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View Diary: In America - Dying Teen Denied Being on the Donor list due to Non-Compliance (124 comments)

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  •  Tool - was it an insurance company? (9+ / 0-)

    or a transplant board at the hospital? From what's available this doesn't seem like an insurance company decision. Insurance companies don't allocate organs for transplantation.

    The update provides useful additional context. Anthony was going to move to the front of the line because his case was urgent, but he needed to be extra vigilant in the pre-op regimine. They hold adults to the same standard. Anyone who isn't a model patient does not receive a new organ. Unfortunately thousands of people will die this year waiting for a new heart because the rules surrounding donating organs (not allocating) are profoundly stupid.

    "let's talk about that"

    by VClib on Mon Aug 12, 2013 at 07:49:16 PM PDT

    [ Parent ]

    •  The most important thing with transplant organs (7+ / 0-)

      is not to waste them.

      There are not enough transplant hearts.  If Anthony Stokes gets a heart some other person will die without one.

      That is the cold logic at the heart of organ allocation.

      Stokes was noted by the hospital to have regularly missed or delayed pre-care medications, refusing to take pills or otherwise not following the schedule. Because he cannot follow the schedule before the transplant, the hospital ruled that he is too much of a risk to give a donor heart. He cannot be trusted, based on past behavior, to responsibly take his medicine and care for the heart.
      And there you go.

      It really does not matter why Stokes acted the way he did.  What matters is that he did act this way and there is no reason to believe he would act differently after a transplant.  That means that there is a good chance that he would reject the heart or have other problems and die anyway.

      Given that, it would be tantamount to murder to give him the heart instead of a recipient who would be more likely to take his pills, etc.

      That's not discrimination based on age or race but on who is likely to survive when some must die.

      Regardless of Anthony’s specific past, his story fits into a larger pattern of racially-motivated skepticism about young black men.
      Since a donor organ is more likely to be a good match to a recipient who is genetically closer, any heart that Stokes would have gotten is quite likely to go to another black recipient.

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