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Journal Article

Join the Lone Kidney Club: Incentivising live organ donation


Glas,  Annet
Department: Synapses-Circuits-Plasticity / Bonhoeffer, MPI of Neurobiology, Max Planck Society;

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Glas, A. (2021). Join the Lone Kidney Club: Incentivising live organ donation. Journal of Medical Ethics, 47(9), 618-622. doi:10.1136/medethics-2019-105999.

Cite as: https://hdl.handle.net/21.11116/0000-0009-4472-A
Given the dramatic shortage of transplantable organs, demand cannot be met by established and envisioned organ procurement policies targeting postmortem donation. Live organ donation (LOD) is a medically attractive option, and ethically permissible if informed consent is given and donor beneficence balances recipient non-maleficence. Only a few legal and regulatory frameworks incentivise LOD, with the key exception of Israel's Organ Transplant Law, which has produced significant improvements in organ donation rates. Therefore, I propose an organ procurement system that incentivises LOD by allocating additional priority points to the living donor on any transplant waiting list. I outline benefits and challenges for potential recipients, donors and society at large, and suggest measures to ensure medical protection of marginalised patient groups.