Join the club: a modest proposal to increase availability of donor organs

Article Abstract:

Organ donation could be encouraged by limiting eligibility for transplant to those who had previously registered as potential donors. This approach would address the major problem associated with organ transplantation, the shortage of suitable donor organs. Two other solutions that have been proposed, a system of presumed consent unless the individual has opted out and a system of payment for organs, are less acceptable. The proposed scheme would both reduce demand and increase supply. If an oversupply resulted, then registered donors might be given first refusal and the program could be extended to non-donors.

Management, Donation of organs, tissues, etc., Tissue donation

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Brain transplantation, personal identity and medical ethics

Article Abstract:

Experimentations on brain transplantations to treat Parkinson's disease is an issue that should be addressed by medical scientists and professionals. Brain transplantations are thought of as not only providing the physical brain of the donor but also altering the whole identity of the recipient. The donor's personality, as it is contained in the brain, could be the one reflected by the recipient after a successful transplantation. There would be confusion and distress in the recipient over the change in his identity brought about by the transplantation.

Psychological aspects, Social policy, Identity, Medical ethics

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On giving preference to prior volunteers when allocating organs for transplantation

Article Abstract:

The scheme proposed by Rupert Jarvis for increasing the supply of organs for transplantation is not morally acceptable. Jarvis suggests that patients who have previously volunteered to donate organs should be given priority to receive organ transplants. The main objection to his proposal is that it allocates medical treatment on the basis of past or present fault. Introduction of any such fault-based criterion for withholding treatment is likely to be socially harmful.

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