Organ Trafficking

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threatcon13

Economia e finanças Diversão e humor

Organ Trafficking Michael Joon Priya Shethna Travis Smith Jason Kang

ETHICS /TRAFFICKING ,[object Object],[object Object]

Case Study #1 ,[object Object],[object Object],[object Object],[object Object]

Case Study #2 ,[object Object],[object Object],[object Object],[object Object]

The Rich…. ,[object Object],[object Object]

Legalization of Organ sales ,[object Object],[object Object]

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HUMAN ORGAN TRANSPLANT: Organ transplantation is often the only treatment for end state organ failure, such as liver and heart failure. Although end stage renal disease patients can be treated through other renal replacement therapies, kidney transplantation is generally accepted as the best treatment both for quality of life and cost effectiveness. Kidney transplantation is by far the most frequently carried out transplantation globally. The legislation called the Transplantation of Human Organ Act (THO) was passed in India in 1994 to streamline organ donation and transplantation activities. Broadly, the act accepted brain death as a form of death and made the sale of organs a punishable offence. With the acceptance of brain death, it became possible to not only undertake kidney transplantations but also start other solid organ transplants like liver, heart, lungs, and pancreas.

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In the summer of 2010, Gail Lehman’s son was diagnosed with end-stage kidney disease. Years later, he received an organ donation that saved his life. Gail’s story highlights the importance of people donating their organs. She says, some children wait for years on a donor list and the truth is, there are just simply not enough donated organs to provide a life-giving chance for everyone. Today, she urges people to consider becoming life-saving, organ donors.

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Chapter 2 Contemporary Ethical Dilemmas No right is held more sacred, or is more carefully guarded, by the common law, than the right of every individual to the possession and control of his own person, free from all restraint or interference of others, unless by clear and unquestioned authority of law. —Union Pac. Ry. Co. v. Botsford Learning Objectives (1 of 2) • Describe various historical events that have had an impact on the resolution of ethical dilemmas. • Describe common ethical dilemmas and the various ethical issues that have in many instances divided many segments of the population. Topics include: – Abortion – Sterilization – Artificial insemination Learning Objectives (2 of 2) • Topics include: – Surrogacy – Organ donations – Research, experimentation, and clinical trials – Human genetics – Stem cell research – AIDS Ethical Dilemmas • Ethical dilemmas arise in situations where a choice must be made between unpleasant alternatives. • Occur when a choice involves giving up something good and suffering some bad. – Should I choose life knowing an unborn child will be born with severe disabilities? Noteworthy Historical Events (1 of 11) 58,000–68,000 BC: Neanderthal burial sites (evidence of belief in an afterlife) 1932–1972: Tuskegee Study of Syphilis 1933–1945: Holocaust 1946: Military Tribunal for War Crimes 1949: International Code of Medical Ethics 1954: Guidelines on Human Experimentation First kidney transplant Noteworthy Historical Events (2 of 11) 1960s: Cardiopulmonary resuscitation 1964: WHO guidelines for biomedical research 1968: Harvard Ad Hoc Committee on Brain Death 1970: Patient as a Person 1971: Kennedy Institute of Ethics established 1972: Informed consent (Canterbury v. Spence) 1973: Women’s right to abortion (Roe v. Wade) Noteworthy Historical Events (4 of 11) 1974: National Research Act 1975: First successful cloning of frogs 1976: Substitute judgment (Karen Ann Quinlan) First living will legislation enacted 1978: Commission for the Study of Ethical Problems in Medicine Noteworthy Historical Events (5 of 11) 1980: Hemlock Society formed to advocate for physician-assisted dying. 1983: First durable power of attorney legislation Compassion and Choices 1987: Unethical experiments on children Noteworthy Historical Events (6 of 11) 1990: Patient Self-Determination Act Cruzan could have feeding tube removed Kevorkian assists terminally ill patients in suicide Timothy Quill and prescription for death Derek Humphry’s book Final Exit Radiation experiments on unknowing human subjects Noteworthy Historical Events (7 of 11) 1993: Patient’s wishes honored 1994: Oregon’s Death with Dignity Act Michigan makes physician-assisted suicide illegal 1996: HIPAA Cloning of Dolly Fourteenth Amendment and the terminally ill Noteworthy Historical Events (8 of 11) 1997: Physician-assisted suicide Kevorki ...

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HE 485W Bioethics for Public Health please answers each of the following in a brief paragraph. l. Please explain why we should have cause for concern regarding the Bioethical issues facing us in today's modern contemporary Society 2. When does an individuals' right to choose begin to threaten the autonomy of others? Likewise, when does the quest for autonomy begin to threaten individual rights? 3. Please explain how genetic engineering and testing along with Bio-technology has the potential to promote discrimination. 4. Please describe the inherent social challenges in cloning human beings as we have discussed them in class or otherwise. 5. In your opinion, would it ever be appropriate for employers to screen for predetermined genetic disorders. Why and Why not? 6. Would it ever be ethical to withhold information from a dying patient? Why and Why not? Organ Transplants Ethical Issues What are Organ Transplants?Cadaveric organ donation: Involves removing organs from a recently deceased donor.Living organ donation: Involves the donation of one of a paired organ (ex: kidneys) or a portion of an organ (such as a lobe of the liver or lung). The donor's organ system is still able to function after the donation. Living donors are often related to the patient, but that is not always the case. HistoryIn 1954, the first successful kidney transplant was performed in the United States. It was a kidney from a living identical twin donor. History cont.More than a half of a century after the very first transplant, more than 80,000 people whose death without a donor is certain are on waitlists in the United States waiting for a new lung, kidney, heart, or liver. The United Network for Organ Sharing reports that about half of these people will die without receiving the necessary organs. Human organs are a scarce medical resource and have many ethical issues concerning organ transplantation. ConsentA donor card is the main signal for permission to collect an organ from a potential donor. Also there is an attempt to gain approval from a next of kin or other family members. If a family member isn’t present for that decision then recovery agencies would act solely on the donor card. Donor Card ConcernsThere is fear and distrust that if you are a organ donor then less effort would be placed into saving your life if your death meant organs for others.Coercion takes place when signing up for a license, because everyone’s license is marked with the decision to be a organ donor or not. Allocation ConcernsOrgan recipients are chosen from a long waiting list after they have been medically determined to be a eligible candidate. The criteria for these lists are weighed upon factors such as age range, causes of failure, and stage of organ failure. An attempt to balance justice...The United Network for Organ Sharing policy tries to make the decision of organ donating fair by placing criteria on the donatin ...

