Championing self-interest to overcome disinterest-lessons from the israeli organ allocation system.

摘要

Organ donor rates vary across countries (1) but the supply rarely meets demand for organs. Many factors are cited to explain lack of adequate organ donor numbers despite considerable investment of time, resources and publicity. These factors can be attributed to objections concerning recovery of organs based upon religious, socio-cultural and/or environmental constraints. This list is not exhaustive and most likely there is a multifactorial basis to donor refusal. Paradoxically the same objections rarely materialize for those same individuals when circumstances demand the receipt of a life saving or life enhancing organ transplant. The hypocrisy of this situation can be attributed to the elephant in the room regarding organ donation-public apathy and disinterest.