Mandating organ


Numerous factors affect the retrieval of organs from the dead.

These include: the nature of people’s deaths (in only perhaps fewer than 1% of deaths can organs currently be taken, and countries vary according to the number of strokes, car crashes, shootings, and other causes of death that lend themselves to retrieval); the number of intensive care units (ICUs) (most donors die there and fewer ICUs makes for fewer donors); the medical factors that determine whether organs are retrieved successfully; the logistical factors that determine the efficient use of available organs; the extent of public awareness of transplantation; and the ethical-legal rules for consent that determine who is allowed to block or permit retrieval.

A review of the accompanying chart indicates the wide disparity within European Presumed Consent countries donation rates, from a high of Spain’s 33.5 to a low of Greece’s 5.7, with a simple average of 12.5 n DPM, which is insignificantly different from the Explicit Consent average of 12.1 n DPM.

This finding reconfirms a British Medical Journal article that studied inter-country European donation data and found that Presumed Consent and Explicit Consent donation rate variances were not statistically definitive.

Both donation after brain death and donation after circulatory death invite the important philosophical—not just medical—question “what is it to be dead”?

(See the entry on the definition of death.) Even though far more people die than require new organs, organs are scarce.

This paper will provide an overview of the Canadian experience with respect to the federal role in organ donation and transplantation, particularly in the past 10 years, reveal some of the statistics involved and discuss the options for increasing the donor rate, such as registries, presumed consent and expanding donor criteria. It may be recommended that everyone in a country be required to declare if they wish to donate and only those who are on the list to donate can receive an organ regardless of their wealth, position in society, or political influence.While prevention and medical innovation can over the next half a century reduce or even end the need for organ transplant, they can do nothing to save the lives of those suffering from organ failure today; clearly we must make more organs available.The CCDT was originally mandated to provide advice on: The CCDT focused, however, on only one of these items, conducting extensive consultations on standards and clinical practice guidelines and making recommendations on the issues of cardiac death, severe brain injury, immunological risk following transplant and medical management to optimize donor organ potential.Neither the CCDT nor Health Canada has devoted much attention to social marketing strategies, which include public awareness campaigns (also called public education and social awareness campaigns), undertakings whose importance was emphasized in the two reports mentioned above.Only 13 out of every million Canadians becomes an organ donor, compared with 20 per million in the U.

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