Organ shortage: the greatest challenge facing transplant medicine.
The success of organ transplantation as a treatment for end-stage organ disease has yielded a series of ethical quandaries originating from the issue of organ shortage. Scarcity of organs for transplantation necessitates formulation of just and fair allocation policies as well as ethically viable solutions to bridging the vast gap between organ supply and demand. The concept of "triage" provides a useful paradigm in which to contextualize the organ shortage issue. This entails subjugating the welfare of the individual patient for the benefit of the wider community as an ethically justified response to the challenge of scarcity.
Department of Bioethics and the Transplant Center, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA, david.shafran@uhhospitals.org.
David
D
Shafran
Eric
E
Kodish
Andreas
A
Tzakis
D006801:Humans; D064877:Organ Trafficking / Q000941:ethics / Q000331:legislation & jurisprudence; D016377:Organ Transplantation / Q000941:ethics*; D018579:Patient Selection / Q000941:ethics*; D057766:Policy; D019724:Presumed Consent; D040841:Resource Allocation / Q000941:ethics* / Q000331:legislation & jurisprudence; D009927:Tissue and Organ Procurement / Q000458:organization & administration*; D019737:Transplants / Q000600:supply & distribution*; D014218:Triage; D014481:United States