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The Organ Shortage Crisis in America - Incentives, Civic Duty, and Closing the Gap (Paperback)
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The Organ Shortage Crisis in America - Incentives, Civic Duty, and Closing the Gap (Paperback)
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Nearly 120,000 people are in need of healthy organs in the United
States. Every ten minutes a new name is added to the list, while on
average twenty people die each day waiting for an organ to become
available. Worse, our traditional reliance on cadaveric organ
donation is becoming increasingly insufficient, and in recent years
there has been a decline in the number of living donors as well as
in the percentage of living donors relative to overall kidney
donors. Some transplant surgeons and policy advocates have
responded to this shortage by arguing for the legalization of the
sale of organs among living donors. Andrew Flescher objects to this
approach by going beyond concerns traditionally cited about social
justice, commodification, and patient safety, and moving squarely
onto the terrain of discussing what motivates major and costly acts
of human selflessness. What is the most efficacious means of
attracting prospective living kidney donors? Flescher, drawing on
literature in the fields of moral psychology and economics, as well
as on scores of interviews with living donors, suggests that
inculcating a sense of altruism and civic duty is a more effective
means of increasing donor participation than the resort to
financial incentives. He encourages individuals to spend time with
patients on dialysis in order to become acquainted with their
plight and, as an alternative to lump-sum payments, consider
innovative solutions that positively impact living donor
participation that do not undermine the spirit of the National
Organ Transplant Act of 1984. This book not only re-examines the
important debate over whether to allow the sale of organs; it is
also the first volume in the field to take a close look at
alternative solutions to the organ shortage crisis.
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