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04845aam a2200481 i 4500 001 65DC03F87E8611E8BC70ED0E97128E48 003 SILO 005 20180703010031 008 170526s2018 dcu b 001 0 eng c 010 $a 2017025225 020 $a 1626165432 020 $a 9781626165434 020 $a 1626165440 020 $a 9781626165441 035 $a (OCoLC)988580805 040 $a DGU/DLC $b eng $e rda $c DGU $d DLC $d OCLCO $d OCLCF $d YDX $d BDX $d YDX $d UBC $d OCLCQ $d OCLCO $d COO $d SILO 042 $a pcc 043 $a n-us--- 050 00 $a RD129.5 $b .F58 2018 060 4 $a WO 660 082 00 $a 362.17/830973 $2 23 100 1 $a Flescher, Andrew Michael, $d 1969- $e author. 245 14 $a The organ shortage crisis in America : $b incentives, civic duty, and closing the gap / $c Andrew Michael Flescher. 264 1 $a Washington, DC : $b Georgetown University Press, $c [2018] 300 $a ix, 177 pages ; $c 24 cm 504 $a Includes bibliographical references and index. 505 0 $a Introduction : the organ shortage crisis in America -- Motivations for giving and especially precious goods -- Duty -- A word about the audience and purpose of this book -- Organization -- The case for legalizing the sale of organs -- Markets as a solution, if not a virtue -- Costs and equity -- "The tyranny of the gift" -- Financial incentives, libertarianism, and the black market -- Iran -- A legal, regulated market for organ trade -- Ethical concerns with legalizing the sale of organs -- The utility of utility -- Selling organs and society's impoverished -- Selling organs and public safety -- Commodification -- Moving from ethical to pragmatic considerations -- Organ donation, financial motivation, and civic duty -- Paying it forward -- Wolfenschiessen, Switzerland -- How buying a good changes a good -- The difference between lump sum incentives and compensatory measures -- Duty -- Living donors and the confluence of altruism and self-regard -- The complexity of human motivation and the myth of "unmotivated altruism" -- Living donors and living donor advocacy -- Health benefits for living donation -- Reflections of a living donor advocate -- Making altruism practical -- Reducing disincentives and opening doors to virtue -- Paired exchanges and donor chains -- Incentivizing opting-in -- Programs to compensate lost wages and travel expenses -- Walls of heroes and other means of publicly acknowledging living donors -- Non-monetary valuable, comparable goods -- Helping virtue along -- Conclusion : two to four hours of your life. 520 $a Nearly 120,000 people are in need of healthy organs in the United States. Every ten minutes a new name is added to this list, while each day eight people die waiting for an organ to become available. Worse, the gap between those in need of an organ and the number of available donors is growing: our traditional reliance on cadaveric organ donation is insufficient, and in recent years there has been a decline in the number of living donors as well as in the percentage of living donors relative to overall kidney donors. Some transplant surgeons and policy advocates suggest a market solution and legalizing the sale of organs, Andrew Michael Flescher objects to this approach, citing concerns about social justice, commodification, and patient safety. Given that, what is the most efficacious means of attracting prospective living kidney donors? Flescher, drawing on scores of interviews with donors and patients, suggests that inculcating a sense of altruism and civic duty is a more effective means of increasing donor participation than purely financial incentives. He encourages individuals to spend time with patients on dialysis, advocating donor "chains" in order to facilitate relationships between donors and recipients, and creating sacred spaces in hospitals such as a "wall of heroes" to recognize those who sacrifice their body parts for others. 650 0 $a Donation of organs, tissues, etc $z United States. 650 0 $a Donation of organs, tissues, etc $x Moral and ethical aspects. 650 7 $a Donation of organs, tissues, etc. $2 fast $0 (OCoLC)fst00896814 650 7 $a Donation of organs, tissues, etc $x Moral and ethical aspects. $2 fast $0 (OCoLC)fst00896819 650 2 $a Tissue and Organ Procurement. 651 7 $a United States $2 fast $0 (OCoLC)fst01204155 651 2 $a United States 776 08 $i Online version: $a Flescher, Andrew Michael, 1969- $t Organ shortage crisis in America. $d Washington, DC : Georgetown University Press, 2018 $z 9781626165441 $w (DLC) 2017026296 941 $a 4 952 $l P1AX906 $d 20230620011941.0 952 $l CEAX572 $d 20200508022647.0 952 $l UQAX771 $d 20190129010751.0 952 $l GAAX314 $d 20180703010110.0 956 $a http://locator.silo.lib.ia.us/search.cgi?index_0=id&term_0=65DC03F87E8611E8BC70ED0E97128E48 994 $a Z0 $b HL6Initiate Another SILO Locator Search