Ethical Incentives — Not Payment — For Organ Donation

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

The therapeutic promise of transplanting organs from cadaveric donors, as envisioned by the pioneers of transplantation,¹ has never been realized because the demand for cadaveric organs has far exceeded the supply. The waiting list for organ transplants continues to grow, and in 2000, nearly 5000 patients were removed from the list because of death.² Consequently, many patients with end-stage organ failure are no longer relying solely on the waiting list. Instead, they are turning to spouses, friends, or strangers as possible donors — a medically acceptable alternative because advances in immunosuppression have eliminated the requirement of a genetic match for . . .

The Market for Transplantable Tissues and Organs

New Congressional Legislation

Ethical Incentives to Increase Organ Donation

Donor Medal of Honor

Reimbursement for Funeral Expenses

Organ Exchanges

Medical Leave for Organ Donation

Ensuring Access to Organs for Previous Donors

Donor Insurance

A Regulated Market System

Incentives versus Payment

References

Related Letters:

Ethical Incentives — Not Payment — for Organ Donation
Mosimann F., Matas A. J., Spital A., Delmonico F. L., Arnold R., Youngner S. J.
Extract | Full Text | PDF
N Engl J Med 2002; 347:1382-1384, Oct 24, 2002. Correspondence

This article has been cited by other articles:

• Koh, H. K., Jacobson, M. D., Lyddy, A. M., O'Connor, K. J., Fitzpatrick, S. M., Krakow, M., Judge, C. M., Alpert, H. R., Luskin, R. S. (2007). A Statewide Public Health Approach to Improving Organ Donation: The Massachusetts Organ Donation Initiative. Am. J. Public Health 97: 30-36 [Abstract] [Full Text]
• Matas, A. J. (2006). Why We Should Develop a Regulated System of Kidney Sales: A Call for Action!. CJASN 1: 1129-1132 [Full Text]
• Ghods, A. J., Savaj, S. (2006). Iranian Model of Paid and Regulated Living-Unrelated Kidney Donation. CJASN 1: 1136-1145 [Abstract] [Full Text]
• Siegal, G., Bonnie, R. J. (2006). Closing the Organ Gap: A Reciprocity-Based Social Contract Approach. J Law Med Ethics 34: 415-423
• Kunin, J D (2005). The search for organs: halachic perspectives on altruistic giving and the selling of organs. J. Med. Ethics 31: 269-272 [Abstract] [Full Text]
• Giles, S (2005). An antidote to the emerging two tier organ donation policy in Canada: the Public Cadaveric Organ Donation Program. J. Med. Ethics 31: 188-191 [Abstract] [Full Text]
• Scheper-Hughes, N. (2004). Parts unknown: Undercover ethnography of the organs-trafficking underworld. Ethnography 5: 29-73 [Abstract]
• Wendler, D., Emanuel, E. (2004). Assessing the Ethical and Practical Wisdom of Surrogate Consent for Living Organ Donation. JAMA 291: 732-735 [Full Text]
• Beauchamp, T L (2003). Methods and principles in biomedical ethics. J. Med. Ethics 29: 269-274 [Abstract] [Full Text]
• Douglas, D. D. (2003). Rebuttal by Dr Douglas. Arch Intern Med 163: 1885-1886 [Full Text]
• Mosimann, F., Matas, A. J., Spital, A., Delmonico, F. L., Arnold, R., Youngner, S. J. (2002). Ethical Incentives -- Not Payment -- for Organ Donation. NEJM 347: 1382-1384 [Full Text]
• Goyal, M., Mehta, R. L., Schneiderman, L. J., Sehgal, A. R. (2002). Economic and Health Consequences of Selling a Kidney in India. JAMA 288: 1589-1593 [Abstract] [Full Text]
• Rothman, D. J. (2002). Ethical and Social Consequences of Selling a Kidney. JAMA 288: 1640-1641 [Full Text]
• Ramos, E., Aoun, S., Harmon, W. E. (2002). Expanding the Donor Pool: Effect on Graft Outcome. J. Am. Soc. Nephrol. 13: 2590-2599 [Full Text]