{"id":60,"date":"2007-06-29T07:58:00","date_gmt":"2007-06-29T07:58:00","guid":{"rendered":"http:\/\/india-transplant.com\/?p=60"},"modified":"2026-10-31T10:22:23","modified_gmt":"2026-10-31T04:52:23","slug":"ethical-incentives-not-payment-for-organ-donation","status":"publish","type":"post","link":"https:\/\/www.penandscale.com\/india-transplant\/ethical-incentives-not-payment-for-organ-donation\/","title":{"rendered":"Ethical Incentives \u2014 Not Payment \u2014 For Organ Donation"},"content":{"rendered":"<p><span><span><strong>Since this article has no abstract, we have provided an extract of the first 100 words of the <a target=\"_blank\" href=\"http:\/\/content.nejm.org\/cgi\/content\/full\/346\/25\/2002\">full text<\/a> and any section headings.<\/p>\n<p><\/strong><\/span><\/span>     The therapeutic promise of transplanting organs from cadaveric<sup><\/sup>donors, as envisioned by the pioneers of transplantation,<sup>1<\/sup> has<sup><\/sup>never been realized because the demand for cadaveric organs<sup><\/sup>has far exceeded the supply. The waiting list for organ transplants<sup><\/sup>continues to grow, and in 2000, nearly 5000 patients were removed<sup><\/sup>from the list because of death.<sup>2<\/sup> Consequently, many patients<sup><\/sup>with end-stage organ failure are no longer relying solely on<sup><\/sup>the waiting list. Instead, they are turning to spouses, friends,<sup><\/sup>or strangers as possible donors \u2014 a medically acceptable<sup><\/sup>alternative because advances in immunosuppression have eliminated<sup><\/sup>the requirement of a genetic match for <i><nobr>. . .<\/nobr><\/p>\n<p><\/i><\/p>\n<p><span><strong>The Market for Transplantable Tissues and Organs<\/strong><\/span><\/p>\n<p><span><strong>New Congressional Legislation<\/strong><\/span><\/p>\n<p><span><strong>Ethical Incentives to Increase Organ Donation<\/strong><\/span><\/p>\n<p><strong>Donor Medal of Honor<\/strong><\/p>\n<p><strong>Reimbursement for Funeral Expenses<\/strong><\/p>\n<p><strong>Organ Exchanges<\/strong><\/p>\n<p><strong>Medical Leave for Organ Donation<\/strong><\/p>\n<p><strong>Ensuring Access to Organs for Previous Donors<\/strong><\/p>\n<p><strong>Donor Insurance<\/strong><\/p>\n<p><span><strong>A Regulated Market System<\/strong><\/span><\/p>\n<p><span><strong>Incentives versus Payment<\/strong><\/span><\/p>\n<p><span><strong>References<\/strong><\/span><\/p>\n<p><a name=\"related_letters\"><!-- null --><\/a> <\/p>\n<p> <span><strong>Related Letters:<\/strong><\/span> <\/p>\n<p>          <span>  <strong><a href=\"http:\/\/content.nejm.org\/cgi\/content\/short\/347\/17\/1382\">  Ethical Incentives \u2014 Not Payment \u2014 for Organ Donation<\/a><\/strong><br \/>  Mosimann F., Matas A. J., Spital A., Delmonico F. L., Arnold R., Youngner S. J.  <br \/><a href=\"http:\/\/content.nejm.org\/cgi\/content\/extract\/347\/17\/1382\">Extract<\/a> |       <a href=\"http:\/\/content.nejm.org\/cgi\/content\/full\/347\/17\/1382\">Full Text<\/a> |   <a href=\"http:\/\/content.nejm.org\/cgi\/reprint\/347\/17\/1382.pdf\">PDF<\/a>     <br \/>   N Engl J Med 2002;      347:1382-1384, Oct 24, 2002.     <b>Correspondence<\/b>  <\/span>    <\/p>\n<p>        <a name=\"otherarticles\"><!