
The topic of legalizing organ harvesting is a complex and multifaceted issue that has sparked intense debates among legal experts, medical professionals, and ethicists. It raises questions about the potential impact on various parts of the constitution, including the protection of human rights, the regulation of the healthcare system, and the enforcement of laws pertaining to organ donation and transplantation. With a global shortage of organs available for transplantation, the legalization of organ harvesting could have far-reaching consequences, affecting everything from individual rights to international relations.
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What You'll Learn

The right to choose the fate of one's organs
However, opponents of organ sales argue that the choice to sell one's organs is often not truly informed or voluntary. They highlight cases where individuals are pressured by family members or driven by financial desperation, without fully understanding the risks and potential health consequences. Additionally, there is a concern for the potential exploitation of vulnerable individuals by unscrupulous health professionals and brokers seeking financial gain.
In some countries, such as the UK, organ donation is viewed as a 'gift' and legislation prohibits commercial dealings in human material for transplantation. The World Health Organization (WHO) has also urged members to protect vulnerable groups from transplant tourism and the sale of organs.
To address the ethical concerns, some have proposed creating a highly regulated market with safeguards against exploitation. For example, a monopsony system has been suggested, where a single buyer, such as a government health service, is responsible for purchasing and distributing organs, as well as ensuring tissue compatibility and infection control.
Ultimately, the debate surrounding the right to choose the fate of one's organs is complex and multifaceted, involving considerations of individual rights, ethical concerns, and the need to balance supply and demand in organ transplantation.
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The impact on the black market
The black market for organ trade is a direct result of the ban on the sale of organs. The current prohibition has pushed both sellers and buyers into the black market, hidden from the law. The black market for organ trade is widespread, with thousands of sales or purchases of illicit organs taking place annually. According to a 2017 report from Global Financial Integrity, the illegal trade of organs generates between $840 million and $1.7 billion per year and accounts for an estimated 10% of transplanted organs.
The black market is fueled by unscrupulous health professionals and brokers who exploit the desperation of both the recipient and the vulnerable seller. Inadequately trained surgeons perform surgeries in unhygienic conditions, leaving donors with dangerous and painful complications. The donors often do not receive important medical follow-up care due to the fear of legal repercussions. Criminal gangs have also been known to kidnap people and illegally harvest their organs for sale on the black market.
Proponents of legalizing the organ trade argue that it will improve medical care for donors and recipients, as well as increase payments to donors. They suggest that a regulated market with proper laws and enforcement can minimize abuses and incidents of organ trafficking. For example, Iran has legalized the sale of kidneys from living donors, and as a result, about 55% of all kidney donations in the country are from living donors. The process of buying or selling a kidney in Iran is straightforward, and the average wait time for a kidney is five months.
However, critics argue that organ sales should remain prohibited to protect the poor and vulnerable from exploitation. They fear that financial incentives will prove irresistible to individuals in extreme poverty, and their decision to sell organs may not be truly voluntary. Additionally, a legal organ trade may crowd out altruistic donations, as people may opt to purchase organs instead of donating to their relatives.
In summary, the black market for organ trade is a direct consequence of the current prohibition on the sale of organs. Legalization and regulation of the organ trade is a highly debated topic, with proponents arguing improved medical care and reduced abuses, while critics emphasize the need to protect vulnerable groups from exploitation.
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The role of the government
One of the key pieces of legislation related to organ donation and transplantation is the National Organ Transplant Act (NOTA), enacted in 1984. This act established the Organ Procurement and Transplantation Network (OPTN), a private nonprofit organization under federal contract. The OPTN maintains a national system to match organs with individuals, ensuring fair and equitable distribution.
Additionally, the government has implemented measures to combat forced organ harvesting and trafficking, which are considered ethical violations and crimes against humanity. The Stop Forced Organ Harvesting Act of 2021 aims to address these issues by designating countries based on their levels of forced organ harvesting and the efforts of their governments to combat these practices. The act also calls for reports on the extent of forced organ harvesting and the involvement of government officials or employees.
The government also plays a role in regulating the ethical aspects of organ donation and transplantation. The U.S. Federal Policy for the Protection of Human Subjects, known as the Common Rule, outlines research protections for human subjects. However, there is ongoing debate about whether these protections extend to recipients of organs that have been part of research studies.
Furthermore, the government has laws prohibiting the purchase of human organs and imposing penalties for violations. The Prohibition of Organ Purchases Act makes it unlawful to acquire, receive, or transfer human organs for valuable consideration if it affects interstate commerce. This helps to prevent a market for organ sales and protect vulnerable individuals from exploitation.
