The organ shortage crisis in America : incentives, civic duty, and closing the gap / Andrew Michael Flescher.
Flescher, Andrew Michael, 1969- author.
2018
RD129.5 .F58 2018 (Mapit)
Available at General Collection

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Title The organ shortage crisis in America : incentives, civic duty, and closing the gap / Andrew Michael Flescher.
Author Flescher, Andrew Michael, 1969- author.
ISBN 9781626165441 (paperback)
1626165440 (paperback)
9781626165434 (hardcover)
1626165432 (hardcover)
9781626165458 (electronic book)
Published Washington, DC : Georgetown University Press, [2018]
Language English
Description ix, 177 pages ; 23 cm
Call Number RD129.5 .F58 2018
Dewey Decimal Classification 362.17/830973
Summary Nearly 120,000 people are in need of healthy organs in the United States.. Every ten minutes a new name is added to this list, while each day eight people die waiting for an organ to become available. Worse, the gap between those in need of an organ and the number of available donors is growing: our traditional reliance on cadaveric organ donation is insufficient, and in recent years there has been a decline in the number of living donors as well as in the percentage of living donors relative to overall kidney donors. Some transplant surgeons and policy advocates suggest a market solution and legalizing the sale of organs, Andrew Michael Flescher objects to this approach, citing concerns about social justice, commodification, and patient safety. Given that, what is the most efficacious means of attracting prospective living kidney donors? Flescher, drawing on scores of interviews with donors and patients, suggests that inculcating a sense of altruism and civic duty is a more effective means of increasing donor participation than purely financial incentives. He encourages individuals to spend time with patients on dialysis, advocating donor "chains" in order to facilitate relationships between donors and recipients, and creating sacred spaces in hospitals such as a "wall of heroes" to recognize those who sacrifice their body parts for others.
Bibliography, etc. Note Includes bibliographical references and index.
Available in Other Form Organ shortage crisis in America
Record Appears in On-Campus Resources > Books
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Introduction : the organ shortage crisis in America
Motivations for giving and especially precious goods
Civic duty
A word about the audience and purpose of this book
Organization
The case for legalizing the sale of organs
Markets as a solution, if not a virtue
Costs and equity
"The tyranny of the gift"
Financial incentives, libertarianism, and the black market
The unique case of Iran
A legal, regulated market for organ trade
Ethical concerns with legalizing the sale of organs
The utility of utility
Selling organs and society's impoverished
Selling organs and public safety
Commodification
Moving from ethical to pragmatic considerations
Organ donation, financial motivation, and civic duty
Paying it forward
Wolfenschiessen, Switzerland
How buying a good changes a good
The difference between lump sum incentives and compensatory measures
Civic duty
Living donors and the confluence of altruism and self-regard
The complexity of human motivation and the myth of "unmotivated altruism"
Living donors and living donor advocacy
Health benefits of living donation
Reflections of a living donor advocate
Making altruism practical
Reducing disincentives and opening doors to virtue
Paired exchanges and donor chains
Creating incentives to opt in
Lost wages and travel expenses
Publicly acknowledging living donors
Nonmonetary valuable, comparable goods
Helping virtue along
Conclusion : two to four hours of your life.

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