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martyh 20-04-2010 20:14

the ethics of organ donating
 
Nuffield Council on Bioethics are discussing ways to incentivise organ donation ,these include anything from t shirts to,help with funeral expenses and que jumping for donors in the future if they need it

what are peoples thoughts on this ,is it ethical ? is it the same as buying organs ?

i for one feel that we should have a opt out system instead of a opt in

link

Peter_ 20-04-2010 20:42

Re: the ethics of organ donating
 
I would not trust the likes of these people as far as I could throw the Isle of Wight, if you were in hospital and a someone with money needed an organ and you were a match, what chance do you think you would have of going home.

A long time ago they tried including a donor card on all paper licenses which you had to cut off and that was the first thing I would do.

This is the way I personally feel about this subject and I have never trusted the way it is handled.

Hugh 20-04-2010 20:44

Re: the ethics of organ donating
 
I carry a donor card, and would support and opt-out, rather than an opt-in system.

martyh 20-04-2010 20:47

Re: the ethics of organ donating
 
Quote:

Originally Posted by Masque (Post 35005060)
I would not trust the likes of these people as far as I could throw the Isle of Wight, if you were in hospital and a someone with money needed an organ and you were a match, what chance do you think you would have of going home.

A long time ago they tried including a donor card on all paper licenses which you had to cut off and that was the first thing I would do.

This is the way I personally feel about this subject and I have never trusted the way it is handled.

this i think is a feeling of mistrust that a lot of people have about organ donating ,but what system would you adopt to creat a bit more trust ?

Peter_ 20-04-2010 20:50

Re: the ethics of organ donating
 
Quote:

Originally Posted by martyh (Post 35005063)
this i think is a feeling of mistrust that a lot of people have about organ donating ,but what system would you adopt to creat a bit more trust ?

Opt out would be the way to go but again I am still not happy trusting them to carry out my wishes as records can be altered if required.

I guess you can see the underlying mistrust I have on this subject and this was even before books like Coma.

Hugh 20-04-2010 20:52

Re: the ethics of organ donating
 
Which was, tbf, fiction......

Peter_ 20-04-2010 20:53

Re: the ethics of organ donating
 
Quote:

Originally Posted by foreverwar (Post 35005066)
Which was, tbf, fiction......

Of course it is a work of fiction and even the movie was not bad, but oddly many people thought it was based on fact which of course it was not.

Tezcatlipoca 20-04-2010 20:55

Re: the ethics of organ donating
 
Quote:

Originally Posted by foreverwar (Post 35005061)
I carry a donor card, and would support and opt-out, rather than an opt-in system.

Ditto.

Damien 20-04-2010 20:56

Re: the ethics of organ donating
 
Quote:

Originally Posted by foreverwar (Post 35005061)
I carry a donor card, and would support and opt-out, rather than an opt-in system.

I agree with this. It is insane that people are dying because they need organs which are being left to rot in a grave. Perfectly good hearts, livers, and such just left there and other people and their families desperately wanting, needing, one.

I too have the card, although I hope being on the donor register is enough because I have lost it :D

martyh 20-04-2010 20:56

Re: the ethics of organ donating
 
Quote:

Originally Posted by Masque (Post 35005065)
Opt out would be the way to go but again I am still not happy trusting them to carry out my wishes as records can be altered if required.

I guess you can see the underlying mistrust I have on this subject and this was even before books like Coma.

my own personal thoughts are that the whole system and ethics behind organ donation isn't taken seriously enough .I think that with modern advances in medical care we could use organ donors to a much greater effect provided it is policed better and not treated as a commercial venture

Peter_ 20-04-2010 20:58

Re: the ethics of organ donating
 
Quote:

Originally Posted by martyh (Post 35005071)
my own personal thoughts are that the whole system and ethics behind organ donation isn't taken seriously enough .I think that with modern advances in medical care we could use organ donors to a much greater effect provided it is policed better and not treated as a commercial venture

That is the reason for my distrust is the thought of someone using their money to abuse the system.

martyh 20-04-2010 21:05

Re: the ethics of organ donating
 
Quote:

Originally Posted by Masque (Post 35005072)
That is the reason for my distrust is the thought of someone using their money to abuse the system.

agreed, i find it abhorrent that people with money get a better chance at health than a poorer person and that doctors and other medical staff are usually behind such indiscretions and since the medical profession basically polices itself then at the moment i can see this continuing to happen albeit a very rare occurrence

