title: Supporting organ transplantation in non-resident aliens within limits.
abstract: It is common knowledge that the supply of cadaveric organs does not meet demand. This shortage is often used as ethical argument against transplantation in Non-Resident Aliens; however, this fact in isolation does not present a comprehensive picture of organ allocation in USA. Even though approximately 153 cadaveric livers, kidneys, and hearts are transplanted into Non-Resident Aliens each year, roughly another 85 livers, kidneys and hearts are recovered as usable for transplantation but are not transplanted due to inability to find a recipient. These organs are also unable to be exported due to logistics or lack of patient matching. Because usable, recovered allografts are discarded on a yearly basis, there is no justification to use "allograft scarcity" as argument against transplantation in Non-Resident Aliens. Further, consistent with other countries, a system of two waiting lists which allocates organs to US Residents with the first right of refusal (with Non-Resident Aliens having to access organs refused by or not matched to US Residents) is ethically appropriate. Justification for this two-list system lies in deconstructing "who" is the transplant community, and who are "guests" of the transplant community.
authors.affiliation: Cleveland Clinic Foundation, USA.
authors.forename: Katrina A
authors.initials: KA
authors.lastname: Bramstedt
mesh_terms: D002102:Cadaver; D004641:Emigration and Immigration; D006801:Humans; D016377:Organ Transplantation / Q000941:ethics* / Q000706:statistics & numerical data; D018579:Patient Selection / Q000941:ethics*; D040841:Resource Allocation / Q000941:ethics* / Q000379:methods / Q000706:statistics & numerical data; D012935:Social Justice; D014171:Transients and Migrants / Q000331:legislation & jurisprudence; D014481:United States; D014850:Waiting Lists