sexta-feira, 16 de maio de 2008

Qual a cotação do rim em Karachi ? e, em Manila?

A bolsa de órgãos de Karachi ou de Manila irão regular o mercado de órgãos e haverá também o mercado futuro. O sarcasmo é a única resposta aos fatos relatos nesse post do WSJ.
Cash, Not Goodwill, Can Solve Organ Shortage. Posted by Scott Hensley Gavin Carney, an Australian nephrologist, has a solution for the perennial shortage of kidneys for transplant: let people sell theirs for $50,000. “We’ve tried everything to drum up support” for organ donation, Carney told the Sydney Morning Herald, but “people just don’t seem willing to give their organs away for free.” Plus, let’s be realistic, the advocates of the new approach argue. There already is a market for organs; it just happens to be a shady one. Some Australians, unable to get kidneys at home, travel to Pakistan and India to buy organs on the black market. Forget about ethics or even good clinical practices in that sort of transaction. Sally Satel, an American psychiatrist and the recipient of a kidney from a friend, thinks Carney’s on the right track, she writes on the opinion pages of the WSJ. She points to World Health Organization estimates that 5% to 10% of transplants performed each year occur in “clinical netherworlds” in China, Colombia, Egypt Pakistan and the Philippines. “The way to stop illicit transactions – and the depredations of underground markets – is to sanction legal exchanges,” she argues. There are worries, of course, that monetary incentives for organs in Australia or America would simply shift exploitation of the desperately poor onshore from less developed countries. To minimize that risk, Satel and Carney suggest careful screening of donors and longer-term rewards rather than lump sums for donations. Those might include a down payment on a house, money for a retirement fund, or even lifetime health insurance. How much money would it take? A couple of years ago, economists Gary Becker and Julio Elias of put the “going price” at about $15,000 for kidneys and about $35,000 for livers, though they acknowledged the data for those figures were limited. Even if those guesstimates were too low, payment for organs wouldn’t dramatically affect the total cost of transplants, which run about $100,0000 for kidneys and $175,000 for livers.

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