Donors of bone marrow can now be paid
reuters.com
reuters.com
Do I sell my kidney or tell my kid he can't go to college?
Do I sell my liver or live in credit card debt for the rest of my life?
Plus, the illegal gaining and trading of organs would spike.
In Pakistan, 40 percent to 50 percent of the residents of some villages have only one kidney because they have sold the other for a transplant into a wealthy person, probably from another country, said Dr. Farhat Moazam of Pakistan, at a World Health Organization conference. Pakistani donors are offered $2,500 for a kidney but receive only about half of that because middlemen take so much.[33] In Chennai, southern India, poor fishermen and their families sold kidneys after their livelihoods were destroyed by the Indian Ocean tsunami on December 26, 2004. About 100 people, mostly women, sold their kidneys for 40,000–60,000 rupees ($900–$1,350).[34] Thilakavathy Agatheesh, 30, who sold a kidney in May 2005 for 40,000 rupees said, "I used to earn some money selling fish but now the post-surgery stomach cramps prevent me from going to work." Most kidney sellers say that selling their kidney was a mistake.[35]
http://en.wikipedia.org/wiki/Organ_transplant#Compensated_do...
I've read your other post on the subject and it frankly makes me sick. You've clearly never been poor and exploited by people with money, felt the range and depth of their manipulation to obtain what you have, without them giving a shit about you as a person.
I don't see how my proposal could be much more compassionate. Everybody gets free and equal access to organs, and the trade is exclusively between donors and the government, subject to whatever concessions and protections the public at large has it in their heart to offer the donors.
The alternative is what you described, and what we have now: we either get lucky, die waiting for a transplant, or buy our life saving organs from criminals who rip off the poor for their body parts. Does that really make you less sick? If not, what is your solution?
Selling your organs out of desperation is pretty much as low as you can go for money. Maybe selling yourself for sex is lower, but you can argue that you're still physically all there after that. So the argument of preventing them sinking even lower is a non-issue. Selling your organs is right down there with the lowest.
> what is your solution?
The solution is for people to start supporting sciences to regrow organs from stem cells. That fixes 99% of the issues. Which brings up another point, say you legalize organ sales, and businesses become established, who do you think is going to be opposing regrowing organs? The businesses brokering the sale of organs. They're not going to want kill off their whole industry so everyone can get the organs they need directly.
In the long term, selling organs will create more problems and suffering than they'll solve. Let's face it, this is only an issue to rich people who are dying with 5-6 disposable figures. You don't see poor people begging legislators to let them sell their own organs, because deep down, they know that they never want it to come to that.
For the sake of poor people, transplant patients, and sex workers everywhere, please don't impose your own backwards morals on everyone else.
First, you haven't actually had your marrow sucked out for 6 hours after 5 days of medication. Second, there's a distinct difference between the people who donate their organs for free and those who sell them. Go back and read the statistics I posted.
> For the sake of poor people, transplant patients, and sex workers everywhere, please don't impose your own backwards morals on everyone else.
I'm really not, I'm just expressing my opinion. I'm sorry you're so offended as to feel imposed upon, but it really is just a block of text on the internet. No need to get catty.
Find me people begging to sell their organs and I'll concede that it's a good idea.
Doctors, police officers, and firefighters accept enormous personal sacrifices and risks in order to save lives, yet we have no qualms about paying them and they have no qualms about getting paid. And even though most of them aren't in it for the money, if we didn't pay them then we wouldn't have them.
Besides, I don't understand why anyone finds it so horrifying. We indiscriminately implore people to donate their bone marrow for free, and we applaud those who do. But if they get paid for it, suddenly they are being exploited? And it would have been better if the leukemia patient died?
It's not the selling of organs that I find distasteful, it's the buying of organs. Or more specifically, patients not getting an organ because they can't afford one. That, and middlemen profiting from the organ trade without adding any life-saving value. But both of these things can be prevented by publicly regulating and funding the commercial organ drive.
Some might say that if someone buys an expensive life insurance policy, the probability that they will be murdered by the next of kin goes up. Or that if you buy a nice car, the probability that it will be stolen goes up. But that doesn't mean that anyone should be prevented from buying a nice car or a life insurance policy.
Issues of rights and justice need to be handled on an objective basis, and that requires an impartial arbiter to protect the rights of its citizen masters. That ideal arbiter and protector of rights (to life, liberty, and property) is the ideal government. Given the existence of even an imperfect government such as our own, the right solution to kidnapping is twofold: first, encourage the government do its job, which is to provide the conditions necessary to live your life without worrying about others initiating force against you; second, live your life as you see fit, without violating the rights of any other (because to do so would go deeply against your long-term self-interest - in the long run, lying/stealing/cheating/kidnapping etc. are all forms of cutting your own throat).
A nice car is not a good analogy since 1) buying one is a matter of choice and 2) kidnapping someone for a nice car is not likely to get someone seriously injured or killed (as long as one agrees to the kidnapper's demands) whereas kidnapping for organ donation is completely different.
If you work for years and save to buy that nice car, and someone steals it from you, someone has taken part of your life away. Even if the blow is distributed across a lot of people via an insurance policy, this is still true.
If so, then the next challenge will be getting one of those matches to donate. Per article on HN yesterday, "more than 50 percent of South Asians in the registry refuse to go through with the donation process if selected" (Source: http://www.good.is/post/amit-gupta-and-the-south-asian-bone-... )
If payment improves that ratio, then I would think this could still potentially help Amit.
The plasma payment model works just fine, I say try it for other things that are renewable.
Modern marrow collection techniques generally put the donor at low risk, and marrow is renewable, so it appears to be a clear win.
Procedure X has a 10% chance of killing you, a 1% chance of leading to necrotizing fasciitis that will not kill you but will require an amputation, a 3% chance of disfiguring scarring, a 4% chance of in-procedure myocardial infarction that will leave you alive but in heart failure ... etc. If we even had an exhaustive list of the actual risks of the actual procedures in the hands of the actual surgeon doing the procedure (we don't), it would still be impractical to get any particular person to understand the whole array of risks that they face, not just mortal risk.
We would need a much better way of measuring 'understanding' than I believe we have right now for me to get onboard with compensation for extremely high risk procedures for donation. And that's assuming a coldly rational populace.
What's my marrow worth to me? Probably not much; a bit of time and discomfort but overall not a huge deal. However, for the buyer, it's the matter of life or death. Seems like it would be easy to extort someone who needs it.
This is one of the rare cases where I hope the market is very heavily regulated -- say, "Bone marrow is worth $1k. It's illegal to ask for more."