Peter_ 20-04-2010 21:08

Re: the ethics of organ donating
 
Quote:

Originally Posted by martyh (Post 35005073)
agreed, i find it abhorrent that people with money get a better chance at health than a poorer person and that doctors and other medical staff are usually behind such indiscretions and since the medical profession basically polices itself then at the moment i can see this continuing to happen albeit a very rare occurrence

You have a prime example in George Best who got a liver transplant that was totally wasted just because of who he was and I can see this being done again.

martyh 20-04-2010 21:20

Re: the ethics of organ donating
 
Quote:

Originally Posted by Masque (Post 35005076)
You have a prime example in George Best who got a liver transplant that was totally wasted just because of who he was and I can see this being done again.

i had forgot about that ,despite safeguards being in place to prevent organs being wasted the system was still abused
Which is why i feel the present system needs overhauling and taking much more seriously because it is a valuable tool in the medical profession and relies heavily on public trust and goodwill ,which is why i think that giving t shirts away to donors(if that was a serious suggestion)just demeans the act of donating

budwieser 20-04-2010 21:57

Re: the ethics of organ donating
 
When i die, Anyone who needs my organs apart from my eyes can have them. My liver`s probably shot to balls by now but if someone else can use the rest of the twirly lumpy veiny bits they`re welcome to them if it can help them.:):D

martyh 20-04-2010 22:04

Re: the ethics of organ donating
 
Quote:

Originally Posted by budwieser (Post 35005099)
When i die, Anyone who needs my organs apart from my eyes can have them. My liver`s probably shot to balls by now but if someone else can use the rest of the twirly lumpy veiny bits they`re welcome to them if it can help them.:):D

yeah same here ,but would you feel the same if they were going to highest bidder ,and a child died because their parents couldn't afford it ,an emotive argument i know but the whole organ donating business is a bit of a lottery

Paul 20-04-2010 22:08

Re: the ethics of organ donating
 
Quote:

Originally Posted by martyh (Post 35005047)
Nuffield Council on Bioethics are discussing ways to incentivise organ donation ,these include anything from t shirts to,help with funeral expenses and que jumping for donors in the future if they need it

Is this for real ?

Donate your kidney and you can queue jump treatment, or get money towards expenses ?

That is just plain wrong.

martyh 20-04-2010 22:16

Re: the ethics of organ donating
 
Quote:

Originally Posted by Paul M (Post 35005104)
Is this for real ?

Donate your kidney and you can queue jump treatment, or get money towards expenses ?

That is just plain wrong.

yep very real ,i even went onto there website to check it out and verify skys story


http://www.nuffieldbioethics.org/go/...lease_548.html

budwieser 20-04-2010 22:26

Re: the ethics of organ donating
 
Quote:

Originally Posted by martyh (Post 35005102)
yeah same here ,but would you feel the same if they were going to highest bidder ,and a child died because their parents couldn't afford it ,an emotive argument i know but the whole organ donating business is a bit of a lottery

God no........ Only for NHS patients.

Flyboy 22-04-2010 14:48

Re: the ethics of organ donating
 
Quote:

Originally Posted by Masque (Post 35005060)
I would not trust the likes of these people as far as I could throw the Isle of Wight, if you were in hospital and a someone with money needed an organ and you were a match, what chance do you think you would have of going home.

A long time ago they tried including a donor card on all paper licenses which you had to cut off and that was the first thing I would do.

This is the way I personally feel about this subject and I have never trusted the way it is handled.

Why? Do you not believe that donating an organ after your death to be a good thing?

---------- Post added at 13:41 ---------- Previous post was at 13:40 ----------

Quote:

Originally Posted by foreverwar (Post 35005061)
I carry a donor card, and would support and opt-out, rather than an opt-in system.

I am in total agreement with you on that. In fact, I have gone one stage farther and have regostered with NHS Organ Donor Register.

---------- Post added at 13:45 ---------- Previous post was at 13:41 ----------

Quote:

Originally Posted by budwieser (Post 35005099)
When i die, Anyone who needs my organs apart from my eyes can have them. My liver`s probably shot to balls by now but if someone else can use the rest of the twirly lumpy veiny bits they`re welcome to them if it can help them.:):D

Why not your eyes?

---------- Post added at 13:48 ---------- Previous post was at 13:45 ----------

Quote:

Originally Posted by Paul M (Post 35005104)
Is this for real ?

