvest the organs for further use.

      And if you are thinking about replying to this

  • Hopefully this won't turn into a Scene from Monty Python's The Meaning of Life. "But I'm not dead yet!"
  • ...Slashdot readers around the world complain about problems with access to organs, mainly female breasts!
  • What if... (Score:4, Interesting)

    by Mike1024 ( 184871 ) on Saturday July 26, 2003 @05:08PM (#6541338)
    This seems like a good idea to me, except for one or two potential problems.

    What if people wanted to leave the list? Would they have to return thier organs? If not, people could join if they needed organs, get the organs, then quit. Saying 'you can't join the list if you already need an organ' wouldn't be a very good rule, but 'you can't leave the list' wouldn't be too hot either.

    Also, if organs were only availiable to donors, people whose religion said 'no donating' might not be able to get organs. Of course, a religion which allowed people to recieve organs but not give them would be a bit hypocritical.

    Just my $0.02,

    Michael
  • Put donors first (Score:5, Interesting)

    by einer ( 459199 ) on Saturday July 26, 2003 @05:08PM (#6541341) Journal
    I think it's Hawaii that rewards organ donors with preferred placement on the organ priority list.
  • by Zebbers ( 134389 ) on Saturday July 26, 2003 @05:08PM (#6541342)
    Im sorry. We waste way too much time energy and money prolonging the lives of halfdead people.

    So if a group wants to make it easier for THEM to prolong their lives, who cares. But noone should complain. The fire analogy is wrong. General safety in a society should be encouraged and given to the society as a whole. Artificial extension of life isn't a needed function and has little intrinsic benefits.
    • Wait until YOU are the one who needs an organ transplant... I hope you never need, but think about it.
    • We waste way too much time energy and money prolonging the lives of halfdead people. Is this a crack at the /. crowd?
    • Bah. Why should I have to see my tax dollars wasted on efforts to save your house once it's on fire?

      Artificial extermination of perfectly natural fires is a waste of money with little benefit to society.
    • Im sorry. We waste way too much time energy and money prolonging the lives of halfdead people.

      Can you furnish us with a list of medical conditions you consider not worth treating? Or would you prefer to set a dollar figure beyond which we should let you die?

      An extra four or five years can make a tremendous difference to people, to their families. 'Half dead' or not, some people have something to live for.

    • Half-dead ?

      Transplant recipients can live for years - and have a very good quality of life too, in many cases.

      "Artificial extension of life isn't a needed function and has little intrinsic benefits."

      I bet you'll still take drugs if a doctor tells you you're seriously ill. Do you carry a little card around with you that says "In case of accident that leaves me half dead, do not treat me" ?

      I hope you don't get to find out the hard way how stupid your beliefs really are.
    • My mom is an occupational therapist, mostly retired. The one client she's kept she's been working with for about a decade. Andrea was in an auto accident when she was 16 which left her in a coma, which the doctors thought she'd never recover from. She did, with no memories, and with difficulties forming new ones.

      After a decade of work and therapy, she is now ready to move into her own place. She is pursuing an interest in writing, and has started taking classes at a local community college.

      Compare t

  • A small proposal (Score:2, Interesting)

    by mjphil ( 113320 )
    How about a small, legal form that says "I don't care what my family says; when I'm dead, take what you want. My estate waives all claim and title to the flesh." Include a card the size of a license that says so, as well as a contact number to confirm.

    Or, a law that says you sign you drivers license if you DON'T want to donate, and assume anyone that doesn't sign wants to.
    • Or, a law that says you sign you drivers license if you DON'T want to donate, and assume anyone that doesn't sign wants to.

      Negative option is immoral, and does not communicate consent. Your example would make default consent to being an organ donor mandatory for anyone who wishes to legally drive.

      I don't want the record clubs in the human organ harvesting business, thank you very much.

  • There have been a number of stories trickling out of parts of the world where organlegging is already happening. (Remember that the two sources of organs in Larry Niven's stories were illegal organleggers and the state, which imposed the death penalty for just about anything.)

    Easy enough for someone to be a condemned criminal in, say, China and wake up a piece at a time. Brings in lots of solid western currency too--far higher profit than prison labour to make running shoes.

  • by Mulletproof ( 513805 ) on Saturday July 26, 2003 @05:12PM (#6541367) Homepage Journal
    "...or a scary flashback to how early 'subscription-only' fire departments worked?"

