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Death's Waiting List
New York Times ^ | 5/15/2006 | Sally Satel MD

Posted on 05/17/2006 5:27:34 PM PDT by Born Conservative

MARCH was National Kidney Month. I did my part: I got a new one. My good fortune, alas, does not befall nearly enough people, and the federal government deserves much of the blame.

Today 70,000 Americans are waiting for kidneys, according to the United Network for Organ Sharing, which maintains the national waiting list. Last year, roughly 16,000 people received one (about 40 percent are from living donors, the others from cadavers). More are waiting for livers, hearts and lungs, which mostly come from deceased donors, bringing the total to about 92,000. In big cities, where the ratio of acceptable organs to needy patients is worst, the wait is five to eight years and is expected to double by 2010. Someone on the organ list dies every 90 minutes. Tick. Tick. Tick.

Until my donor came forward, I was desperate. I had been on the list only for a year and was about to start dialysis. I had joined a Web site, MatchingDonors.com, and found a man willing to give me one of his kidneys, but he fell through. I wished for a Sears organ catalog so I could find a well-matched kidney and send in my check. I wondered about going overseas to become a "transplant tourist," but getting a black market organ seemed too risky.

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Editorial
KEYWORDS: bc; health; medicine; organdonation; sallysatel; tpl; transplant
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Originally posted on FR on 5/15, but the thread was pulled due to a lack of a link.
1 posted on 05/17/2006 5:27:38 PM PDT by Born Conservative
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To: MoralSense; Mjaye; The Game Hen; Chesterbelloc; Petes Sandy Girl; MarMema; From many - one.; ...

2 posted on 05/17/2006 5:28:35 PM PDT by Born Conservative (Chronic Positivity - http://jsher.livejournal.com/)
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To: Born Conservative

Aren't we all on that list?


3 posted on 05/17/2006 5:32:12 PM PDT by Royal Wulff
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To: Born Conservative
but getting a black market organ seemed too risky.

I think they forgot "and highly unethical" in that sentence. The point of origin for most of these black market organs is no big secret.

4 posted on 05/17/2006 5:33:14 PM PDT by spall
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To: Born Conservative

"More are waiting for livers, hearts and lungs, which mostly come from deceased donors"

Really??


5 posted on 05/17/2006 5:33:37 PM PDT by ExpatGator (Progressivism: A polyp on the colon politic.)
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To: ExpatGator

Really. Not all organ donors are deceased.

Live donors can donate a kidney or portion of the liver.


6 posted on 05/17/2006 5:36:06 PM PDT by Born Conservative (Chronic Positivity - http://jsher.livejournal.com/)
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To: Born Conservative

Living right behind me is one of the kindest, most loving man I have ever known. Six years ago, he had a heart transplant from a 22 year old accident victim. I shudder to think what would have happened to this wonderful husband, father, grandfather and neighbor had that young man not signed the donor card.


7 posted on 05/17/2006 5:36:30 PM PDT by ladyinred
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To: Born Conservative

"Paradoxically, our nation's organ policy is governed by a tenet that closes off a large supply of potential organs — the notion that organs from any donor, deceased or living, must be given freely."

She seems to confound freely with free or she intends to "borrow" organs.

Anyone as hostile to the system that worked for her must have some long-dulled axe to grind.


8 posted on 05/17/2006 5:37:39 PM PDT by Old Professer (The critic writes with rapier pen, dips it twice, and writes again.)
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To: Born Conservative

I'm guessing most hearts and lungs come from deceased donors, no?


9 posted on 05/17/2006 5:38:28 PM PDT by xjcsa (Fight global climate stagnation!)
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To: Born Conservative

I understand that, and "portion" was not specified in re the liver. As written, that sentence is deserving of derision, althought this is a serious subject that needs discussion.


10 posted on 05/17/2006 5:39:05 PM PDT by ExpatGator (Progressivism: A polyp on the colon politic.)
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To: Royal Wulff
Not if you have one of these....

Someday they may find a cure for what killed you, but what if you froze to death?

Cryo-chamber

11 posted on 05/17/2006 5:40:47 PM PDT by spall
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To: ExpatGator
"More are waiting for livers, hearts and lungs, which mostly come from deceased donors" Really??

I gave my heart to an Italian girl in 1964.

