Anonymous ID: ce93ce May 3, 2018, 5:32 a.m. No.1284735   ๐Ÿ—„๏ธ.is ๐Ÿ”—kun   >>4896

ORGANS BEYOND BORDERS: AN INTRODUCTION TO TWO POLICY QUESTIONS

 

A. Should Non-Resident Non-Citizen of the U.S. Be Eligible for U.S. Organs?

 

Although not widely publicized, the U.S. organ distribution system allows non-U.S. citizens to be considered for receiving an organ procured in the United States from a U.S. organ donor. In a 2012 publication aimed at the general public, the United Network for Organ Sharing (UNOS) writes that

 

[p]atients can travel from other countries to the U.S. to receive transplants. Once a transplant center lists them, non-resident aliens are considered based on the same factors as U.S.

 

citizens. Non-resident aliens comprise roughly 0.8% of the U.S. waiting list. They also comprise 0.4% of deceased donors and 1.8% of living donors in the U.S.5

 

Writing for the Hastings Center in 2008, Arthur Caplan writes that โ€œ[t]hough American transplant centers can list foreigners, they can make up no more than 5% of any centerโ€™s list. Most

 

of non-U.S. citizens listed have substantial financial resources and pay in cash.โ€6 In fact, this slightly misstates the relevant guidance, which indicates only that a center for which

 

foreigners comprise more than five percent of its list is subject to an audit.7 In June 2012, noting confusion about the old five-percent rule, the Organ Procurement and Transplantation

 

Network (OPTN), a part of the U.S. Department of Health and Human Services, and the UNOS moved to a newer policy that does away with the five-percent threshold but instead

 

collects data on non-citizen/non-residents transplants and will report the numbers as part of its annual reporting.