Compelled Donations

Advances in immunology and the growing ability to circumvent rejection of transplanted organs are slowly replacing the need for compelled donations (AMA, 2011). The focus has turned to anonymous donations, which again brings to the fore the place where strangers go to transact business: the market. Still, every year, organs are harvested from minors and mentally incompetent adults who neither voluntarily donate their organs nor consent to the surgical procedure (Longo, 2011). Compelled living donations from children and incompetent persons are the least desired forms of organ donation (Coleman, 2014). Since living donations generally involve kidneys, part of a liver, or bone marrow, donation does not involve serious physical harm to donors. However, the physical pain or risks to the donor should not be minimized, especially in the case of kidney or liver donations, which are major surgeries involving general anesthesia. Also, in the case of kidney donation, donors are left with only one kidney, which puts them at a greater risk for kidney complications in the future. Siblings are usually the best donors for reasons including matching blood types and relative ages of the donor and recipient. Sometimes the best possible match, and maybe the only possible match, will be the recipient’s incompetent sibling (Ouellette, 2010).

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