12 posted on 05/17/2006 5:41:36 PM PDT by Alter Kaker ("Whatever tears one sheds, in the end one always blows one's nose." - Heine)
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To: ladyinred

There is no right to spare parts whatever the source; the longer the average person lives the less useful his remaining organs will be and so we will always need the reckless and the unfortunate to supply the choice cuts.


13 posted on 05/17/2006 5:42:07 PM PDT by Old Professer (The critic writes with rapier pen, dips it twice, and writes again.)
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To: Old Professer

The article states " "Paradoxically, our nation's organ policy is governed by a tenet that closes off a large supply of potential organs — the notion that organs from any donor, deceased or living, must be given freely."

Does she mean freely as in informed consent or freely as in one can not charge for their organs?
There are very strong ethical reasons why the buying and selling of organs is verboten. See the movie Coma for a very good overview of this issue.


14 posted on 05/17/2006 5:42:19 PM PDT by lastchance (Hug your babies.)
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To: Born Conservative

A friend of mine just gave one of her kidneys away on May 15th....Monday....to her best friend.....things are going well, so far....they are both still in hospital.


15 posted on 05/17/2006 5:43:14 PM PDT by goodnesswins ( "the left can only take power through deception." (and it seems Hillary & Company are the masters)
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To: lastchance

a PS. I am an organ donor. When I got my DL renewed some years back I was asked if I wanted it noted on my DL. I said yes but I better not haved someone knocking at my door with a " Hi we're here to pick up your kidney"


16 posted on 05/17/2006 5:44:14 PM PDT by lastchance (Hug your babies.)
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To: Alter Kaker

Wow how did you survive, and how did you get a new one?


17 posted on 05/17/2006 5:44:22 PM PDT by KoRn
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To: lastchance

She should have said free, but people who say they feel badly ought to say they feel bad unless they are lacking in dexterity, so who knows what she meant?


18 posted on 05/17/2006 5:44:27 PM PDT by Old Professer (The critic writes with rapier pen, dips it twice, and writes again.)
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To: Born Conservative
In big cities, where the ratio of acceptable organs to needy patients is worst, the wait is five to eight years and is expected to double by 2010. Someone on the organ list dies every 90 minutes. Tick. Tick. Tick.

If we'd stop giving kidneys to people who destroyed their own through self-stuffing-induced diabetes, there wouldn't be any shortage. I have a friend whose father's kidneys were destroyed by a genetic disorder which is controllable, but was discovered too late to save his own kidneys. He waited years for a transplant, while hordes of face-stuffers were getting theirs. We're never going to reclaim a culture of personal responsibility, if we keep bailing people out of the results of their irresponsibility, and sending them the message that they're just as deserving as responsible people.

19 posted on 05/17/2006 5:44:50 PM PDT by GovernmentShrinker
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To: Born Conservative
I faced death twice.

First time was after I severed my spinal cord, and woke up with a priest standing over me, giving me Last Rites.

Second time was when I was diagnosed with a 'terminal' case of leukemia.

Both times I survived. Both times I was saved by prayers.

Death will take me eventually, but not before God finishes with me.
20 posted on 05/17/2006 5:45:00 PM PDT by airborne (Satan's greatest trick was convincing people he doesn't exist.)
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To: KoRn
Wow how did you survive, and how did you get a new one?

New what, girl or heart?

I did survive -- in fact I met my wife five years later at a party at the Israeli Embassy in Rome.

21 posted on 05/17/2006 5:46:30 PM PDT by Alter Kaker ("Whatever tears one sheds, in the end one always blows one's nose." - Heine)
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To: xjcsa

I'd say that ALL hearts and lungs are from deceased donors.


22 posted on 05/17/2006 5:47:29 PM PDT by Born Conservative (Chronic Positivity - http://jsher.livejournal.com/)
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To: Born Conservative

all?


23 posted on 05/17/2006 5:49:17 PM PDT by xjcsa (Fight global climate stagnation!)
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To: xjcsa

You can't live without your heart, and I doubt that they would allow someone to donate even part of a lung (I could be wrong on this one though).


24 posted on 05/17/2006 5:51:34 PM PDT by Born Conservative (Chronic Positivity - http://jsher.livejournal.com/)
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To: Alter Kaker
I gave my heart to an Italian girl in 1964.

This guy left his in San Francisco.


25 posted on 05/17/2006 5:54:12 PM PDT by spall
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To: Born Conservative; xjcsa
You can't live without your heart

May I show you something from the Jarvik line?

