{"id":5078,"date":"2019-12-03T18:29:43","date_gmt":"2019-12-03T12:59:43","guid":{"rendered":"https:\/\/triumphias.com\/blog\/?p=5078"},"modified":"2019-12-03T18:29:43","modified_gmt":"2019-12-03T12:59:43","slug":"organ-donation-awareness-and-eliminating-the-loopholes","status":"publish","type":"post","link":"https:\/\/triumphias.com\/blog\/organ-donation-awareness-and-eliminating-the-loopholes\/","title":{"rendered":"Organ donation awareness and eliminating the loopholes"},"content":{"rendered":"

Relevance: Mains: G.S paper II: Health<\/strong><\/p>\n

Context:<\/h3>\n

\u2022 Organ donation day is observed with the primary objective of promoting organ donation and transplantation so that a number of persons suffering from organ failure.<\/p>\n

\u2022 Such as the kidneys and liver, can get a new lease of life using organs gifted by others who have lost their lives (such as in road accidents or other reasons).<\/p>\n

Compromising altruism:<\/h3>\n

\u2022 Indian Organ Donation Day is observed by the Government of India on November 30.<\/p>\n

\u2022 It also needs to reflect on certain negative perceptions that appear to be growing and undermining the altruistic donation mindset of donor families.<\/p>\n

\u2022 In Kerala from 76 deceased donors in 2015 to eight in 2018 due to a perceived.<\/p>\n

\u2022 The scandal that private hospitals were declaring persons brain dead when they were not really so, in order to retrieve their organs and profit from them.<\/p>\n

\u2022 The underlying factor is the highly privatised health-care system in India and the growing trust gap between patients and doctors trapped in the profit-seeking business of tertiary care; seeking second and third opinion on patient treatment is commonplace today.<\/p>\n

\u2022 While an organ comes free, as donated to society, transplanting it to another person costs anywhere between \u20b95 lakh and \u20b925 lakh, including profit to the hospital.<\/p>\n

\u2022 The reality that a majority of accident victims who become donors are lower middle class and below, while the majority of organ recipients are from the small number of persons who can afford transplant surgery and costly lifetime medication thereafter.<\/p>\n

\u2022 The cost factor is the key reason why more than three quarters of donated hearts and lungs do not get taken.<\/p>\n

Spending more in public hospitals is required:<\/h3>\n

\u2022 Very few public hospitals in the country do kidney transplants and less than five do liver and heart transplants.<\/p>\n

\u2022 In a country where public spend on health care remains an abysmal 1.2% of GDP \u2014 less than a third of what even some developing countries spend.<\/p>\n

\u2022 The priority should be on spending the limited allocation on areas that would benefit the greatest number of persons.<\/p>\n

\u2022 World Health Organisation Consultative Group in its 2014 report points to a study in Thailand which finds that money spent on dialysis can save 300 times more healthy life years if spent on tuberculosis control.<\/p>\n

\u2022 It considers expansion of low- and medium-priority services before near-universal coverage of high priority services as an \u201cunacceptable trade-off\u201d and does not include dialysis or organ transplantation even in the low-priority category.<\/p>\n

\u2022 A given amount, if spent on organ failure prevention will save many more lives than if spent on organ transplant.<\/p>\n

Inefficiency and solutions<\/h3>\n

\u2022 Only steps to moderate are possible in these deep-rooted societal fault lines.<\/p>\n

\u2022 One usual approach is to regulate hospitals through acts and rules.<\/p>\n

\u2022 In the 25th year of the Transplantation of Human Organs Act, 1994 , it is time to revisit its effectiveness.<\/p>\n

\u2022 Substitution of bureaucratic procedures for hospital and transplant approval by self-declaration and mandatory sample verification involving civil society will improve compliance \u2014 as proved in other countries \u2014 and will also help get more hospitals involved.<\/p>\n

\u2022 Further amendment is needed to ensure full State autonomy in this area, avoiding the Central government\u2019s interference in organ distribution, which is now demotivating many hospitals.<\/p>\n

\u2022 All State organ distribution agencies need to make their operations fully transparent.<\/p>\n

\u2022 Steps such as making online organ distribution norms and the full details on every organ donation will help build public confidence in the system.<\/p>\n

Way ahead:<\/h3>\n

\u2022 India figures in the top 10% of unequal countries in the world and among the top 10% of high proportion population spending more than a tenth of their income on health.<\/p>\n

\u2022 This must also be considered in light of the fact that the organ comes totally free to a hospital from a donor.<\/p>\n

\u2022 One approach could be to mandate that every third or fourth transplant done in a private hospital should be done free of cost to a public hospital patient.<\/p>\n

\u2022 This will amount to cross-subsidisation, with the hospital, the doctor and the recipient footing the bill for free surgery to the section of the population that donates a majority of organs.<\/p>\n

Conclusion:<\/h3>\n

\u2022 This may not please present stakeholders in this field but they need to avoid the tendency to sweep inconvenient issues under the carpet and discuss seriously how to address the trust gap and inequality that are factors impacting family consent for organ donation.<\/p>\n","protected":false},"excerpt":{"rendered":"

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