The Show was a Hoax, but the Organ Shortage Is Real!

It is disappointing that it takes the sensationalism of a hoax reality show to focus attention on a very real tragedy.

On Friday June 1st, as part of the Dutch “Big Donor Show,” it was revealed that the woman willing to donate a kidney to one of three lucky contestants in need of an organ was an actress. The whole show was a publicity stunt to motivate the Dutch government to reform its organ donation laws which currently only allow organ donation between family and friends.

In the U.S. organ donation is not just limited to family and friends, but the National Organ Transplant Act of 1984 forbids anyone from receiving “valuable consideration” for a human organ. This provision is interpreted as prohibiting the donor from receiving any compensation beyond the good feeling of having done an altruistic deed. Medical expenses directly related to the transplant and recovery are usually paid by the transplant unit or the recipient’s insurance, but any payment of expenses beyond these initial transplant related costs are legally questionable. Both state and federal lawmakers have introduced legislation to allow organ donors to recover other more distantly related costs such as lost wages, travel expenses and future medical expenses potentially related to the donation.

Given the very real tragedy of an average of seven people dying daily in the U.S. while waiting for an organ that never comes, why not allow “valuable consideration” in order to save lives? Maybe a reality show competition isn’t the most tasteful way to proceed, but giving someone life-long medical coverage, life-insurance, or whatever other arrangement competent adults are willing to make, seems a logical way to proceed.

The common argument that receiving “valuable consideration” for human organs must be prohibited because it offends human dignity is paternalism at its worst. Only the donors themselves are in a position to judge what is or is not an affront to their dignity. It is hard to imagine how saving a life, whether someone is compensated for doing so or not, could ever be an affront to human dignity.

Sigrid Fry-Revere interview on Fox News before show was revealed as a hoax:
http://www.cato.org/realaudio/fry-revere-on-fox-news-05-31-07.html

CBS News report that “Big Donor Show” was a hoax:
http://www.cbsnews.com/stories/2007/06/01/health/printable2876573.shtml