26 posted on 05/17/2006 5:57:47 PM PDT by spall
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To: spall

Would YOU donate your heart to someone and have a "Jarvik Line" replacement put in? If the "Jarvik Line" is a replacement for a heart, then the patient wouldn't need a transplant; they could just get one of these devices (which, btw, isn't something that you would use long-term to maintain someone for the rest of their life).


27 posted on 05/17/2006 6:06:52 PM PDT by Born Conservative (Chronic Positivity - http://jsher.livejournal.com/)
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To: Born Conservative

I've been called heartless many times, and I'm living quite well.


28 posted on 05/17/2006 6:12:01 PM PDT by xjcsa (Fight global climate stagnation!)
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To: Born Conservative
I donate blood every 8 weeks and I have a living will directing that anything of value can be "harvested" when I am gone. My drivers' license indicates that this is so.

It is such a simple basic thing to give that which one no longer needs to those who cannot live without it. It amazes me that people still bury organs and hoard blood they can easily replace.

29 posted on 05/17/2006 6:17:46 PM PDT by muir_redwoods (Free Sirhan Sirhan, after all, the bastard who killed Mary Jo Kopechne is walking around free)
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To: GovernmentShrinker

One reason for the shortage may be the reluctance of Blacks to be organ donors. This is especially troubling since Blacks are more likely to suffer from such ailments as high blood pressure, diabetes and other diseases that put the greatest strain on the kidneys and heart. This means they are more likely to need organ donation but less likely to find a suitable donor.


30 posted on 05/17/2006 6:36:57 PM PDT by lastchance (Hug your babies.)
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To: Born Conservative

If memory serves right, and she is fickle. Donations of portions of a lung have been done. I am not sure how common it is or what the recovery rate is for the recepient.


31 posted on 05/17/2006 6:38:21 PM PDT by lastchance (Hug your babies.)
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To: Born Conservative

bfl


32 posted on 05/17/2006 7:00:24 PM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
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To: Born Conservative

I was joking. I guess that didn't come across.


33 posted on 05/17/2006 7:14:03 PM PDT by spall
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To: muir_redwoods

Sally Satel was given her transplanted kidney by Virginia Postrel of Reason Magazine.


34 posted on 05/17/2006 11:10:11 PM PDT by MoralSense
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To: Born Conservative; Abram; albertp; AlexandriaDuke; Allosaurs_r_us; Americanwolf; ...
"Paying for organs, from the living or deceased, may seem distasteful. But a system with safeguards, begun as a pilot to resolve ethical and practical aspects, is surely preferable to the status quo that allows thousands to die each year."

Why is it that liberty is always the last 'solution' tried?





Libertarian ping! To be added or removed from my ping list freepmail me or post a message here.
35 posted on 05/17/2006 11:14:33 PM PDT by traviskicks (http://www.neoperspectives.com/gasoline_and_government.htm)
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To: Born Conservative

I didn't know 30-40% of all Americans, according to polls, are organ donars. That is pretty dang high, it seems to me, considering each one of those persons voluntary acquiesced to do so.

'Assumed consent'. pah. lol, next thing you know they'll be using this to raise taxes...


36 posted on 05/17/2006 11:18:31 PM PDT by traviskicks (http://www.neoperspectives.com/gasoline_and_government.htm)
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To: Born Conservative

What's so bad about dying? Where do people get off thinking that anyone else owes them a spare part when theirs stops working? I figure God is sovereign over life and death but when this life on earth ends, He offers a dandy retirement package. I'm rather looking forward to it.


37 posted on 05/17/2006 11:36:14 PM PDT by Tall_Texan (I wish a political party would come along that thinks like I do.)
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To: Old Professer

"...the notion that organs from any donor, deceased or living, must be given freely."

As opposed to living organs that are not given voluntarily??


38 posted on 05/17/2006 11:43:29 PM PDT by peggybac (Tolerance is the virtue of believing in nothing)
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To: Tall_Texan
Where do people get off thinking that anyone else owes them a spare part when theirs stops working?

I think that most, if not all transplant recipients are extremely grateful to their donors, whether the donor is alive or dead.

What's so bad about dying?

So, if you were to develop appendicitis, are you going to stay home, and not seek treatment? Appendicitis is easily "cured" with surgery; if untreated, it oftentimes results in death. The "cure" for organ failure is transplantation. Depending on the organ that fails, death will occur without a transplant.

