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• W1992023390 abstract "We read with interest the article by Tong et al1Tong A. Chapman J.R. Wong G. Craig J.C. Perspectives of transplant physicians and surgeons on reimbursement, compensation, and incentives for living kidney donors.Am J Kidney Dis. 2014; 64: 484-485Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar on the range of opinions of transplant physicians on financial incentives in living kidney donation. Although the article provides valuable observations, the study population of nephrologists and surgeons was small and not truly representative of physicians practicing in the United States, Canada, Europe, Australia, and New Zealand.Participant selection was not random, and the opinions of physicians in other parts of the world (eg, Asia, Africa, and South America) were not sought. The opinions of nonphysician professionals, such as transplant nurses/coordinators, also were overlooked. We share the concern that incentives perhaps could reduce the selflessness of organ donation, but various forms of compensation for donors in Iran, Ireland, Israel, Singapore, and Saudi Arabia have not destroyed their altruistic systems of living or deceased organ donation.2Khatami S.M. Mahdavi-Mazdeh M. Perfect is the enemy of good: the Iranian system of paid donation.Am J Transplant. 2014; 14: 1222-1223Crossref PubMed Scopus (5) Google Scholar, 3Fry-Revere S. Stop organ trafficking now: articles pertaining to medical, political, ethical, and cultural aspects of kidney donation. http://www.stoporgantraffickingnow.org/?page_id=196. Accessed December 19, 2014.Google Scholar, 4Global Observatory on Donation and Transplantation (GODT) data. http://www.transplant-observatory.org. Accessed December 19, 2014.Google ScholarIt puzzles us that mixed motivations are seen as such a threat when it comes to organ donors while we pay military personnel, firefighters, and others who take considerably greater risks for their services to humanity. Moreover, in an analogous situation that involves health care professionals and healthy participants, we allow payment to women who donate their eggs or become surrogate mothers. The moral issues raised by accepting a system that includes controlled compensation should be weighed against the morality of allowing as many as 18 patient deaths per day when there are people who would be willing to help if only a legal compensation system were in place.5US Government information on organ and tissue donation and transplantation. http://www.organdonor.gov/about/data.html. Accessed December 19, 2014.Google Scholar We read with interest the article by Tong et al1Tong A. Chapman J.R. Wong G. Craig J.C. Perspectives of transplant physicians and surgeons on reimbursement, compensation, and incentives for living kidney donors.Am J Kidney Dis. 2014; 64: 484-485Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar on the range of opinions of transplant physicians on financial incentives in living kidney donation. Although the article provides valuable observations, the study population of nephrologists and surgeons was small and not truly representative of physicians practicing in the United States, Canada, Europe, Australia, and New Zealand. Participant selection was not random, and the opinions of physicians in other parts of the world (eg, Asia, Africa, and South America) were not sought. The opinions of nonphysician professionals, such as transplant nurses/coordinators, also were overlooked. We share the concern that incentives perhaps could reduce the selflessness of organ donation, but various forms of compensation for donors in Iran, Ireland, Israel, Singapore, and Saudi Arabia have not destroyed their altruistic systems of living or deceased organ donation.2Khatami S.M. Mahdavi-Mazdeh M. Perfect is the enemy of good: the Iranian system of paid donation.Am J Transplant. 2014; 14: 1222-1223Crossref PubMed Scopus (5) Google Scholar, 3Fry-Revere S. Stop organ trafficking now: articles pertaining to medical, political, ethical, and cultural aspects of kidney donation. http://www.stoporgantraffickingnow.org/?page_id=196. Accessed December 19, 2014.Google Scholar, 4Global Observatory on Donation and Transplantation (GODT) data. http://www.transplant-observatory.org. Accessed December 19, 2014.Google Scholar It puzzles us that mixed motivations are seen as such a threat when it comes to organ donors while we pay military personnel, firefighters, and others who take considerably greater risks for their services to humanity. Moreover, in an analogous situation that involves health care professionals and healthy participants, we allow payment to women who donate their eggs or become surrogate mothers. The moral issues raised by accepting a system that includes controlled compensation should be weighed against the morality of allowing as many as 18 patient deaths per day when there are people who would be willing to help if only a legal compensation system were in place.5US Government information on organ and tissue donation and transplantation. http://www.organdonor.gov/about/data.html. Accessed December 19, 2014.Google Scholar Financial Disclosure: The authors declare that they have no relevant financial interests. Perspectives of Transplant Physicians and Surgeons on Reimbursement, Compensation, and Incentives for Living Kidney DonorsAmerican Journal of Kidney DiseasesVol. 64Issue 4PreviewThe shortage of donors for organ transplantation has stimulated debate on financial incentives for living kidney donors. This study aims to describe the range of attitudes and opinions of transplant physicians on financial reimbursement, compensation, and incentives in living kidney donation. Full-Text PDF" @default.
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• W1992023390 title "Compensation and Incentives for Living Organ Donors: A Double-Edged Sword That May Resolve the Current Organ Shortage Crisis" @default.
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