Organ transplantation and European Community law: the case of non-residents.
OBJECTIVE
The role of the European Union in influencing health care policies in member states is of increasing importance. The Eurotransplant Foundation is an organization which provides donor organs to the most suitable transplant recipients. It covers a region of five countries (Austria, Belgium, Germany, Luxembourg, The Netherlands). As there is a severe shortage of donor organs within its region, registration of so-called non-resident patients on the waiting lists aggravates this shortage. Could European Community law, especially rules on competition, limit Eurotransplant's freedom to introduce a restrictive policy on non-residents? If so, could participating transplant centres or patients initiate legal action against Eurotransplant to stop the execution of such a policy?


METHODS
Quantitative descriptive data on organ donation and use by the Eurotransplant Foundation during 1994 and 1995, by residents and non-residents. Analysis on basis of economic and legal framework.


RESULTS
Solidarity between potential donors and potential recipients is organized in a different manner in an organization such as Eurotransplant as compared to a national organization under national law. National regulations may introduce a restrictive policy for the acceptance of non-resident patients. Eurotransplant--as a matter of its own policy--has to consider international solidarity. The scope of the non-resident issue is dealt with, and it is explained why it is considered to be a problem. On the basis of a discussion of the economic and the legal framework for a non-resident policy, an answer to the question is suggested.


CONCLUSIONS
It might be possible for Eurotransplant to introduce a restrictive policy on the admission of non-residents without violating the European Community Treaty.
Haase-Kromwijk
B
B
Eurotransplant International Foundation, Leiden.
du Pré
F
F
Cohen
B
B
D004641:Emigration and Immigration; D005060:Europe; D005062:European Union; D006291:Health Policy / Q000639:trends*; D006801:Humans; D007391:International Cooperation; D016377:Organ Transplantation / Q000331:legislation & jurisprudence*; D009939:Organizations, Nonprofit; D011157:Population Dynamics; D009927:Tissue and Organ Procurement; D014195:Travel