Topic: Legalization and Standardization of Organ Donation - page 3. (Read 361 times)

I do understand the point of view of OP and I think that he just wanted to try to provide another way to save lives of those people who were in need for a donor of organs but also thinking that if it would be monetize I'm afraid that it will only lead to a many crimes like kidnapping and human trafficking. Is it only me who is thinking that maybe the mafia for human trafficking may regroup for a big group sharing common goal and that is to get money in exchange of organs? I may be exaggerated it but this is what have come to my mind after reading the thread.

If it's legal to sell blood and sperm in the US (and it's legal in some states), then I don't see it disputable to regulate and pay people to donate organs - although moral dilemmas arise as to how to protect such data and reduce manipulation to the least possible measure. The fact is that the demand for human organs is very high, and that people may need to be encouraged to become voluntary donors in the event of death, and the question is how people and the community in general would react to the fact that there is a monetary initiative behind organ donation?

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I was familiar with the data for China because a lot has been written about it in recent years, especially when the Uighur issue is mentioned. It is unbelievable that people are killed just because of their religion or political views, and then their organs are taken away and given to those who are loyal to the regime. However, this is the first time I have heard about Iran and their law on this issue, because since it is a predominantly Muslim country, isn't the literal sale of organs in conflict with their religion?

This is actually a good proposition, with blockchain on the way, Jim wouldn't worry that the insurance company is going to fuck things up just to gain much more profit from him when he dies. But it may sound good but I don't like the idea of organ donation in the first olace especially if it enables human traffickers, look up China's illegal organ harvest industry, this is their way of persecuting minorities in their country. Plus, there's already a revolution in 3D printing that can easily print you an organ.

for the case of organ donation, in countries where there is a "presumed consent law" for organ donation after death like in Spain, France, Norway etc, it is my opinion that more awareness be raised about it, so everyone knows about it and they at least know that they have the choice of opting out if they don't like it. It makes sense that your working organs could be the reason another person is alive after your death, but people should be made to know the concept and reason behind it.

If I am not mistaken, it is not illegal to donate organs. What is illegal is selling them.

Anyway, between somebody who is already unproductive and dying in need of an organ transplant and somebody who is active, productive, and healthy who is a possible organ donor and would face risks by doing so, I'd rather leave the dying to face his/her own death than possibly cause another man a difficult life.

Donation is donation. The moment you monetize it, all hell breaks loose. If a donation is made in exchange for money, it is not anymore a donation. That is selling. Legalized organ selling will cause more harm.

I'd rather forget about the 8,000 people who die annually if what it takes to try to heal them is the risky process of taking some organs from healthy persons which could make them ill as a result. A healthy person in exchange for a dying person is never cost-beneficial.  

America already has lots of problems with poverty, inequality and absurdly expensive health care, legalizing organ selling is like adding oil to the fire, poor people will have no choice but to give away their health for money. A better solution is to just make every deceased person an organ donor, with an option to opt out of this program for the paranoid people, making them ineligible to receive organs in exchange.

And what does the blockchain solve in this situation? If someone wants to cheat in this system and has a power to do so, they would still do it. They can create fake identities and put them into the queue, for example.

One of the countries where donating organs is a source of income is Iran. You can sell your kidneys, parts of the liver or anything else that you can do without for money. As you may imagine this is a resource for the most deprived citizens and it has been shown to have negative psychological effect in the long term as the money goes away and the organ is lost forever.


In China, it was legal to harvest the organs of the executed. This obviously creates a perverse incentive of the system to sentence to death more people - not that they really need much incentive.



https://sites.ndtv.com/moretogive/organ-donation-what-other-countries-are-doing-1297/

I've had this idea in my head since 2019, what if it was legal in the US for people to get paid to become a donor.
2 years later, I think I've worked out a framework, but unfortunately it looks like I missed the cutoff date for state ballot initiative requests for the 2022 election cycle.

So here's my framework
Adopting a VC style of investment.
-people are paid a set price for the exclusive right per organ.
-they are given the money upfront, no exams needed
-there are no lifestyle restrictions
-the transplant only occurs after you die
-your estate is given equal or more money than you were given upfront
-if the organ is no longer viable, no big deal, just the cost of doing business. Your off the hook.
-if you change your mind, no big deal, pay back the money at 10% interest to remove your name off the list.
-you must be 18 years or older to apply
-you can enroll your children into the program. Same rules apply, money upfront, transplant only happens after death. On their 18th birthday, they are removed from the program, and have the option to re-enroll. If accepted, same rules apply.

The idea here is that there are over 100,000 people in US in need of transplants and not enough donors. Over 8,000 people die annually, with most waiting over 3 years. The longer they wait, the less productive they become, not including all the stress due to uncertainty.
My proposal is would provide cash upfront, work like the typical VC/Crypto model where you diversify and only need a small handful to breakeven.
The exclusive right would be sold to insurance companies or governments, who would pay 3-5x multiples.

Example 1
Jim, 20 years old, male, lives in Denver Colorado.
He sells us the exclusive right to both his kidney's for $500 each upfront.
We then sell the right to XYZ insurance company for $50,000 per kidney.
I'm assuming insurance companies would then sell term life organ policies to cover expenses.

This transaction is beneficial because insurance companies generally have to spend about $25,000 per year for some dialysis treatments which take up 10+ hours per week for the person in need of a transplant. We are filling the demand. And the cost of the transplant surgery wise is often $100-200,000 anyway. But because their policy holder becomes more productive and increased years to live, the insurance company can justify the expense. Plus based on public data, there are 33,244 fatal motor vehicle crashes in the United States in 2019 in which 36,096 deaths occurred. This resulted in 11.0 deaths per 100,000 people and 1.11 deaths per 100 million miles traveled. The fatality rate per 100,000 people ranged from 3.3 in the District of Columbia to 25.4 in Wyoming. Also based on the numbers, it seems that men in the US begin to start dying in their 40's/50's, 10 years earlier than women. I want to avoid culture war issues and really focus on college kids and not the poor, I don't want this being seen as a payday lending scheme.

I'm working on the website now. Will start on the blockchain next month. The goal is to raise money to get this on the ballots of state elections for the 2024 Presidential election cycle. I want to amend the first line of the current law prohibiting the sale of organ donations after death. This is a felony currently. The average signature needed is about 100-300k per state and seems to be a huge undertaking. Do you guy's see the crypto community getting behind this effort either as early investors or joining the waitlist? What do you guys think of the concept overall.


Blockchain
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Each transaction will be available in a blockchain. Those in need will know where in line they are, but the public won't know the names of said people, only the public ID's, and transaction codes.
-shows transaction data
--new donor registration, payout, removal, death
--donor recipient moving up in line, currently in surgery, successful transplant
--insurance company, policy sales