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Joanna MacKay Organ Sales Will Save Lives There are thousands of people dying to buy a kidney, and thousands of people dying to sell a kidney. It seems a match made in heaven. So why are we standing in the way? Governments should not ban the sale of human organs; they should regulate it. Lives should not be wasted; they should be saved. About 350,000 Americans suffer from end-stage renal disease1, a state of kidney disorder so advanced that the organ stops functioning altogether. There are no miracle drugs that can revive a failed kidney, leaving dialysis and kidney transplantation as the only possible treatments. Dialysis is harsh, expensive, and, worst of all, only temporary. Acting as an artificial kidney, dialysis mechanically filters the blood of a patient. It works, but not well. With treatment sessions lasting three hours, several times a week, those dependent on dialysis are, in a sense, shackled to a machine for the rest of their lives. Adding excessive stress to the body, dialysis causes patients to feel increasingly faint and tired, usually keeping them from work and other normal activities. Kidney transplantation, on the other hand, is the closest thing to a cure that anyone could hope for. Today the procedure is both safe and reliable, causing few complications. With better technology for confirming tissue matches and new anti-rejection drugs, the surgery is simple. But those hoping for a new kidney have high hopes indeed. In the year 2000 alone, 2583 Americans died while waiting for a kidney transplant; worldwide the number of deaths is around 50,000.2 With the sale of organs outlawed in almost every country, the number of living donors willing to part with a kidney for free is small. When no family member is a suitable candidate for donation, the patient is placed on a deceased donors list, relying on the organs from people dying of old age or accidents. The list is long. With over 60,000 people in line in the United States alone, the average wait for a cadaverous kidney is ten long years. Daunted by the low odds, some have turned to an alternative solution: purchasing kidneys on the black market. For about $150,000, they can buy a fresh kidney from a healthy, living donor. There are no lines, no waits. Arranged through a broker, the entire procedure is carefully planned out. The buyer, seller, surgeons, and nurses are flown to a predetermined hospital in a foreign country. The operations are performed, and then all are flown back to their respective homes. There is no follow-up, no paperwork to sign. The illegal kidney trade is attractive not only because of the promptness, but also because of the chance at a living donor. An organ from a cadaver will most likely be old or damaged, estimated to function for about ten years at most. A kidney from a living donor can last over twice as long. Once a person’s transplanted cadaverous kidney stops functioning, he or she must get back on th ...

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1 Organ Transplants [Type the company name] Assignment 1:Commercialization of Organ Transplants Commercialization of Organ Transplants Commercializing the sale of transplant organs has become a popular topic of discussion within the last few years. I was surprised that in my beginning research I found that a lot of people are for the commercial sale of organs to patients who need them and actually believe that it has the potential to become something that could change the way we look at organ transplants. R R Kishore wrote in his paper, Human organs, scarcities, and sale: morality revisited,To many the process may sound iniquitous and even sinful but, in fact, it is fair and natural and is consistent with normal human behaviour. The back and forth argument about whether or not the sale of human organs is a moral issue has many positions and points of view, however seems to be split between those who feel it is a natural solution that goes along with human nature and those who feel it is degrading and unethical and goes against equality for the human race. From my research I have been able to find out about the different practices of organ sales. Most of the times when people think about organ sales they most often associate it with the cases of a person who is in need of money and sells a kidney to another person who needs it. However I have learned through research that there are many other scenarios. One (in countries where the prior consent of the deceased is required for cadaveric organ donation) is to pay people living now for rights over their body after death. Another (in countries where the consent of relatives is required for cadaveric organ donation) is to pay relatives for transplant rights over their recently deceased loved ones' bodies(Garzon, 2012). Going into this assignment I didn’t really have a set side that I was on when it came to this topic. However after reading many articles on the subject I was able to better form a solid opinion. After gaining a better understanding of the subject overall I have come to the belief that selling organs is not morally wrong; at least not in most ways. A great deal of good could come out of the commercialization of organ sales. There are also many issues with patients waiting on transplants that could be remedied if organs could be freely sold. Annually, 300,000 people receive organtransplantsworldwide.Noteveryone who needs a transplant receivesone, and there remains a surplus ofpatients waiting to receive an organ. Every year this number increases (Wilkinson, 1998). Some of the increasing number of people dying during the wait for an organ could be improved with this simple change. However, even though the death rate of patients waiting on an organ keeps increasing and is a very big problem it is not the only problem that needs to be fixed. Physicians mustchoosebetweenpatientswhenallocating organs-some get organs and some are refused. As a result, patients who feelthe.

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