Off Topic Board

Not something that I could answer, but very interesting to see what people would think

I'm with (C)B(uck)

That one is easy, no. Let that one die

To me that white collar crime inmate should still be at the bottom of the list. Those inmates are scum like the rest of them

As far as anything I have ever learned you would never give it to someone that takes drugs or does not comply to taking them properly, I wouldn't give it to someone that it would do no good for if it is a disease that is going to kill the new kidney, eff someone not from our country, so to me I guess it would come down to the rich guy or the previous donor IF he doesn't have a disease that will ruin the new kidney as well, I would consider the reformed druggy but you can just never trust a drug addict.

The best answers are C (because she's a perfect match), G (because children get precedence because they'll get the longest use out of them), and H (previous donors get preference)

It's essentially a big algorithm that takes into account the type of organ, urgency (not as important for a kidney transplant because there is dialysis), Tissue match (not as important with liver transplants, but obviously a big consideration), blood type, organ size (big consideration in liver and lung transplants), immune status, time on the list, etc.

The amount of money a recipient has makes no difference. You cannot disadvantage a possible recipient because they are not wealthy (however, they do have to have insurance to pay for the surgery and long term care). You also cannot base it on their societal contributions or merit (although one could certainly argue those points ethically).

Legally, prisoners must be put on the transplant list if they are deemed healthy enough for a transplant, and you must transplant them if an organ matches them. You can certainly make arguments against this, but the supreme court says prisoners are entitled to all healthcare as part of the 8th Amendment.

If C has a history of medication noncompliance, than shouldn't she be thrown off the list?

I can understand G, but if H has the same degenerative disease as his dying/dead relative, it's still going to kill him later so wouldn't he be ruled out on basis of having an inherited degenerative disease?

Ok this really pisses me off because I quoted the original post with my answer (either B or D based on ethical reasons) and then when I tried to respond to the quote above it edited my original response.

my choice is who is on the list first, then second, then third. Hippocratic Oath didn't give specifics if I remember correctly

I actually was in an ER within the last year and a half. Breathing problem out of nowhere. Surprise to me. So was the billing. An ambulance ride from my house is 2 grand plus.

I liked the young doctors, but they were learning too. One of them told me that they threw the book at me because they weren't sure what was going on.

I give them credit for getting some things right but the stay took them a couple of days to figure it out. The 2 grand was peanuts compared to that bill.

Anyway what it comes down to in the case of the kidney is, none of us has a say in those cases. They are decided by insurance companies, hospital admin and lawyers. Count on it.

I should get a Nobel prize a free kidney and some pro bone legal advice for this post, dontcha think? Hardy freaking har.

Ah, again the voice of reason.

I understand the ER, I am referring to the donor list. Who is up next?

How did the stomach ache and stab wound get into a donor question??

I was just making a case that the relative urgency has to be taken into consideration.

Essentially, it's a big algorithm. They collect a lot of physiologic information about the donor and recipient, but also factor in things like urgency, time on the list, age, previous donor status, etc. But the overall match (blood type, tissue type, etc) is probably the most important thing to ensure a successful transplant. They plug all of that in and the program will calculate who would be the best match for it. Recipients locally get first dibs, then regionally (the country is broken up into about a dozen regions), then nationally.

I will say that things like the income level of the recipient and their merits/lifetime achievements are not part of that algorithm (at least according to that lecture). Whether or not someone agrees with that could certainly be argued.