    Or make less of an effort to save you because your organs are so badly needed. It wouldn't be the first time.
  • I think that the organ donation network mentioned is being slightly misrepresented by the fire department analogy; what I can gather is that the network serves to make organ donation more ubiquitous by giving preferential organ reciept to those who have also pledged to donate, an idea which seems a little off but which I'd look a little more into before I trash it...
  • by acceleriter ( 231439 ) on Saturday July 26, 2003 @05:18PM (#6541398)
    There will be no shortage of organs when they're HARVESTED FROM CRIMINAL P2P USERS after the death penalty copyright infringement cases roll in.
    • HARVESTED FROM CRIMINAL P2P USERS after the death penalty...

      You have it wrong. The organs are harvested first, without judicial intervention, based solely on recomendations by the RIAA's supercomputers. If the accused is later found to be innocent, the organs can be reclaimed by the family of the 'donor', at their own expense.

  • Cool (Score:5, Funny)

    by Unregistered ( 584479 ) on Saturday July 26, 2003 @05:25PM (#6541438)
    So if i donate organs to organ donors, my organs will be redonated upon the recipiant's death. That's awesome. My spleen might live for 300 years in 15 differnt bodies with this program.
  • by duvel ( 173522 ) on Saturday July 26, 2003 @05:26PM (#6541448) Homepage
    Getting more people to sign consent-forms, and even making sure that families aren't able to stop organ donation when consent has been given by the donor, won't solve the problem.

    Truth of the matter is that there are simply not enough donors / not the right donors to provide all necessary organs. Where I live (Belgium) organ donation works as an opt-out system. There's a law that says that everybody is an organ donor (when they die) unless they have a certain form in their wallet stating the opposite. Hardly anybody opts out yet still there are not enough organs. Reason for this is that people that die tend to have been old and sick, or (if it's someone young) have most likely been in a traffic accident. None of these are the right circumstances for organ donation. Add to this the fact that you need matching blood types, have very little time for the organ harvasting etc... and it gets pretty obvious that taking organs from humans as spare bodyparts will only help a small percentage of cases.

    I'd place my money on using organs specifically grown for harvasting: e.g. pigs are used to grow skin that helps burn victims.
    • Although presumed consent is not a panacea, it increases donation rates substantially. See ch. 1 of "You can't enlarge the pie," by Max Bazerman, Jonathan Baron, and Katie Shonk. Eric Johnson at Columbia U. has recent statistics that are quite a bit more impressive than those we reviewed.
  • ...when I saw "Ending organ donor shortage" was "Did Honda, Yamaha or Suzuki release a new kind of motocycle with all the standard features but at 1/10 the price?"
    That would surely provide us with a fresh wave of organ supply...
  • How do you explain the shortage of any good or service? Simply: the price is too low. Concerning organs ready for transplant, the fault of the shortage is the notion of organ "donors" itself.

    Now, there's nothing wrong with someone wanting to give away their organs for free. That's fine, and they should be allowed to do so. There's nothing wrong with charity. It should come as no surprise, however, that many, many people do not do so.

    Why not pay people for their organs. Obviously, no one can sell thei

    • Re:Economics 101 (Score:2, Insightful)

      The problem with this is that the less scrupulous would simple harvest other's organs and sell them. Suddenly the stories about some guy waking up in a tub of ice with a sore back won't be jokes.
    • To those who bristle at the notion of an "economic transaction," I say, get over it. As it stands, depending on donors allows thousands of people to die each year. Are these deaths under such a "noble system" preferable to a market in organs? I say it's just the opposite.


      Well said. If everyone were selfless and altruistic, perhaps this wouldn't be a problem. But in the real world, capitalism almost always beats socialism.

  • I really like this idea. I have 'issues' with organ donation (and blood/plasma donation). Like previously stated, I don't want doctors to rush my death to save people, I like my life and they're going to have to wait in line, like patient terminal patients. Also, I am dubious on my prefered disposal after death, so don't really know if I want my organs going elsewhere, interupting my successful reuptake into the nitrogen cycle.

    But one of my main problems is with who it goes to. This is the same reason
  • Subscription Fire... (Score:2, Informative)

    by mythosaz ( 572040 )
    "Subscription" fire departments collect revinue two ways, (a) by billing monthly insurance sytle, or (b) by billing you for the number of trucks, men, and feet of hose laid when there's an actual emergency.

    Subscription fire departments don't ignore EMS and fire calls from people who didn't pay their premium - they just bill them on the back end.

    Similarly, no priority is given by order of who paid up front and who didn't. EMS and fire calls are processed by order of severity, just like any non-subscriptio
  • ...flashback to how early 'subscription-only' fire departments worked?

