Raerae Essay

2932 words - 12 pages

I. Introduction
Organ donation is the donation of a person’s organ or tissue from their own body, while they are alive or posthumous, to another person in need of a transplant. The tissue or organ is removed surgically and due to the genetic match and recipient’s need, they receive the organ. The issues that surrounds organ donation in the United States are the shortages of organs for transplants and the increase in demand for organs. In addition, the waitlist for these organs is are getting longer while no action is being taken to resolve the issue. As of June 21, 2013, there are 118,617 people waiting for life-saving organ transplants in the United States, however the system for donation in the United States is different from many other places around the world. The current system is considered altruistic, which is when a person shows a disinterested and selfless concern for the well-being of others and donates their organs. This means that it is up to the donors to give up their organs if they want to or not, for nothing but their good will. The crisis in the United States is growing fast because there are only around 30,000 transplants done in a year, and around 6,000 people a year die from not getting a transplant and that number is growing (The Need is Real).
The issues of organ donation can be moral but there are also economic issues that surround it. The rationing of organ transplants is unavoidable; however, the system to allocate organs has to be fair. When the decision is made of who will get an organ, economic considerations affect who gets on the waiting list and who actually gets the organs, which is not fair. In economic terms, the supply of organs is very low in regards to the demand, so there needs to be a way to increase the supply of available organs so that it matches the demand. The issue that surrounds this all is how to increase the supply of organs. There are two ways that can increase organ supply in the United States, one is with compensation and the other is presumed consent.
II. Literature Review
In the past few years health care has been in the forefront of the issues in American policy, and with this issue legislations were passed and many new policies have taken effect and will take effect in the near future. In the article “US Health Care Reform and Transplantation” by Axelrod, Millman, Abecassis, it is discussed how these new policies will affect the health care system and transplantations in the years to come. The article is split into two distinct parts, the first is the “Overview and Impact on Access and Reimbursement in the Private Sector” and the second part is the “Impact on the Public Sector and Novel Health Care Delivery Systems”.
In the first part of the article, the effects of the Health Care Reform (HCR) legislation passed in 2010 are discussed. The HCR will affect the transplant centers, patients, and professionals because it will expand coverage, limit the growth in costs, and reform the...

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