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16) Practice of buying kidneys from the vendors it aroused such horror that all professional association denounced it & nearly all countries have now made it illegal. The well known causes much suffering of death. 17) Prohibition of sales does even more harm than first seemed harming vendors as well as recipients.
18) Vendors are not competent to make genuine choice within a given range of options.
19) Poverty has so restricted the range of options that organ selling has become the best & therefore in effect that range is too small, neither argument works as a justification of prohibition. Social problem
1) Cadaver donation after legalization in India cadaver donation of brain dead person which was rare has increased. Major hurdle is lack of awareness people should be told "Don't bury your heart gift it to someone, save a life", & secondly there is no co-operation between private & public hospital where most accident cases where patients suffer brain failure and can donate body parts. Thirdly the heart has to be retrieved without wasting time. The kidneys & liver can be removed after short gap but if heart stops for more than three beats it becomes useless.
Ethical issues raised
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1. Whether organ transplant is to be treated as a commercial commodity or social resources.
Richard M. Titmuss holds that voluntary donations are social expression of the abstract ideas of "free human gift" that serves an important function in complex modern societies. Individual have a need to act for the good of community. The gift relationship in context of blood procurement system makes clear & Titmus believes it would work equally in context such as procurement of solid organs. Admistrating problem -
Organ transplant required massive blood transfusion so donors have to be screened everytime when come to give blood or organ as 1. blood or organ deteriorates after three weeks in refrigeration this perishability presents technical & administrative problems, problems crossmatching storage, labeling, diseased blood serum hepatitis, AIDS etc. transmitted from carrier donor to susceptible patient.
Jain Elhics 1) truth telling in answering question about health, medical history & drug habits becomes vital. 2) Honesty of the donor on which depends the life of recipient of his blood or organ. Problem Can honesty be pursued regardless of the donor's motive for giving blood or organ? What systems structures, & social policies
Jain Education International
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