Additionally, progress in transplant surgery has meant more organs can be transplanted and a greater range of conditions can now be treated by transplantation than previously.The increasing imbalance between demand and supply puts pressure on supply side practices, thereby leading to further ethical challenges.
Some cultures subscribe to the traditional definition of death as the irreversible cessation of cardiorespiratory functions.Alternatively, living persons can donate kidneys, liver segment(s), lung lobe(s), or a portion of intestine or pancreas.In very rare cases, a heart lung recipient can donate his or her healthy heart to someone who is waiting for a heart transplant.The reasons for the organ shortfall are multifactorial.First, the percentage of people in the western world who die in circumstances where they could be deceased organ donors is only 1.2–3 % of all deaths.Although national surveys and opinion polls demonstrate support for organ transplantation and a willingness to donate, this does not always translate to actual donation.Some countries have legislated “opt out” or presumed consent policies to increase donation rates, with some success (e.g., Belgium, France, and Spain).This research paper discusses some of these ethical challenges in light of the social, cultural, and spiritual issues that deceased and living organ donation raises in different contexts around the globe.Nowadays we tend to take for granted that organ donation can save and enhance lives.Presumed consent operates on the basis that all eligible persons are organ donors at the time of their death unless they have specifically indicated their explicit objection.“Opt in” systems, by contrast, are based on expressed voluntarism and require consent from the potential donor or their next of kin.
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