Health Matters: Human Organ Donations, Sales, and the Black Market

Biology – Quantitative Biology – Other Quantitative Biology

Scientific paper

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21 pages, 3 figures

Scientific paper

In this paper I explore the human organ procurement system. Which is better for saving lives and limiting black market use, the present altruistic system of donations or a free and open sales market? I explain that there is a risk with maintaining the present system, the altruistic vision, and that people may die who might otherwise live if the sale of organs was permitted. There is no guarantee that permitting organ sales would effectively address the current supply-side shortage and global use of the black market. In addition to discussing the implications of these various systems, I look at methods to increase donations within non-market procurement systems. I explore the differences between presumed and explicit consent. Ultimately, I conclude that the gift-relationship with the addition of presumed consent and appropriate financial incentives, in spite of its shortcomings, is a better choice than a legal sales market.

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