Donate your kidney and you can queue jump treatment, or get money towards expenses ?

That is just plain wrong.

Hmm, whilst I agree with you on the queue jumping thing, having money towards funeral expenses is a fitting gesture I think. I don't think people will be necessarily incentivised to donate because of it, but I think it would be a respectful way to thank someone for their gift.

---------- Post added at 13:48 ---------- Previous post was at 13:48 ----------

Quote:

Originally Posted by martyh (Post 35005105)
yep very real ,i even went onto there website to check it out and verify skys story


http://www.nuffieldbioethics.org/go/...lease_548.html

But, to be more accurate these are only the thoughts and ideas of a few people, asking some questions, not a policy.

Peter_ 22-04-2010 15:21

Re: the ethics of organ donating
 
Quote:

Originally Posted by Flyboy (Post 35005916)
Why? Do you not believe that donating an organ after your death to be a good thing?

As per my previous posts I do not trust them if I had given them permission not to abuse my trust.

I have held this belief for a very long time and it will never change.

Flyboy 22-04-2010 15:25

Re: the ethics of organ donating
 
If your kidneys were to fail and the only way of saving you was a transplant, what questions would ask the potential donor's family, to ensure that they are making the right decision?

joglynne 22-04-2010 15:32

Re: the ethics of organ donating
 
All my family are on the donor register and also carry a donor cards.

I don't feel comfortable with the idea of incentives being offered, anything that links money and donated organs together just feeds the suspicions of people who don't trust the ethics of those people in control of the harvesting and allocation process.

I would like organ donations to be on an opt out basis as I feel that with more donors there would be an increase in the number of organs available and consequently less desperation find a matching organ. Hopefully this would then reduce the suspicions of wrongdoing and manipulation voiced against the medical profession and people in a position to pay or queue jump.

martyh 22-04-2010 15:33

Re: the ethics of organ donating
 
Quote:

Originally Posted by Flyboy (Post 35005916)
Why? Do you not believe that donating an organ after your death to be a good thing?
.


I don't think that's what he is saying ,Masque seems to feel the same as a lot of people do ,in that the system at present is wide open to abuse at worst ,and favouritism at best ,and until the system is cleaned up then people will continue to be put off
On the other hand though it is a good thing that the ethics behind organ donating is being discussed as a few tweaks to the rules could mean 1000's more donors and lets be honest how many people actually think about donating organs or blood whereas being paid in some form for it would put a whole new perspective on it for 1000's of people

Flyboy 22-04-2010 16:09

Re: the ethics of organ donating
 
Quote:

Originally Posted by joglynne (Post 35005942)
All my family are on the donor register and also carry a donor cards.

I don't feel comfortable with the idea of incentives being offered, anything that links money and donated organs together just feeds the suspicions of people who don't trust the ethics of those people in control of the harvesting and allocation process.

I would like organ donations to be on an opt out basis as I feel that with more donors there would be an increase in the number of organs available and consequently less desperation find a matching organ. Hopefully this would then reduce the suspicions of wrongdoing and manipulation voiced against the medical profession and people in a position to pay or queue jump.

This arrangement would also negate the need for any kind of manipulation being used as scaremongering, by the media and Hollywood. If there is a surplus of organs available, there would no visible need to jump queues or bribe someone for an organ.

---------- Post added at 15:09 ---------- Previous post was at 15:08 ----------

Quote:

Originally Posted by martyh (Post 35005943)
I don't think that's what he is saying ,Masque seems to feel the same as a lot of people do ,in that the system at present is wide open to abuse at worst ,and favouritism at best ,and until the system is cleaned up then people will continue to be put off
On the other hand though it is a good thing that the ethics behind organ donating is being discussed as a few tweaks to the rules could mean 1000's more donors and lets be honest how many people actually think about donating organs or blood whereas being paid in some form for it would put a whole new perspective on it for 1000's of people

I think too many people watch too much television.

Stuart 22-04-2010 16:15

Re: the ethics of organ donating
 
Quote:

Originally Posted by martyh (Post 35005047)

i for one feel that we should have a opt out system instead of a opt in

While I agree that the system should be opt out, if you can argue that offering gifts etc in return for organs is similar to buying organs, you could argue that requiring people to opt out of giving their organs is state sponsored theft of organs.

gazzae 22-04-2010 16:26

Re: the ethics of organ donating
 
If you’re sick and need a transplant then you should only get one though the donor scheme if you are registered as a donor. If you haven’t then tough luck, you better hope a relative or friend have an organ to spare.

martyh 22-04-2010 16:58

Re: the ethics of organ donating
 
Quote:

Originally Posted by Flyboy (Post 35005953)
This arrangement would also negate the need for any kind of manipulation being used as scaremongering, by the media and Hollywood. If there is a surplus of organs available, there would no visible need to jump queues or bribe someone for an organ.