    I guess I've been doing without enough sleep, but a bit of trivia popped into my head about the concept of a subscription fire department.

    As I recall, buildings in the U.S. in the 19th century were marked with a designation near the address that indicated what insurance company the owner used. Since fire departments were privately run by various insurance companies, the crews used these to determine if who should respond to a fire (no,

  • I think that if you won't donate organs you don't get donated organs. That would change some religious fuckers minds real quick.

    The rules would be simple. You get on the list no matter what you do up to age 21, but if you haven't regestered by then, you don't get organs unless you do. AND if you register after age 21 you are not eligible for organs for 2 years after you declare yourself an organ doner. If you are not an organ doner by age 40 you cannot ever recieve a donated organ.

    It isn't fair that peopl
  • I think (Score:3, Interesting)

    by autopr0n ( 534291 ) on Saturday July 26, 2003 @06:08PM (#6541638) Homepage Journal
    People should be able to sell rights to their post-mortem organs, and their non-vital organs like kidnies. Honestly I don't see what the big deal is.
  • by reporter ( 666905 ) on Saturday July 26, 2003 @06:09PM (#6541643) Homepage
    The black market for organs already exists. Please read "Kill and cull: China rejects doctor's testimony [cnn.com]". This article gives a chilling description of how Chinese "doctors" harvest organs from prisoners while they are still alive. These organs then go to wealthy customers in a growing black market.
    • by Big_Breaker ( 190457 ) on Saturday July 26, 2003 @06:52PM (#6541846)
      My wife is taiwanese and still has relatives on the mainland.

      We visited the mainland in January and I met her cousin who is an organ transplant surgeon. He spoke openly about how in China you can can examine a catalog of potential donors on death row with blood and tissue work already done. If you find a match you can designate ahead of time who will donate the body part that you need. When that persons time is up the surgeons are waiting to harvest.

      The surgeon said he couldn't drink that night because he had surgery the next day. He joked how you wouldn't be able to do that in the US, ie schedule your transplant surgeries in advance. Many executions are done around the new year as a sort of cleansing/celebration/unrest quelling. The surgeon said that was a very busy time for him. I asked him whether they still bill the prisoners family for the bullet - they do. Strange when the body parts are worth much more than the bullet huh?

      Given all that I bet if you are VIP in China and deathly ill that the execution of "your" prisoner might be pushed up?

      One last thing people may not know that mitigates some of this. There are no voluntary donors. Everyone in China wants to be buried whole. It is VERY important to them. I joked that the world should adopt a system where only people who are willing to donate should receive organs because not every country allowed what China did.

      My wife made a funny face and then translated. To the mainlanders at the dinner THAT was a funny idea. Why not use the prisoners that are full of shame and have hurt society?
  • by Embedded Geek ( 532893 ) on Saturday July 26, 2003 @06:13PM (#6541652) Homepage
    subscription fire department

    I live in the city of Fullerton, CA. Like most municipalites in the U.S., it has faced a severe funding crunch over the past few years. In response, they have established a Paramedic Subscription Program [fullerton.ca.us]. Basically, if you call a paramedic, you get billed by the city $200 for Basic Life Support and $300 for Advanced Life Support [fullerton.ca.us]. If, on the other hand, you sign up for the service and pay an annual fee of $30, you do not pay. Ambulance costs (as they are pretty much everywhere in the U.S.) are not covered. Regardless of your payment status, though, they will come if you call.

    While I have issues with calling paramedics and being charged in the first place (and, yes, I understand why they're doing it - to make ends meet and reduce frivilous calls), I can see where this fee makes a lot of sense to a business owner, who might see numerous 911 calls over a year (especially restaraunts, with choking/heart attack calls).

  • The Onion (Score:4, Funny)

    by eap ( 91469 ) on Saturday July 26, 2003 @06:16PM (#6541667) Journal
    Just raise speed limits in school zones to 170 MPH, as The Onion recommended.
  • Wired Article (Score:3, Informative)

    by heli0 ( 659560 ) on Saturday July 26, 2003 @06:24PM (#6541705)
    The August issue of Wired (11.08) has a spread titled "How To Sell Your Body For $46 million" (pp46-47). Not sure if it is online yet but some of the highlights:

    Fluids and Tissues: $43million
    Lungs: $116,000
    Heart: $57,000
    Eyes: $8,000
    Brain: $662,000
    Kidney: $92,000
    Pancreas: $46,000
    Small Intestine: $72,000
    Liver: $474,000

    There is a more detailed breakdown, but those are the major points.