39 posted on 05/18/2006 3:29:56 AM PDT by Born Conservative (Chronic Positivity - http://jsher.livejournal.com/)
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To: traviskicks

I would like to see people willingly donate their organs; I disagree strongly with "assumed consent".

As for the 30-40% being organ donors, that does seem high. However, it's possible; not everyone that agrees to donate their organs after death can do so. Depending on what causes their death, they may be ineligible to do so. For example, if someone has a heart attack, I believe they are disqualified from donating. The reason is that they must keep the organs perfused with blood before taking them out to place in the recipient. If you are "brain dead", you still may have a heart rate to perfuse the body with blood. If your heart stops beating, the lack of blood flow to the various organs starts to damage them beyond usability.


40 posted on 05/18/2006 3:38:20 AM PDT by Born Conservative (Chronic Positivity - http://jsher.livejournal.com/)
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To: muir_redwoods

I wish I could give, but I suspect my bout with the Big C some time ago shot that to hell...


41 posted on 05/18/2006 4:00:43 AM PDT by Tolerance Sucks Rocks (One flag--American. One language--English. One allegiance--to America!)
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To: Born Conservative

"(which, btw, isn't something that you would use long-term to maintain someone for the rest of their life)."

Oh, but it is, when it fails, your life is over.

One could step in front of a speeding truck for the rest of his life, however brief.


42 posted on 05/18/2006 8:50:32 AM PDT by Old Professer (The critic writes with rapier pen, dips it twice, and writes again.)
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To: muir_redwoods

This notion that one has a moral obligation or a duty to turn over to the state unused or still serviceable, transplantable organs is probably as close to a perfection of fealty to the larger good as could be imagined, never mind that it isn't clear if any true good is being served.


43 posted on 05/18/2006 8:53:39 AM PDT by Old Professer (The critic writes with rapier pen, dips it twice, and writes again.)
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To: lastchance

Go here to read an article on this:

http://bmj.bmjjournals.com/cgi/content/full/326/7402/1285


44 posted on 05/18/2006 8:55:58 AM PDT by Old Professer (The critic writes with rapier pen, dips it twice, and writes again.)
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To: peggybac

Freely as in without coercion, co-option or outright theft.


45 posted on 05/18/2006 8:57:39 AM PDT by Old Professer (The critic writes with rapier pen, dips it twice, and writes again.)
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To: Born Conservative

An article discussing a free market solution in the New York Times?? I guess the blind squirrel does find an acorn occasionally.

In reality, while compensating donors (or their estates) may alleviate shortages in the short term, I don't think it is a necessary or optimal long-term solution. Twenty years from now, and possibly much sooner, we will be able to grow healthy replacement organs in a lab from the patient's own tissue and implant a genetically perfect copy with no risk of rejection. Once such organs are available, the need for and usefulness of organ donors will become nonexistent.


46 posted on 05/18/2006 11:17:39 AM PDT by Turbopilot (Nothing in the above post is or should be construed as legal research, analysis, or advice.)
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To: Old Professer

Thanks for the link.


47 posted on 05/18/2006 11:18:33 AM PDT by lastchance (Hug your babies.)
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To: KoRn
Wow how did you survive, and how did you get a new one?

Didn't you know? All us conservatives are heartless.

48 posted on 05/18/2006 11:26:35 AM PDT by LexBaird (Tyrannosaurus Lex, unapologetic carnivore)
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To: Born Conservative
So, if you were to develop appendicitis, are you going to stay home, and not seek treatment? Appendicitis is easily "cured" with surgery;

Bad analogy. I wouldn't be on a waiting list for somebody else's appendix. Same thing with a gall bladder. You take it out. No big deal.

It's an entirely different ethical situation to expect others to supply you with a new heart or liver.

49 posted on 05/18/2006 1:13:11 PM PDT by Tall_Texan (I wish a political party would come along that thinks like I do.)
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To: Old Professer
"This notion that one has a moral obligation or a duty to turn over to the state unused or still serviceable, transplantable organs is probably as close to a perfection of fealty to the larger good as could be imagined, never mind that it isn't clear if any true good is being served."

I can't imagine any moral obligation to do so but at the same time I can't imagine any reason not to.

Ask a mother whose child has just been saved by a transplant if it is "clear if any true good is being served"

50 posted on 05/18/2006 2:24:32 PM PDT by muir_redwoods (Free Sirhan Sirhan, after all, the bastard who killed Mary Jo Kopechne is walking around free)
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