In conclusion, the government's role in organ donation and transplantation involves overseeing the organ transplant system, addressing organ shortages, improving organ matching, combating forced organ harvesting and trafficking, regulating ethical aspects, and prohibiting the commercial trade of human organs. These measures aim to ensure a fair, ethical, and equitable organ donation and transplantation process in the United States.
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The need for ethical regulations
Organ transplantation is a life-saving medical procedure that has been shrouded in ethical dilemmas since its inception. The process involves removing one or more organs from a donor and transplanting them into a recipient, offering a chance at improved health and even survival. However, the ethical complexities surrounding organ harvesting cannot be ignored, and they demand careful consideration and regulation to ensure the protection of all involved parties.
One of the primary ethical concerns is the issue of consent and voluntariness. Nonconsensual and involuntary organ donation is a severe violation of patient autonomy and human rights. Unfortunately, cases of forced organ harvesting have been reported, with allegations of prisoners of conscience and minority groups being targeted. To address this, clear regulations must be established to safeguard individuals from becoming victims of such practices. The World Health Organization (WHO) and the United Nations (UN) have recognized the importance of consent, emphasizing that donations must be voluntary and free from coercion or undue influence.
Another ethical debate revolves around the concept of paid organ donation. While some argue that individuals should have the right to choose the fate of their organs, opponents highlight the potential for exploitation, especially among vulnerable groups. In the absence of effective regulations, unscrupulous brokers and health professionals may take advantage of desperate sellers and recipients, leading to human exploitation and unethical practices. Additionally, the quality of informed consent in paid donation settings is often questionable, with donors not fully understanding the risks and potential health implications of organ donation.
The shortage of organs available for transplantation further exacerbates the ethical challenges. The gap between supply and demand has led to a thriving organ black market and transplant tourism, where individuals seek transplants overseas, often in developing countries. This underscores the need for ethical regulations that transcend national borders. Standardized international regulations are necessary to effectively combat forced organ harvesting and transplant tourism, ensuring that human rights and ethical standards are upheld globally.
To address these ethical concerns, collaborative efforts are required from citizens, policymakers, and international committees. While the OPTN Final Rule and the National Organ Transplant Act (NOTA) provide initial ethical guidance and regulatory frameworks, they may not be sufficient to address the complexities of the issue. Therefore, ongoing discussions and adaptations are necessary to ensure that the allocation of organs is equitable, voluntary, and respectful of patient autonomy, maximizing the benefit to the community while minimizing harm.
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The definition of human organ
The definition of a "human organ" is a complex and varied concept. The number of organs in the human body depends on the definition used, and experts disagree on a precise count. Generally, an organ is a collection of tissues joined in a structural unit to serve a common function. In a multicellular organism like a human, an organ is formed from tissues of different types, which combine to perform a specific function. For example, the intestinal wall is formed by epithelial tissue and smooth muscle tissue.
The human body has several organ systems, each with a specific function, and an organ can be part of more than one system. For instance, the nervous and endocrine systems share the hypothalamus. The musculoskeletal system is another example of a system with a close relationship between its constituent parts, in this case, the muscular and skeletal systems.
The human body has five vital organs: the brain, heart, lungs, kidneys, and liver. These are vital because a person cannot survive without them, although a person can live with just one kidney or lung. The brain is the body's control centre, forming the core of the central nervous system, which also includes the spinal cord. The brain processes and sends nerve signals, interprets information, and produces conscious thought. The nervous system helps regulate every other organ system.
The other organ systems include the muscular system, which enables movement with muscles; the reproductive system, which includes the sex organs; the respiratory system, which includes the organs used for breathing; and the skeletal system, which provides structural support and protection with bones, cartilage, ligaments, and tendons.
The definition of "human organ" is broad and multifaceted, encompassing a wide range of structures and functions within the human body.
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Frequently asked questions
Legalizing organ harvesting will affect the 42 U.S. Code § 274e - Prohibition of organ purchases, which is a part of the National Organ Transplant Act. This Act prohibits the sale and purchase of human organs for transplantation.
The current process of organ donation involves obtaining consent from the donor or their family. In the case of deceased donors, their preferences are considered, and family assent is encouraged but not required.
There is a global shortage of organs available for transplantation, which has resulted in long waiting lists and a thriving black market for organs. This has led to transplant tourism, with people seeking transplants overseas, often in developing countries.
Legalizing and regulating organ harvesting could help eliminate the black market, improve safety for donors and recipients, and increase the number of organs available for transplantation. It could also provide compensation for donors' time and risks.

























