I acknowledge the viability quotient. However, a recipient in the next city has priority over a higher risk patient further away, but within that viability window. Unfortunately, there isn't one right solution - we can only keep tweaking to improve it.
Here's an article from the Center for Health Ethics discussing the pros and cons of the existing and proposed alternative election processes. You'll have to cut and paste as my phone doesn't like the Add A Link function:
What a complicated issue. At a high level, I'd want to give an organ to the person who has the greatest (%) chance of living longer - and between 2 'identical' patients, I'd want the younger to have it. The challenge is evaluating the patients to determine their status and that has become political now. The docs should be deciding this, not lawyers and judges and families.
I definitely think we are technologically advanced enough to drop the geographic restraints that are in place today in the US. It's an antiquated process.
Claire ******** Those who think they have no time for a healthy lifestyle will sooner or later will have to find time for illness.
WASHINGTON (AP) — It's a life or death matter: Who gets the next scarce donated organ? In an unprecedented challenge to the nation's transplant system, a federal judge has allowed one dying child — and a day later another — to essentially jump the line in rulings that could have ramifications for thousands of people awaiting new organs.
Over and over, the nation debates the fairness of transplant policies, from Mickey Mantle's liver in the 1990s to people today who cut their wait times by moving to another city where the list is shorter. But back-to-back rulings by a federal judge this week appear to be a legal first that specialists expect to prompt more lawsuits from people seeking a shorter wait, just like the parents of two patients in a Philadelphia hospital — 10-year-old Sarah Murnaghan and 11-year-old Javier Acosta.
"People who have privilege or people who complain more loudly or have political voice shouldn't be able to claim special treatment," said Lawrence O. Gostin, a prominent health law professor at Georgetown University, who questioned the legal basis of the rulings. Transplant policies aim to be "fair and just for everyone, not just for that one heart-wrenching case."
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