Swaps and Chains and Vouchers, Oh My!: Evaluating How Saving More Lives Impacts the Equitable Allocation of Live Donor Kidneys

American Journal of Law & Medicine
Evelyn M Tenenbaum

Abstract

Live kidney donation involves a delicate balance between saving the most lives possible and maintaining a transplant system that is fair to the many thousands of patients on the transplant waiting list. Federal law and regulations require that kidney allocation be equitable, but the pressure to save patients subject to ever-lengthening waiting times for a transplant has been swinging the balance toward optimizing utility at the expense of justice. This article traces the progression of innovations created to make optimum use of a patient's own live donors. It starts with the simplest - direct donation by family members - and ends with voucher donations, a very recent and unique innovation because the donor can donate 20 or more years before the intended recipient is expected to need a kidney. In return for the donation, the intended recipient receives a voucher that can be redeemed for a live kidney when it is needed. Other innovations that are discussed include kidney exchanges and list paired donation, which are used to facilitate donor swaps when donor/recipient pairs have incompatible blood types. The discussion of each new innovation shows how the equity issues build on each other and how, with each new innovation, it beco...Continue Reading

References

Jan 19, 1999·The Journal of Medicine and Philosophy·R M Veatch
Mar 21, 2002·Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees·Walter Glannon, Lainie Friedman Ross
Jul 4, 2002·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Robert S Gaston
Dec 17, 2002·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Thiagarajan Ramcharan, Arthur J Matas
Oct 10, 2003·Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees·J F Childress
Jan 30, 2004·Clinical & Experimental Ophthalmology·Trevor SherwinW John Armitage
Sep 16, 2004·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Lainie Friedman Ross, Stefanos Zenios
Sep 16, 2004·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Francis L DelmonicoRichard J Rohrer
Nov 24, 2004·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·David Steinberg
Jan 8, 2005·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Ajay K IsraniArthur Caplan
Jul 6, 2005·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Sommer E GentryRobert A Montgomery
Aug 5, 2005·The New England Journal of Medicine·Robert D Truog
Aug 5, 2005·The New England Journal of Medicine·Julie R Ingelfinger
Jan 26, 2006·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·R M Veatch
May 24, 2006·World Journal of Gastroenterology : WJG·Sanjay Kulkarni, David-C Cronin
Oct 14, 2006·Kennedy Institute of Ethics Journal·Lainie Friedman Ross
Mar 16, 2007·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·M A DewUNKNOWN American Society of Transplantation
Sep 12, 2007·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·S E GentryR A Montgomery
Aug 30, 2008·Transplantation·Dorry L SegevRobert A Montgomery
Mar 13, 2009·The New England Journal of Medicine·Michael A ReesRobert A Montgomery
Jan 27, 2010·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Petra GlanderLutz Liefeldt
Feb 4, 2010·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·R A Montgomery
Jan 1, 2009·American Journal of Law & Medicine·Wojciech Baginski
Jun 18, 2010·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·E S WoodleUNKNOWN Paired Donation Network
Sep 1, 2008·Clinical Ethics·Antonia J Cronin, David Price
Dec 28, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Sommer E GentryDorry L Segev
Apr 2, 2011·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·C Bradley WallisMichael A Rees
Apr 28, 2011·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·I AshlagiM A Rees
Sep 24, 2011·Journal of Health Politics, Policy and Law·Lara RosenDavid L Weimer
Jul 31, 2012·Transplantation Proceedings·A Chkhotua
Nov 20, 2012·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·J M SmithA K Israni
Dec 6, 2012·International Journal of Nephrology·Anabela Malho GuedesAntónio Cabrita
Feb 22, 2013·JAMA Surgery·Marc L MelcherJohn E Milner
Nov 29, 2013·Kidney International·Geir MjøenHallvard Holdaas
Apr 15, 2014·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·M B AllenP P Reese
Sep 27, 2014·Journal of the American Society of Nephrology : JASN·Robert S GastonArthur J Matas
May 28, 2015·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·S M FlechnerG Hil
May 28, 2015·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·D E FumoM A Rees
Nov 26, 2015·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·W LiuMarc L Melcher
Feb 3, 2016·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·M L MelcherM A Rees
Feb 27, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Douglas S Keith, Gayle M Vranic
Jul 28, 2016·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·V B KuteH L Trivedi

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Citations

Dec 14, 2019·Current Opinion in Organ Transplantation·Luuk B Hilbrands
Apr 2, 2020·Canadian Journal of Kidney Health and Disease·Timothy CaulfieldPaul Keown

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