Editorial: Transplant organs need a fairer distribution in U.S.

By The Herald Editorial Board

The organ transplant disparity was always there, but the late Steve Jobs’ case brought it fully into the light.

This month, the nation’s largest transplant network implemented steps to ensure fairness for those seeking a transplant regardless of where they live. The problem has always been that some areas of the country have fewer available organs and a higher demand for them than others, the Associated Press reported. Highly populous places, such as California and New York are among the toughest places to get a new liver, AP reported, compared to South Carolina or Washington state.

In Jobs’ case, the Apple CEO in 2009 was able to list himself in California, and also Tennessee, which at the time had one of the country’s shortest waiting list, and where he eventually received his liver transplant. Getting on several waiting lists is legal, but it’s a move obviously available only to those who can afford do so, and who are aware it can be done.

Earlier this month, the United Network for Organ Sharing proposed redrawing the map that governs how donated livers are distributed so patients wouldn’t need to leave home for better odds, according to the AP.

ADVERTISEMENT
0 seconds of 0 secondsVolume 0%
Press shift question mark to access a list of keyboard shortcuts
00:00
00:00
00:00
 

“We want to make sure we give everyone a fair opportunity to get a liver transplant,” said Dr. Ryutaro Hirose, chairman of the liver transplant committee at UNOS, which runs the nation’s transplant system. “It’s pretty much long overdue.”

Livers are offered to sickest patients first, as determined by a ranking, but the nation’s 11 transplant regions are subdivided into local areas with individual waiting lists, and there are wide variations in organ availability both within and among regions. The revised plan calls for dividing the nation into eight districts, which would allow wider sharing and shift the boundaries to better mix areas where more potential donors live with areas that have longer waiting lists. The goal is to have patients with similar illness rankings at the time of transplant, regardless of where they live, to get organs to those with the greatest immediate need.

Currently, more than 14,600 people are on the waiting list for a new liver. Just over 7,100 received one last year — all but a few hundred from deceased donors — and more than 1,400 people died waiting, the AP reported.

“The distribution of organs is not a right, it’s a gift. We want to try to allocate that gift in the most fair way possible, the way that does the greatest good,” said Dr. Abhinav Humar of the University of Pittsburgh Medical Center, in response to the proposed change.

Some good news also accompanies this needed change in organ distribution (not just livers) — organ transplants in 2015 exceeded 30,000 for the first time annually, a 4.9 percent increase over 2014, and continuing a three-year trend, according to the Organ Procurement and Transplantation Network. An average of 22 people die daily while waiting for transplants. Almost 60 percent of transplanted organs in the United States are kidneys, and the vast majority of people on waiting lists need that organ.

Approximately 81 percent of the transplants (24,982) involved organs from deceased donors, who can donate multiple organs. Nineteen percent (5,986) were made possible by living donors. This last number is important — especially with the demand for livers. Because a piece of a liver can regrow, patients can avoid the transplant wait if they’re able to find a living donor.

More organ donors are always needed, and social media sites like Facebook have made it easier for people to make their wishes known. People must, however, sign up through their state to be legal organ donors. According to the White House, while 95 percent of the public supports organ donation, only 50 percent are registered as donors, the Washington Post reported. In June, the White House joined a group of universities, companies and nonprofits that announced new steps to reduce the wait time for an organ transplant, including a $160 million Pentagon program to develop ways to repair and replace cells and tissue.

All these efforts are good starts. Sign up today to be an organ donor and be part of the solution.

Talk to us

> Give us your news tips.

> Send us a letter to the editor.

> More Herald contact information.

More in Opinion

toon
Editorial cartoons for Saturday, June 14

A sketchy look at the news of the day.… Continue reading

AP government students at Henry M. Jackson High School visited the state Capitol this spring and watched as a resolution they helped draft was adopted in the Senate as part of the Building Bridges Future Leaders Academy. (Josh Estes / Building Bridges)
Comment: Future leaders learn engineering of building bridges

Here’s what Jackson High government students learned with the help of local officials and lawmakers.

Comment: Early cancer diagnosis can be key in saving lives

An act in Congress would allow Medicare coverage for early-detection tests for a range of cancers.

Comment: In wildfire crisis, options for forests, communities

By thinning threatened forests, mass timber can use that material for homes, businesses and more.

Forum: Everett’s land-use plan should keep affordable housing tool

Its comprehensive plan should keep inclusionary zoning, setting aside housing for working families.

Forum: Advice to young adults, focus on your best ‘person’

Past generations focused on the character aspects of gender roles, but something more basic is necessary.

toon
Editorial cartoons for Friday, June 13

A sketchy look at the news of the day.… Continue reading

In a gathering similar to many others across the nation on Presidents Day, hundreds lined Broadway with their signs and chants to protest the Trump administration Monday evening in Everett. (Aaron Kennedy / Daily Herald)
Editorial: Let’s remember the ‘peaceably’ part of First Amendment

Most of us understand the responsibilities of free speech; here’s how we remind President Trump.

The Buzz: ‘Your majesty, the peasants are revolting!’

Well, that’s a little harsh, but we’re sure the ‘No Kings’ protesters clean up well after their marches.

Schwab: Why keep up nonviolent protests? Because they work

Our greatest democratic victories came on the heels of massive, nationwide demonstrations.

Bouie: Trump’s weaknesses show through theater of strength

His inability to calmly confront opposition and respond with force betrays brittleness and insecurity.

Add your voice to protect freedoms at No Kings Day protests

Imagine it’s 2045. Nationwide, women have been fully stripped of rights to… Continue reading

Support local journalism

If you value local news, make a gift now to support the trusted journalism you get in The Daily Herald. Donations processed in this system are not tax deductible.