FAIR Foundation... Working toward better futures for patients.

In the News

<< First  < Prev   1   2   Next >  Last >> 
  • 01 Sep 2016 8:51 AM | Cathy Teal (Administrator)


    Finding Organ Donors Concealed in Plain Sight

    David Bornstein

    Second of two articles.

    Last June, after it became clear that their 3-month-old son, Nathan, needed a liver transplant, Rob and Christina Whitehead of Mokena, Ill., created a Facebook page to tell his story. Word spread quickly. “More than a hundred people called our donor hotline,” recalled Talia B. Baker, director of the Living Donor Liver Transplant program at Northwestern University Feinberg School of Medicine.

    Read entire story here: http://www.nytimes.com/2016/05/17/opinion/finding-organ-donors-concealed-in-plain-sight.html?smid=fb-share&register=facebook

  • 26 Aug 2016 1:13 PM | Cathy Teal (Administrator)

    A Cost-Benefit Analysis of Government Compensation of Kidney Donors

    Abstract

    From 5000 to 10 000 kidney patients die prematurely in the United States each year, and about 100 000 more suffer the debilitating effects of dialysis, because of a shortage of transplant kidneys. To reduce this shortage, many advocate having the government compensate kidney donors. This paper presents a comprehensive cost-benefit analysis of such a change. It considers not only the substantial savings to society because kidney recipients would no longer need expensive dialysis treatments—$1.45 million per kidney recipient—but also estimates the monetary value of the longer and healthier lives that kidney recipients enjoy—about $1.3 million per recipient. These numbers dwarf the proposed $45 000-per-kidney compensation that might be needed to end the kidney shortage and eliminate the kidney transplant waiting list. From the viewpoint of society, the net benefit from saving thousands of lives each year and reducing the suffering of 100 000 more receiving dialysis would be about $46 billion per year, with the benefits exceeding the costs by a factor of 3. In addition, it would save taxpayers about $12 billion each year.

    Read full article here: http://onlinelibrary.wiley.com/doi/10.1111/ajt.13490/abstract

  • 19 Jul 2016 11:11 AM | Cathy Teal (Administrator)

    AHC Media: Continuing Medical Education Publishing

    Study: $50,000 Would Make Most Americans More Likely to Donate a Kidney

    Yet compensating donors remains illegal

    June 24, 2016

    The majority of U.S voters surveyed by telephone stated they’d be more likely to donate a kidney if they received $50,000 in compensation, according a recent study.1 However, paying donors remains illegal under the National Organ Transplant Act of 1984. The study’s key findings include the following:

    • 68% of participants would donate a kidney to anyone, 23% would donate only to certain people, and 9% would not donate.
    • 59% said being paid $50,000 would make them more likely to donate a kidney, 32% said compensation did not sway them, and 9% were negatively influenced by payment.

    The researchers conclude that, “because thousands of lives might be saved should compensation increase the number of transplantable kidneys, laws and regulations prohibiting donor compensation should be modified to allow pilot studies of financial incentives for living kidney donors.”

    Thomas G. Peters, MD, FACS, FASN, the study’s lead author and professor emeritus in the department of surgery at University of Florida’s College of Medicine in Jacksonville, views the findings as a call to action.

    “The striking number is the 59% that would be moved further toward donation if offered compensation,” he says. “That’s six out of ten people.”

    From 2004 to 2013, the authors note, 63,742 patients died or became too sick for a transplant while waiting for a kidney. “The ethical implication, in my view, is that we have a potential source of lifesaving organs that is not being accessed,” says Peters. “Because of that, people who are fully evaluated and deemed appropriate for treatment with a kidney transplant are dying while they are waiting.”

    While some programs reimburse donors for lost wages, travel expenses, and follow-up care, many donors do not qualify. “The ethical question, in my view, is that we have identifiable, salvageable individuals who are facing needless death because we don’t have the means to save them,” says Peters. “These people have a name, they are cared for by a particular medical center in America, and are on a waiting list.”

    Peters uses the analogy of an orthopedic surgeon caring for a patient needing a knee replacement, who could put in an artificial knee, enabling the patient to walk that same day. “It’s the same with kidneys — only we can’t replace the kidney we’d use today with a kidney we might get tomorrow from a living donor,” he says.

