I wrote previously here at SHS of my disgust with the book Larry’s Kidney–which of course wasn’t Larry’s at all, but that of a Chinese political, criminal, or Falun Gong prisoner–who was killed for the lucre that the book’s author, Daniel Asa Rose. paid to obtain the organ for his cousin. And I later wrote here of my disgust of the good reviews the book received, reviews that overlooked the said spilling of blood and grabbing of said kidney, to applaud said story as an uproarious “slapstick comedy.”
Now add the New York Times to the disgust list–that “paper of record” about which there is, oh, so much to be disgusted. Today, its op/ed page offered Rose a platform to both justify his purchase of Larry’s kidney and try to come off as righteous about public policy in the process. First, Rose writes that we should not be upset if Steve Jobs cut in line to get his liver because this is the way “the greater world operates.” (I have intentionally not commented on the Jobs situation because I don’t know what happened.) And then, he quickly gets into his book. From the column, “A Better Way to Get a Kidney:”
In China, where my cousin Larry and I went to get him a kidney two summers ago (despite the official Chinese restriction against Westerners doing so), jumping the line is so commonplace as to be unworthy of comment. No one gets angry at a pretty secretary or harried businessman who cuts in front; everyone just takes a half step back and resumes gesticulating on their cellphones. If anything, there’s a grudging admiration of such blatant self-advancement.
First come first served, that’s the American fantasy. But in fact strength and speed prevail, as they tend to do in other contests. Dog eat dog. Darwinism of the waiting line. Call it what you like, it’s not only accepted in most places around the globe, it’s expected. No wonder there’s so much medical tourism — up to 10 percent of the world’s transplant surgery.
Great. Rather than be ethical and follow the rule of law, we should emulate China. Besides, that excuse doesn’t cut it. Most people do not go to China or anywhere else and pay to get someone else killed–which is why their waiting lines are so short there–in order to get their kidney.
Then, Rose comes across as the caring policy crusader:
No one would need to wait more than a year for an organ transplant if we revolutionize organ donation in three ways: better finance stem-cell research so we can start simply growing kidneys; build better mechanical organs; and change the presumed consent option so that people would have to opt out of donating organs rather than opt in.
Baloney. Baloney. Baloney.
- We”ve poured billions and billions into stem cell research and no reputable scientist believes stem cells, whether embryonic or adult, will allow us to make whole new organs–assuming it can be done–for many years.
- Mechanical organs, if they can be developed, are still a very long way off.
- And, whatever the merits or demerits of presumed consent, it would not greatly reduce the waiting lines because even if the number of donated organs increase as Rose says–we are talking about a large percentage increase of a very small number, meaning it might shorten the lines somewhat, but not dramatically. (The prime reasons for the long lines are that increased auto safety and helmet laws have made for fewer catastrophic head injuries, while the improvements in organ transplant medicine has made more people eligible for the treatment.) I oppose presumed consent–and Canada, the UK, and other nations have rejected it– for reasons I wrote about here and here.
Of course, this is all book promotion. But it is disgusting, nonetheless. And the New York Times, that paragon of liberal virtue, continues its death spiral.
But Wesley, would you do it if it were you or your wife who needed the kidney? I sure hope not. Besides, Secondhand Smokette would kill me if I did–whether for her or for me.




July 12th, 2009 | 8:24 am
Wesley, you raise a very interesting (and practical) argument that presumed consent is coercive. It brings to mind the book “Coma” by Robin Cook — who happens to be a doctor — in which the villains, medical staff at a major city hospital (Mass General?) rig one of their operating rooms so that carbon monoxide is pumped in through the oxygen lines to cause irreversible brain damage and coma in selected patients. The comatose patients are then transferred to “The Jefferson Institute,” ostensibly a long-term care facility, but in fact a center for harvesting their organs for the black market. What was neat science fiction back in the 1970s, has become a very, very scary possibility today.
Thanks, but I’ll stick with the present organ donation protocol.
July 12th, 2009 | 2:19 pm
Presumed consent may be a politically viable policy some day, but it isn’t today. Robotic and vat-grown organs may solve the organ shortage, but not until far in the future.
As for today, there is an already-legal way to put a big dent in the organ shortage — allocate donated organs first to people who have agreed to donate their own organs when they die. UNOS, which manages the national organ allocation system, has the power to make this simple policy change. No legislative action is required.
Americans who want to donate their organs to other registered organ donors don’t have to wait for UNOS to act. They can join LifeSharers, a non-profit network of organ donors who agree to offer their organs first to other organ donors when they die. Membership is free at http://www.lifesharers.org or by calling 1-888-ORGAN88. There is no age limit, parents can enroll their minor children, and no one is excluded due to any pre-existing medical condition.
Giving organs first to organ donors will convince more people to register as organ donors. It will also make the organ allocation system fairer. Non-donors should go to the back of the waiting list as long as there is a shortage of organs.
David J. Undis
Executive Director
LifeSharers
http://www.lifesharers.org
July 12th, 2009 | 2:43 pm
Since you brought up the topic of stem cells and organ regeneration, I’d like to bring up an alternative; blastemas. I’m sure we’re all aware that salamader’s can regenerate damaged and missing limbs and organs. At the injury cite, a mass of undifferentiated cells called a blastema forms, which grows back into the missing parts all on it’s own. If we could induce blastema’s to form in people, it would be far superior to stem cell therapy, and avoid the ethical problems associated with it. Alas, even though researchers are studying the salamander’s regenerative abilities, their work is eclipsed by stem cell research, which is mostly hype. I’m telling you this Wesley because I’d like to raise awareness about blastemas, and you are a person of much greater influence than I am. A lot of people read your blog, so maybe you could do a post on the subject. Blastemas are the key to organ regeneration, not stem cells. Spread the word!
July 12th, 2009 | 4:19 pm
Love the argument on display in the column. “Other countries are rude and respect only raw power. Let’s be the same way!”
Despicable.
July 13th, 2009 | 7:34 pm
I appreciate your sense of fairness, Mr. Undis, but seems to me that organ donation should remain as it is: selfless giving — not tit-for-tat as it were, not achieved by holding people hostage. Heroism and charity lose all meaning when coercion is used.
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