    Small story from reuters: It may be illegal, immoral and certainly ill-advised, but selling every usable part of your body could fetch upward of $45 million [reuters.com]

    The first organization that learns to grow these organs individually will make a killing.
  • by suwain_2 ( 260792 ) on Saturday July 26, 2003 @07:13PM (#6541916) Journal
    When I got my license, I made a point of ensuring I was marked as an organ donor. I can understand that some people have religions preventing it, or otherwise oppose the idea for one reason or another, but...

    If you're not against it for any reason, you really ought to check it off. If you're against it, that's fine. But I know a lot of people who don't have a reason for not doing it, it was just too much work to check the box off or something?

    Pesonally, I'd rather know that when I die, I (indirectly) save someone else's life. (And as someone once joked: "Remember, they're not taking your organs. They're keeping them alive for you.") If you don't have a problem saving a life after you die through organ donation, please consider making sure you indicate such next time you renew your license.
  • by Julian Morrison ( 5575 ) on Sunday July 27, 2003 @12:23AM (#6542942)
    The organ shortage is caused by the stupid socialist-egalitarian idea that you should not be able to sell organs, nor should you be able to buy them. Just as socialism in agriculture and retail brought food queues, socialism in medicine brings organ queues.

    So, how to fix it?
    • First, stop preventing people from selling on the open market their own live-donatable organs (eg: kidneys) or bodystuffs (eg: sperm, eggs, blood).
    • Second, stop preventing the body of the deceased being treated as hereditable property. Allowed the choice between being buried intact, or giving an extra financial boost to their loved ones, many people would happily put their organs up for sale. Just as with any other property, the disposition of the body should, in the absence of a will, be up to the next of kin.
    • Third, stop preventing people from bidding on the open market to buy organs from donors.
    I say "stop preventing" very deliberately here. The problem is not what people should be "allowed" to do, as if the default were slavery. The problem is the state acting as though it owned your body, live and, especially, dead. It steals the opton to make a personal gain, and then scratches its head at the shortage of people willing to give freebies. It should just get the hell out of the way. Then, normal market forces will expand donorship - and provide a natural incentive for companies to develop cloned in-vitro organs.

    Needless to say, every "solution" that is based on forcing donors will fail dismally. People will opt for cremation, or travel abroad to die. Nobody loves a thief, and especially not a grave-robber.

    This is not a troll. This is not flamebait. I mean every word.
  • by dh003i ( 203189 ) <dh003i@gmail. c o m> on Sunday July 27, 2003 @12:18PM (#6544673) Homepage Journal
    If people want to create groups where those within are preferential in line for body-part donations, then so be it. And so what if people want to sell their body parts (e.g., kidneys) while alive, or when dead, at market-price? One life is as valuable as another -- there is nothing particularly noble about saving the life of a poor person over a rich one, nor vica versa. The point is that a person's body is his or her own, and only s/he should decide what is done with it and in what manner, while alive and when dead. If, after I die, I want to sell my body parts to the highest bidder (so as to increase the estate that will be passed on to my heirs), then so be it. If I want it to be designated that they must go to a poor person in need of them, then so be it. If I want to designate that they can only go to an Indian, then so be it. I could also designate who they can't go to, and make a long long list (e.g., criminals and those I don't like).

    Consider this scenario. If two people are on the verge of drowning, I only have enough time to save one. Now, under the law, I don't have to save either. I'm not required to do anything to help them. Now, obviously I have a choice to make. I may make it based on several criteria, but however I choose is irrelevant -- one person is going to die, another is going to live.

    1. I choose to try to save the thinnest person, who I am most likely to be able to drag out of the water.

    2. If they are two women, maybe I save the most attractive one.

    3. If one of them is my friend/family member, maybe I save him or her.

    4. If one of them is my enemy, maybe I save the other person.

    5. If I know one of them to be more intelligent than the other, maybe I save that one.

    6. If I know one of them to be loved and cared about by more people than the other, then maybe I save that one.

    7. If one of them is offering me a million dollars to save him or her, maybe I save that one*. Hell, I could choose by any other material or immaterial thing they were offering me.
    * Though the person may honor the verbal contract, it is unlikely to be held up in court, as it constitutes contract at gunpoint.

    8. Maybe I choose randomly.

    and so on and so forth. The point is, there are many criterion by which we judge. I may not even judge consciously. As far as the law and Constitution is concerned, regarding our right to life, we all have equal share in that right, and are all equal as persons to be bestowed rights. However, let's not pretend that we -- as individuals -- don't make judgements everyday about who's life and happiness is more important to us.

E = MC ** 2 +- 3db

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