In Canada, as in many other countries, there exists an organ procurement/donation crisis. This paper reviews some of the most common kidney procurement and allocation programmes, analyses them in terms of public and private administration, and argues that privately administered living donor models are an inequitable stopgap measure, the good intentions of which are misplaced and opportunistic. ...

BACKGROUND Requirements for organ donation after cardiac or imminent death have been introduced to address the transplantable organs shortage in the United States. Organ procurement organizations (OPOs) increasingly use the Internet for organ donation consent. METHODS An analysis of OPO Web sites available to the public for enrollment and consent for organ donation. The Web sites and consent ...

We propose a Medicare Demonstration Project to develop a standard acquisition charge for kidney paired donation. A new payment strategy is required because Medicare and commercial insurance companies may not directly pay living donor costs intended to lead to transplantation of a beneficiary of a different insurance provider. Until the 1970s, when organ procurement organizations were empowered ...

In large parts of Europe, the development of healthcare is subject to contrasting forces: explosion in spending, while governments are faced with budget constraints, and pressures to be innovative, technologically advanced in order to improve the services’ quality. Even though e-procurement initatives can be seen as a solution to the first issue in this dilemma, such initiatives have not been w...

Emergency physicians (EP) and medical toxicologists are integral in identifying and treating patients with overdoses. Transplant centers are expanding acceptance criteria to consider those with poison-related deaths. We present a case of a simultaneous gunshot wound to the head and an acetaminophen overdose. This case highlights the importance of EPs and medical toxicologists in recognizing the...

In the Middle East, transplantation practice was started in 1967 by the first kidney transplantation in Iran.1 However, it did not reach to a routine practice until the second half of the 80 decade, when appropriate legislations were enacted in most countries in the region. At present, kidney transplantation is active in most countries in the region including Saudi Arabia, Lebanon, Kuwait, Jord...

One of two articles related to the current organ shortage, this article advocates the need for legislation to recognize organs and tissues separated from the body as a distinct category of personal property. After addressing the legislative history of organ procurement and psychological barriers to donor consent, the article examines the importance of separating the lifetime rights of ownership...

Visit the UNOS Web site at www.unos.org By Karen Sokohl Whether you call it “first person consent” or “donor designation,” it means the same thing—the donor’s decision is paramount and should be respected at all costs. Exploring new ways to combat the ever-increasing waiting list, more states are legislating some form of donor designation. Although the legislation is a hot topic these days, org...