Kara Amantoy

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Health & Medicine Entertainment & Humor

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The lucrative business of harvesting human body parts for transplantation into foreign recipients continues unabated, despite the occasional scandal in the press. As it is relatively under-researched as a business, this paper will seek to explicate the variegated nature of the trade, using the limited public reports, medical literature and prevalent considerable journalistic accounts to establish its scope, pricing and routes, as well as its links to human trafficking and debt bondage. The ethical issues of various systems of managing supply and demand for human organs are surveyed briefly before addressing the special case of sourcing organs from the developing world and transplantation services there. Invariably the challenge of access to data and the reliability of estimates of a somewhat clandestine trade need to be addressed. A key argument of the author is that the cross-border human-organ trade needs to be analysed also as an international business if efforts to regulate it are to succeed. The paper confirms that this trade thrives on the desperation of affluent patients from the developed or emergent-world as much as that of the poor donors from the developing-world. Pending reduction of the economic disparities that undergird the trade, managed regional systems of exchange, fair compensation and long-term healthcare are essential to relieving the suffering and exploitation involved.

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Informative Speech Template Outline I. Introduction (Approximately 30 sec-1min.) A. Attention Getter B. Background and Audience Relevance C. Speaker Credibility D. Thesis E. Preview of Main Points Transition to first main point II. Body (Approximately 2-3 min) A. Main Point 1: 1. Sub point 1 2. Sub point 2 Transition (signpost, summary, preview) B. Main Point 2 1. Sub point 1 2. Sub point 2 Transition and signal closing III. Conclusion (Approximately 30 seconds-1 minute) A. Restate Thesis B. Review Main Points C. Memorable Closer Selling Organs for Transplantation LEWIS BURROWS, M . D . Abstract The need for transplant organs has far outstripped the supply of available cadaveric organs. Hundreds of people on waiting lists, who could be saved by transplantation, die each year. This severe shortage has justified the extension of transplantation to the use of living donors, but there are still not enough organs to meet the need. This paper discusses the justification for changing policies in order to encour- age organ donation. It presents reasons for allowing payments to be made to families that donate cadaveric organs. It also presents reasons for allowing payments to be made to living donors, and guidelines for how an ideal policy could be structured. Key Words: Selling, payment, organs, transplant, financial remuneration, presumed consent, altruism, ethics. LIVING DONOR ORGAN TRANSPLANTATION is the only field of medicine in which two individuals are intimately involved: the donor and the re- cipient. It is also the only field of medicine in which altruistic giving of oneself is the basis of the medical practice. I have been asked to address a very specific aspect of this process, that is, living organ donation for financial remuneration. No other subject in the transplant experience is as controversial. Many of those involved in the field—surgeons, physicians, social scientists, ethicists, and theologians—have expressed an opinion on this issue. As a result of impressive gains in this field, organ recipients now have a significant chance for both long-term survival and a reasonable quality of life. These successes have led nearly 80,000 individuals to opt for transplantation as a form of therapy. Unfortunately, the number of organs available has lagged far behind the demand. Every year thousands die while waiting for the gift of life that an organ transplant could provide. In the case of cadaveric giving, the family of the brain-dead person is asked to donate. Address all correspondence to Lewis Burrows, M.D., 201 East 17th Street, Apt. 27H, New York, NY 10003; email: Rock- [email protected] Adapted from a presentation at the Issues in Medical Ethics 2001 Conference on "Medicine, Money, and Morals" at the Mount Sinai School of Medicine, New York, NY on November 2, 2001, and updated as of Eebruary 2004. There is a serious shortfall in cadaveric organ donations, with only 40-60% of U.S. families consenting to organ recov.

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