---------- Post added at 15:09 ---------- Previous post was at 15:08 ----------



I think too many people watch too much television.

would you care to elaborate or was that justa random nonsensical remark

---------- Post added at 15:58 ---------- Previous post was at 15:56 ----------

Quote:

Originally Posted by gazzae (Post 35005964)
If you’re sick and need a transplant then you should only get one though the donor scheme if you are registered as a donor. If you haven’t then tough luck, you better hope a relative or friend have an organ to spare.

hardly fair really, what about children needing heart transplants ect they wont have filled out a donor card:rolleyes:

gazzae 22-04-2010 17:32

Re: the ethics of organ donating
 
Quote:

Originally Posted by martyh (Post 35005986)
would you care to elaborate or was that justa random nonsensical remark

---------- Post added at 15:58 ---------- Previous post was at 15:56 ----------



hardly fair really, what about children needing heart transplants ect they wont have filled out a donor card:rolleyes:

Won't somebody think of the children :rolleyes:

Once someone is old enough to decide for themselves (while children can join the donor scheme it still requires parent/guardian permission until they are 18) and they choose not to join the scheme then they should forfeit any right to receive an organ from the scheme. Sure it’s not fair, but since when is burying healthy organs when people are crying out for them fair?

martyh 22-04-2010 17:40

Re: the ethics of organ donating
 
Quote:

Originally Posted by gazzae (Post 35006009)
Won't somebody think of the children :rolleyes:

Once someone is old enough to decide for themselves (while children can join the donor scheme it still requires parent/guardian permission until they are 18) and they choose not to join the scheme then they should forfeit any right to receive an organ from the scheme. Sure it’s not fair, but since when is burying healthy organs when people are crying out for them fair?

you might possibly be able to justify that if we use a opt out system but with the present system there are to many variables .people think they are registered by carrying a donor card but that is not the case so a system were people have to opt out of donating organs would possibly be justification for your system

and by the way it's not just children i was thinking about what about mentaly handicapped people

Flyboy 22-04-2010 18:32

Re: the ethics of organ donating
 
Quote:

Originally Posted by gazzae (Post 35005964)
If you’re sick and need a transplant then you should only get one though the donor scheme if you are registered as a donor. If you haven’t then tough luck, you better hope a relative or friend have an organ to spare.

That would not be very fair. It is unlikely that anyone who has a need for a donor organ, that they would be in a position to offer one up in replacement. If a child is born with a dickey kidney, they hardly have the option to decide they will give up their heart if the want a transplant.

---------- Post added at 17:32 ---------- Previous post was at 17:30 ----------

Quote:

Originally Posted by gazzae (Post 35006009)
Won't somebody think of the children :rolleyes:

Once someone is old enough to decide for themselves (while children can join the donor scheme it still requires parent/guardian permission until they are 18) and they choose not to join the scheme then they should forfeit any right to receive an organ from the scheme. Sure it’s not fair, but since when is burying healthy organs when people are crying out for them fair?

What, wait until they are eighteen to become eligible to receive a donated organ?

joglynne 22-04-2010 18:56

Re: the ethics of organ donating
 
IMHO playing the equivalent of tit of tat to decide whether someone can be considered a suitable recipient for a donated organ is a very dangerous route to take.

I can understand someone being refused a transplant if they would be actively still putting the new organ at risk. A heavy smoker who doesn't attempt to give up smoking needing a new lung is a simplistic example, but with holding a transplant because you haven't put your own body forward? What if you nip in quickly and register once you find you need a transplant? Would there have to be a qualifying period or maybe, no transplant if you registered after the condition was diagnosed, or, you would have to go to the bottom of the list regardless of how serious your condition was.

Being in the position of needing a transplant in order to live is a nightmare scenario for anyone, being made to pay with your life for making a wrong choice is inhumane.

martyh 22-04-2010 19:02

Re: the ethics of organ donating
 
Quote:

Originally Posted by joglynne (Post 35006076)
IMHO playing the equivalent of tit of tat to decide whether someone can be considered a suitable recipient for a donated organ is a very dangerous route to take.