    The following are ethical arguments used against paying kidney donors:

    Such payment would commodify body parts.

    “The fact is, though, that in America it’s legal to pay surrogate mothers, and ova and sperm donors,” Peters says. “And certainly everyone in the transplant endeavor is paid.” That includes the hospital, the transplant surgeon, the transplant coordinator, nurses on the transplant floor, and immunology experts. “Everybody is paid but the donor,” says Peters.

    A black market for organs could develop.

    “But our concept is that this all would be highly regulated,” says Peters.

    Payment could coerce persons to perform an act that they ordinarily would not perform: donating a kidney.

    “Well, that’s the whole idea. That’s what we want,” says Peters. “Even though our paper indicates that the vast majority of people are willing to give a kidney to anyone or someone, over 90%, it really doesn’t happen.”

    What people say they’ll do is not necessarily what they do in reality, he says.

    “In our cohort of respondents, most people were positive about donating,” says Peters. “But if you offer the money, that moves the needle. And it might move it in real time.”

    Peters says it’s important to consider the history behind the National Organ Transplant Act of 1984, which made it illegal for individuals to sell organs. “Those persons who said we should not pay donors were mostly the transplant surgeons, who opined at the time that altruism was the motivation that ought to drive organ donation,” says Peters.

    The idea was reinforced when a businessman attempted to start a brokerage service paying individuals for kidneys, which was completely unregulated. “We were all appalled by that,” says Peters. Peters and others met with former Vice President Al Gore, at the time a Tennessee Congressman, who wrote into the bill the clause about barring compensation.

    “However, Gore said at the time, that if the circumstances of organ donation without compensation does not meet the need, then we should reconsider whether or not some form of compensation should be tried,” says Peters. “That is something that is very seldom spoken about.”

    The origins of the law, says Peters, “were largely the brainchild of those of us who were practicing at the time.” Though the numbers of individuals on a waiting list who died needing a kidney were small at the time, Peters still viewed the deaths as needless. “There were not a lot of people who agreed with me at the time. I was outspoken about this and did not have a lot of collegial support,” he says.

    Over the next decade or two, the numbers of people on the transplant recipient list grew. “We were able to save more and more lives, but the lives we were saving were of a miniscule number compared to the need,” says Peters.

    The need is now so great, and the resources so scant, says Peters, that other approaches are needed to increase the recovery of transplantable organs. “A lot of smart people have tried to do it,” says Peters. “All of the ideas for the last 30 years that have been tried have failed.”

    Pennsylvania Congressman Matt Cartwright recently introduced legislation that would allow for certain non-cash incentives, such as contributions to a retirement fund, to compensate donors.

    “There is no question that what we are doing currently is failing,” says Peters. “Even the opponents say we have to improve organ donation. It’s failing, and it is costing lives needlessly.”

    REFERENCE

    1. Peters TG, Fisher JS, Gish RG, et al. Views of US voters on compensating living kidney donors. JAMA Surg. Published online March 23, 2016. doi:10.1001/jamasurg.2016.0065.

    SOURCES

    • Thomas G. Peters, MD, FACS, FASN, Professor Emeritus, Department of Surgery, University of Florida College of Medicine, Jacksonville. Phone: (904) 244-3925. Fax: (904) 244-3870. Email: tgpetersmd@hotmail.com.

    close

    Welcome to AHC Media

    Get to know the award winning AHC Media by enjoying 3 free articles on us! Call us at 800-688-2421 with questions, comments and/or to request product trials and alternative billing options.

    Register Subscribe Sign In

  • 08 Jun 2016 5:12 PM | Cathy Teal (Administrator)

    March 24, 2016

    The tricky issue has publicly resurfaced through a widely shared TEDMed talk by a woman who wanted to donate a kidney but couldn’t afford to, and through several opinion pieces published by doctors in medical journals.

    Read more: http://myinforms.com/en/a/28212028-new-survey-adds-to-debate-over-paying-people-to-donate-organs/

  • 08 Jun 2016 5:10 PM | Cathy Teal (Administrator)

    By Arvin Matthew Paculaba, Parent Herald | March 24, 4:30 AM

    There has been a renewed interest in compensation for living kidney donors in the U.S. While paying for organs is still prohibited in the country, a new survey showed that most Americans are fine with the idea of donating their kidney. Even more would do so for the right price.

