Difficulties meeting global demand for transplants through deceased donation of organs are well known. Living donors play a crucial role in helping to meet needs for kidney transplantation in Australia and around the world. More rarely, people may also donate part of their liver while alive to save the life of a loved one. In most cases, living donors are close relatives or friends of the transplant recipient, but sometimes people volunteer to donate to a complete stranger as so-called “Good Samaritan” or “Altruistic” donors.
In a recent talk at the Deakin Controversial Conversations Public Forum on Ethical Issues in Donation and Transplantation, sponsored by the Science and Society Network, Associate Professor Allison Tong from the University of Sydney spoke about ethical issues relating to public solicitation of living donors. This is a growing phenomenon in countries like the United States, the United Kingdom and Canada, where people in need of a transplant take to social media, newspapers, websites and even billboards to try and recruit a living donor from the public. Although such strategies can help people to obtain transplants, they raise serious concerns about fairness – as not everyone has the resources to advertise and media appeals at times resemble a “beauty contest – and even organ trafficking, as some people may volunteer to “donate” to a wealthy stranger in the hope of receiving a financial reward.
Australia currently permits only non-directed altruistic kidney donors, that is, people who volunteer to donate anonymously to the person who is most medically suitable and next in line for a transplant. However it’s likely such practices will increase here too, and policy makers, health professionals and members of society will need to work together to establish clearer guidelines to address the risks of public solicitation while potentially harnessing the benefits it may provide.
Professor Tong’s talk was part of the Controversial Conversations Public Forum on Ethical Issues in Donation and Transplantation on Saturday 28 October at Deakin University, Burwood Campus.
Excited! Controversial Conversations on ethics in organ donation/transplant w/ @DeakinHealthEth @DeakinMedicine today! #transplantethics17 pic.twitter.com/woPgedzp7a
— Neysa Vaughan (@andanin) October 27, 2017
Hon Ken Wyatt MP @KenWyattMP introduces the forum via video #transplantethics17 pic.twitter.com/M8Imu2cal6
— Deakin Health Ethics (@DeakinHealthEth) October 27, 2017
#transplantethics17 @allisontong1 discussing public perceptions of organ solicitation in rich vs poor pic.twitter.com/VMy8xs2e2Q
— Deakin Health Ethics (@DeakinHealthEth) October 27, 2017
#transplantethics17 PANEL @DoICustodianGp in place why is there a resurgence of commercial transplantation? @KarenDwyer12 @elmimuller pic.twitter.com/haDKeUwEw8
— Allison Jauré (@allisonjaure) October 28, 2017
Professor Jeremy Chapman from @Sydney_Uni discusses "transplant tourism" and organ trafficking @DeakinMedicine @DonateLifeToday pic.twitter.com/xKzmEI4GEn
— Deakin Health Ethics (@DeakinHealthEth) October 28, 2017
Dr Antonia Cronin from King's College London discusses models of consent for deceased donor donation. #transplantethics17 @DonateLifeToday pic.twitter.com/f8DWL8Vori
— Deakin Health Ethics (@DeakinHealthEth) October 28, 2017
Ms Ann Smith from the Organ and Tissue Authority discusses whether transplant donor families and recipients should meet @DonateLifeToday pic.twitter.com/qSKop56G4k
— Deakin Health Ethics (@DeakinHealthEth) October 28, 2017
#transplantethics17 @DeakinHealthEth how far to go to encourage donation and tx. What is fair? pic.twitter.com/DgJvXNaxLm
— Karen Dwyer (@KarenDwyer12) October 28, 2017
Our own expert Dr Dominique Martin opens our final session on inequalities in organ transplantation @DeakinMedicine @DonateLifeToday pic.twitter.com/nmB9zE5Gdl
— Deakin Health Ethics (@DeakinHealthEth) October 28, 2017
Poll 2 #transplantethics17: Should public solicitation of living donors be permitted in Australia
— Neysa Vaughan (@andanin) October 27, 2017
Who do you think is ethically responsible for addressing inequities in donation and transplantation? #transplantethics17 @DonateLifeToday
— Deakin Health Ethics (@DeakinHealthEth) October 28, 2017
If you were a transplant recipient would you like the option of meeting your donor's family? @DonateLifeToday #transplantethics17
— Deakin Health Ethics (@DeakinHealthEth) October 28, 2017
A popular question today: Why have the gains of the Declaration of Istanbul been eroded recently? #transplantethics17 @DonateLifeToday
— Deakin Health Ethics (@DeakinHealthEth) October 28, 2017
Challenging Qs from the audience this am! #transplantethics17 @DoICustodianGp @DeakinHealthEth @elmimuller pic.twitter.com/C4MsP92sGz
— Allison Jauré (@allisonjaure) October 28, 2017
Thank you for a great discussion. Shared humanity with common desires of virtuosity despite perceived cultural barriers #transplantethics17
— Deakin Health Ethics (@DeakinHealthEth) October 28, 2017