I can understand someone being refused a transplant if they would be actively still putting the new organ at risk. A heavy smoker who doesn't attempt to give up smoking needing a new lung is a simplistic example, but with holding a transplant because you haven't put your own body forward? What if you nip in quickly and register once you find you need a transplant? Would there have to be a qualifying period or maybe, no transplant if you registered after the condition was diagnosed, or, you would have to go to the bottom of the list regardless of how serious your condition was.

Being in the position of needing a transplant in order to live is a nightmare scenario for anyone, being made to pay with your life for making a wrong choice is inhumane.

:clap::clap::clap:

gazzae 22-04-2010 20:33

Re: the ethics of organ donating
 
Quote:

Originally Posted by Flyboy (Post 35006057)
That would not be very fair. It is unlikely that anyone who has a need for a donor organ, that they would be in a position to offer one up in replacement. If a child is born with a dickey kidney, they hardly have the option to decide they will give up their heart if the want a transplant.

What? I'm not suggesting to get an organ they have to provide one of theirs.

Quote:

Originally Posted by Flyboy (Post 35006057)

What, wait until they are eighteen to become eligible to receive a donated organ?

Again what? As I said its the parents decision not the child until they are 18



---------- Post added at 19:33 ---------- Previous post was at 19:30 ----------

Quote:

Originally Posted by joglynne (Post 35006076)
IMHO playing the equivalent of tit of tat to decide whether someone can be considered a suitable recipient for a donated organ is a very dangerous route to take.

I can understand someone being refused a transplant if they would be actively still putting the new organ at risk. A heavy smoker who doesn't attempt to give up smoking needing a new lung is a simplistic example, but with holding a transplant because you haven't put your own body forward? What if you nip in quickly and register once you find you need a transplant? Would there have to be a qualifying period or maybe, no transplant if you registered after the condition was diagnosed, or, you would have to go to the bottom of the list regardless of how serious your condition was.

As martyh said make the system opt out. If you opt out from being a donor then you forfeit any option to receive a donation through the organ donar scheme.

Quote:

Originally Posted by joglynne (Post 35006076)
Being in the position of needing a transplant in order to live is a nightmare scenario for anyone, being made to pay with your life for making a wrong choice is inhumane.

What if that choice was taking up smoking, or not quitting smoking?

martyh 22-04-2010 20:56

Re: the ethics of organ donating
 
[QUOTE=gazzae;35006146]

As martyh said make the system opt out. If you opt out from being a donor then you forfeit any option to receive a donation through the organ donar scheme.
QUOTE]


indeed ,opting out of a default system requires a reason and that reason would most likely be an objection to the principle of organ donation which inturn would mean that the prospective recipient would refuse the transplant anyway so yes under these criteria your system would have some merit

frogstamper 23-04-2010 04:05

Re: the ethics of organ donating
 
[QUOTE=martyh;35006189]
Quote:

Originally Posted by gazzae (Post 35006146)

As martyh said make the system opt out. If you opt out from being a donor then you forfeit any option to receive a donation through the organ donar scheme.
QUOTE]


indeed ,opting out of a default system requires a reason and that reason would most likely be an objection to the principle of organ donation which inturn would mean that the prospective recipient would refuse the transplant anyway so yes under these criteria your system would have some merit

I wonder how many of the "opt out" side would change their minds if in the future they themselves needed a transplant?

As said already the opt out model seems best, its the same system being used at present if you don't want your medical records to be made available on-line....obviously the powers that be realize this method will yield the greatest gain.

beeman 27-04-2010 21:41

Re: the ethics of organ donating
 
As far as im aware the biggest problem for organ harvesting is the next of kin. Currently doctors have to ask the next of kin for permission to harvest at what would bee the most difficalt time for them to make a sound desision. The easiest way to overcome this while still ensuring peoples views are respected is a 3 teir system.

1) opt in (register on database) NO NEXT OF KIN PERMISSION NEEDED.
2) If your not a registered doner (maby the deceised hasnt bothered but the n.o.k is aware of their feelings) the n.o.k can give permission (effectivly the opt-out sceme)
3) total opt-out if your registered on the opt-out list then your organs MUST bee burried/burned with you.

run this 3 teir system and you will proberlly get a 10x yeld in organs as it cuts out the biggest hurdle in gettin organs (n.o.k permissions).


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