    Read more: http://www.parentherald.com/articles/31318/20160324/americans-donate-kidneys-right-price.htm

  • 08 Jun 2016 4:57 PM | Cathy Teal (Administrator)

    Mar 23, 2016   By Ariana Eunjung Cha | The Washington Post

    Most kidneys transplanted in the United States come from deceased donors, and there are never enough for all the people who need one. The waiting list today has more than 100,000 patients, and, every year, thousands die while they wait. The shortage is so severe that many have begun to look at "living" donors as a possible solution. While U.S. transplant rules allow for healthy people to donate their extra kidney to someone who is sick, the process can be time-consuming and expensive, resulting in too few Americans donating.

    Read more here: http://www.idahostatesman.com/news/nation-world/national/article67936932.html#storylink=cpy

  • 08 Jun 2016 4:53 PM | Cathy Teal (Administrator)

    THURSDAY, March 24, 2016 (HealthDay News) -- If offered $50,000, nearly three out of five Americans would donate a kidney, according to survey results published online March 23 in JAMA Surgery.

    "It appears that American society is ready to accept the concept of paying kidney donors," lead researcher Thomas Peters, M.D., an emeritus professor of surgery at the University of Florida College of Medicine in Jacksonville, told HealthDay.

    Read more: http://www.physiciansbriefing.com/Article.asp?AID=709297

  • 08 Jun 2016 4:51 PM | Cathy Teal (Administrator)

    Mar 24, 2016  By Ariana Eunjung |  Washington Post

    One of the strictest tenets of the U.S. transplant system is that paying for organs is forbidden. The ban, imposed by the National Transplant Act of 1984, was designed to protect the poor from being taken advantage of by the wealthy. Impassioned supporters of the law argued that compensating people for body parts is exploitative and treats donors like subhumans, and the debate was essentially closed for more than three decades - until recently.

    Read more: http://www.sentinel-echo.com/cnhi_network/what-would-happen-if-americans-were-paid-to-donate-their/article_4d4186bf-7612-568a-aa12-faf722046860.html

  • 08 Jun 2016 4:37 PM | Cathy Teal (Administrator)
    24 March 2016, 11:06 pm EDT By Katherine Derla Tech Times

    Researchers found that paying kidney donors can help boost organ donation rates in the United States. Their findings suggest the need for modifying current regulations and laws prohibiting such incentives that could potentially help save thousands of lives.

    See more at: http://www.techtimes.com/articles/143841/20160324/paying-for-kidneys-may-boost-organ-donation-rates-study.htm#sthash.ivNX1nLU.dpuf


    24 March 2016, 11:06 pm EDT By Katherine Derla Tech Times - See more at: http://www.techtimes.com/articles/143841/20160324/paying-for-kidneys-may-boost-organ-donation-rates-study.htm#sthash.ivNX1nLU.dpuf
    Paying For Kidneys May Boost Organ Donation Rates: Study - See more at: http://www.techtimes.com/articles/143841/20160324/paying-for-kidneys-may-boost-organ-donation-rates-study.htm#sthash.ivNX1nLU.dpuf

    Paying For Kidneys May Boost Organ Donation Rates: Study

    24 March 2016, 11:06 pm EDT By Katherine Derla Tech Times

    - See more at: http://www.techtimes.com/articles/143841/20160324/paying-for-kidneys-may-boost-organ-donation-rates-study.htm#sthash.ivNX1nLU.dpuf
  • 05 Apr 2016 5:55 PM | Cathy Teal (Administrator)
    The First Successful Organ Transplant

    On December 23, 1954, Dr. Joseph Murray performed the first successful kidney transplant on Richard Hendrick at Peter Bent Brigham Hospital, in Boston, MA. Hendrick received the "Gift of Life" from his identical twin brother, Ronald. That historical, medically ground-breaking surgery set into motion today's rather common-place practice of organ transplantation to save lives and cure disease.

    Richard Hendrick. Hendrick received the
<< First  < Prev   1   2   Next >  Last >> 


© The FAIR Foundation
Powered by Wild Apricot Membership Software