-- null --><\/a> <\/p>\n<p> <span><strong>This article has been cited by other articles:<\/strong><\/span> <\/p>\n<\/p>\n<ul>\n<li>Koh, H. K., Jacobson, M. D., Lyddy, A. M., O&#8217;Connor, K. J., Fitzpatrick, S. M., Krakow, M., Judge, C. M., Alpert, H. R., Luskin, R. S. (2007). A Statewide Public Health Approach to Improving Organ Donation: The Massachusetts Organ Donation Initiative. <em>Am. J. Public Health<\/em>         97: 30-36      <nobr><a href=\"http:\/\/www.ajph.org\/cgi\/content\/abstract\/97\/1\/30\">[Abstract]<\/a>    <a href=\"http:\/\/www.ajph.org\/cgi\/content\/full\/97\/1\/30\">[Full Text]<\/a>    <\/nobr><\/li>\n<li>Matas, A. J.   (2006).  Why We Should Develop a Regulated System of Kidney Sales: A Call for Action!.  <em>CJASN<\/em>         1: 1129-1132      <nobr><a href=\"http:\/\/cjasn.asnjournals.org\/cgi\/content\/full\/1\/6\/1129\">[Full Text]<\/a>    <\/nobr><\/li>\n<li>Ghods, A. J., Savaj, S.   (2006).  Iranian Model of Paid and Regulated Living-Unrelated Kidney Donation.  <em>CJASN<\/em>         1: 1136-1145      <nobr><a href=\"http:\/\/cjasn.asnjournals.org\/cgi\/content\/abstract\/1\/6\/1136\">[Abstract]<\/a>    <a href=\"http:\/\/cjasn.asnjournals.org\/cgi\/content\/full\/1\/6\/1136\">[Full Text]<\/a>    <\/nobr><\/li>\n<li>Siegal, G., Bonnie, R. J.   (2006).  Closing the Organ Gap: A Reciprocity-Based Social Contract Approach.  <em>J Law Med Ethics<\/em>         34: 415-423      <nobr><\/nobr><\/li>\n<li>Kunin, J D   (2005).  The search for organs: halachic perspectives on altruistic giving and the selling of organs.  <em>J. Med. Ethics<\/em>         31: 269-272      <nobr><a href=\"http:\/\/jme.bmjjournals.com\/cgi\/content\/abstract\/31\/5\/269\">[Abstract]<\/a>    <a href=\"http:\/\/jme.bmjjournals.com\/cgi\/content\/full\/31\/5\/269\">[Full Text]<\/a>    <\/nobr><\/li>\n<li>Giles, S   (2005).  An antidote to the emerging two tier organ donation policy in Canada: the Public Cadaveric Organ Donation Program.  <em>J. Med. Ethics<\/em>         31: 188-191      <nobr><a href=\"http:\/\/jme.bmjjournals.com\/cgi\/content\/abstract\/31\/4\/188\">[Abstract]<\/a>    <a href=\"http:\/\/jme.bmjjournals.com\/cgi\/content\/full\/31\/4\/188\">[Full Text]<\/a>    <\/nobr><\/li>\n<li>Scheper-Hughes, N.   (2004).  Parts unknown: Undercover ethnography of the organs-trafficking underworld.  <em>Ethnography<\/em>         5: 29-73      <nobr><a href=\"http:\/\/eth.sagepub.com\/cgi\/content\/abstract\/5\/1\/29\">[Abstract]<\/a>        <\/nobr><\/li>\n<li>Wendler, D., Emanuel, E.   (2004).  Assessing the Ethical and Practical Wisdom of Surrogate Consent for Living Organ Donation.  <em>JAMA<\/em>         291: 732-735      <nobr><a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/291\/6\/732\">[Full Text]<\/a>    <\/nobr><\/li>\n<li>Beauchamp, T L   (2003).  Methods and principles in biomedical ethics.  <em>J. Med. Ethics<\/em>         29: 269-274      <nobr><a href=\"http:\/\/jme.bmjjournals.com\/cgi\/content\/abstract\/29\/5\/269\">[Abstract]<\/a>    <a href=\"http:\/\/jme.bmjjournals.com\/cgi\/content\/full\/29\/5\/269\">[Full Text]<\/a>    <\/nobr><\/li>\n<li>Douglas, D. D.   (2003).  Rebuttal by Dr Douglas.  <em>Arch Intern Med<\/em>         163: 1885-1886      <nobr><a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/full\/163\/16\/1885-a\">[Full Text]<\/a>    <\/nobr><\/li>\n<li>Mosimann, F., Matas, A. J., Spital, A., Delmonico, F. L., Arnold, R., Youngner, S. J.   (2002).  Ethical Incentives &#8212; Not Payment &#8212; for Organ Donation.  <em>NEJM<\/em>         347: 1382-1384      <nobr><a href=\"http:\/\/content.nejm.org\/cgi\/content\/full\/347\/17\/1382\">[Full Text]<\/a>    <\/nobr><\/li>\n<li>Goyal, M., Mehta, R. L., Schneiderman, L. J., Sehgal, A. R.   (2002).  Economic and Health Consequences of Selling a Kidney in India.  <em>JAMA<\/em>         288: 1589-1593      <nobr><a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/abstract\/288\/13\/1589\">[Abstract]<\/a>    <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/288\/13\/1589\">[Full Text]<\/a>    <\/nobr><\/li>\n<li>Rothman, D. J.   (2002).  Ethical and Social Consequences of Selling a Kidney.  <em>JAMA<\/em>         288: 1640-1641      <nobr><a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/288\/13\/1640\">[Full Text]<\/a>    <\/nobr><\/li>\n<li>Ramos, E., Aoun, S., Harmon, W. E.   (2002).  Expanding the Donor Pool: Effect on Graft Outcome.  <em>J. Am. Soc. Nephrol.<\/em>         13: 2590-2599      <nobr><a href=\"http:\/\/www.jasn.org\/cgi\/content\/full\/13\/10\/2590\">[Full Text]<\/a>    <\/nobr><\/li>\n<\/ul>\n<p><span><span><strong><\/p>\n<p><\/strong><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings. The therapeutic promise of transplanting organs from cadavericdonors, as envisioned by the pioneers of transplantation,1 hasnever been realized because the demand for cadaveric organshas far exceeded the supply. The waiting list &hellip; <a href=\"https:\/\/www.penandscale.com\/india-transplant\/ethical-incentives-not-payment-for-organ-donation\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Ethical Incentives \u2014 Not Payment \u2014 For Organ Donation<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-60","post","type-post","status-publish","format-standard","hentry","category-kidney"],"_links":{"self":[{"href":"https:\/\/www.penandscale.com\/india-transplant\/wp-json\/wp\/v2\/posts\/60","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.penandscale.com\/india-transplant\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.penandscale.com\/india-transplant\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.penandscale.com\/india-transplant\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.penandscale.com\/india-transplant\/wp-json\/wp\/v2\/comments?post=60"}],"version-history":[{"count":1,"href":"https:\/\/www.penandscale.com\/india-transplant\/wp-json\/wp\/v2\/posts\/60\/revisions"}],"predecessor-version":[{"id":132,"href":"https:\/\/www.penandscale.com\/india-transplant\/wp-json\/wp\/v2\/posts\/60\/revisions\/132"}],"wp:attachment":[{"href":"https:\/\/www.penandscale.com\/india-transplant\/wp-json\/wp\/v2\/media?parent=60"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.penandscale.com\/india-transplant\/wp-json\/wp\/v2\/categories?post=60"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.penandscale.com\/india-transplant\/wp-json\/wp\/v2\/tags?post=60"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}