Priority in organ allocation to previously registered donors: public perceptions of the fairness and effectiveness of priority systems

Chandler, Jennifer A.; Burkell, Jacquelyn A.; Shemie, Sam D.
December 2012
Progress in Transplantation;Dec2012, Vol. 22 Issue 4, p413
Academic Journal
A priority system is one in which previously registered donors receive a preference in the allocation of organs for transplant ahead of those who have not registered. Supporters justify these systems on the basis that they are fair and will encourage donor registration. This article reviews existing studies of public reactions to priority systems, as well as studies of the extent to which the moral principle of reciprocity affects decision making in organ donation. The role of reciprocity in the public discourse surrounding the enactment of priority systems in Singapore and Israel is described. One factor that seems to have been relevant in these countries is the existence of a religious minority that is perceived as willing to take an organ but not to donate one. Although this perception may have fueled a resentment of perceived "free-riders," concerns were raised about the social divisiveness of priority systems. In sum, people appear to be sensitive to the principle of reciprocity in the context of organ donation, but this sensitivity does not always translate into support or priority systems. Further research into whether public messaging about organ donation could be modified to encourage registration by appeal to the golden rule would be worthwhile. (Progress in Transplantation. 2012;22:413-422)


Related Articles

  • Book reviews. Upton, H.; Upton, Hugh // Philosophical Quarterly;Jul91, Vol. 41 Issue 164, p381 

    Reviews the book `Organ Transplants and Ethics,` by David Lamb.

  • Ethical Dilemmas.  // BizEd;Jul/Sep2002, p58 

    Features the book 'Business Ethics: Ethical Decision Making and Cases,' by O.C. Farrell, John Fraederich and Linda Ferrell.

  • Book reviews. MASON, LYNCH // Journal of Medical Ethics;Dec98, Vol. 24 Issue 6, p423 

    Reviews the book `Ethical decision making in therapy practice,' by Julius Sims.

  • Book Reviews. Kowalski, Sr. Gabrielle // Remedial & Special Education;Nov/Dec98, Vol. 19 Issue 6, p369 

    Reviews the book `Ethics and Decision Making in Local Schools: Inclusion, Policy, and Reform,' by Neal H. Berger, Yolanda G. Martinez, William C. Morse and James L. Paul.

  • Ethical decision making in therapy practice (Book Review). Ziegler, Petra Fuchs // Nursing Ethics;Nov2000, Vol. 7 Issue 6, p542 

    Reviews the book `Ethical Decision Making in Therapy Practice,' by J. Sim.

  • Reviews. Mitchell, Ruth U. // Physical Therapy;Aug1998, Vol. 78 Issue 8, p914 

    Reviews the book `Ethical Decision-Making in Therapy Practice,' by Sim J. Newton.

  • Policy perspectives: international survey of nephrologists' perceptions of and attitudes towards rewards and compensation for kidney donation. Randhawa, Gurch // Nephrology Dialysis Transplantation;Jun2013, Vol. 28 Issue 6, p1343 

    The challenge to resolve the gap between supply and demand for organs is a global phenomenon. The possible solutions can invariably involve a range of ethical and moral dilemmas. This is certainly the case when considering rewards and compensation for kidney donation. In their thought provoking...

  • Body Values. Joralemon, Donald; Cox, Phil // Hastings Center Report;Jan/Feb2003, Vol. 33 Issue 1, p27 

    Provides information on ethical issues about the financial compensation for organ donation. Legislative proposals in the U.S. Congress on compensation for cadaveric donations; Alternatives of organ donation; Criticisms against the altruism-based approach to organ procurement.

  • SHOULD STATES LET DEATH ROW INMATES DONATE ORGANS? Wirestone, Clay // Diabetes Health;Jun/Jul2011, Vol. 20 Issue 3, p21 

    The article discusses the challenges if death row prisoners are allowed to donate their organs after their demise. Except for some states in the U.S. like Oregon which uses a stable dose of barbiturate that leaves the organs intact, most of the states execute prisoners with a drug cocktail that...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics