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When Altruism Isn't Enough: The Case for Compensating Kidney Donors Paperback – January 16, 2009

3.7 out of 5 stars 6 customer reviews

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Editorial Reviews

About the Author

Sally Satel, M.D. is a resident scholar at the American Enterprise Institute.
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Product Details

  • Paperback: 250 pages
  • Publisher: Aei Press; 1 edition (January 16, 2009)
  • Language: English
  • ISBN-10: 084474266X
  • ISBN-13: 978-0844742663
  • Product Dimensions: 6 x 0.7 x 9.1 inches
  • Shipping Weight: 12.8 ounces (View shipping rates and policies)
  • Average Customer Review: 3.7 out of 5 stars  See all reviews (6 customer reviews)
  • Amazon Best Sellers Rank: #1,601,033 in Books (See Top 100 in Books)

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By Craig Matteson HALL OF FAMETOP 500 REVIEWER on July 28, 2009
Format: Paperback
This is a very interesting and very challenging book because its various authors (edited by Dr. Sally Satel) make a case for compensating people who donate kidneys. Why? Because there are not enough kidneys being donated for altruistic reasons and people are dying unnecessarily. This is discussed by Sally Satel in the introduction.

Arthur J. Matas then discusses the risks to kidney donors, which turn out to be minimal. As a reasonable person, this would be my largest concern. But it turns out that most healthy people have plenty of kidney capacity with one and those who have donated over the decades have not hard significantly increased adverse outcomes.

Huang, Thankur, and Meltzer then tackle the cost effectiveness of renal transplants by comparing it to no treatment, hemodialysis, and what this might mean to the valuation of a kidney. Julio J. Elias provides a framework for a compensation system. This is obviously more for providing something reasonable to discuss than as a final proposal.

James Stacey Taylor and Mary C. Simmerling deal with the reasonable objections:
-Will a legal market create a black market?
-People will be coerced into donating.
-People will fake their eligibility for donation to get money.
-The poor will be exploited to save the wealthy.
-Because of subsequent health problems, donors will be actually be worse off.
-Medical conditions.
-Compensation will actually lead to fewer organs becoming availability.

Satel comes back with a chapter dealing with the issues of human dignity, the way money taints donation, and the romaticization of altruism.
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Format: Paperback
If people were willing to risk their own lives to help others universally, the world would be a better place - but it's not. "When Atruism Isn't Enough: The Case for Compensating Kidney Donors" is a look at the ethical issues around America's organ shortage. When someone needs a kidney, finding a good match is hard, and the good match is not always willing. But throwing money at the problem presents another issue - is it ethical to sell one's organs for profit to save a life? Is it ethical to deny one a kidney if it means their death? Intriguing and a very real issue many doctors face today, "When Altruism Isn't Enough" is a scholarly look at this serious ethical debate.
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Format: Paperback
Just like a systems-thinker,Dr.Satel has the dexterity to scratch the surface to show us what lurks beneath.

Organ donation,much like assisted-suicide,is a hot-button issue where lawmakers tend to vacillate and fall behind the learning curve.This de-synchronization leads to poor legislation that in turn has potentially deleterious consequences.

Altruism is a kind gesture without any shadow of doubt,but then a kind gesture isn't enough to inform judicious decision making about public policy.

Dr.Satel assiduously explains the pitfalls of relying on altruism alone when it comes to organ donation,her experience being organic and based on a thorough understanding of reality.She clarifies the subject and offers a panacea.

The irrefutable indispensability of Dr. Satel's research cannot be brought into question-this book is a must-read.
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