Canterbury University. new-Zealand: A University of Canterbury study suggests people should be paid for
donating organs to address New Zealand’s issue with one of the lowest
rates of organ donation in the developed world. While the donation rate has stagnated over the last decade the need
for transplant organs continues to increase with the majority of the
waitlist is made up of people in need of a donor kidney.
Postgraduate economics and finance student researcher Elizabeth
Prasad says kidney disease is a significant problem for the New Zealand
healthcare system, in large part due to the rapidly increasing incidence
of diabetes.
Her study, supervised by Professor Bob Reed, investigated the law and economics of New Zealand’s organ transplant regime.
“Patients suffering from kidney failure must either undergo a
transplant or have regular dialysis treatments for the rest of their
life. There are currently over 2500 New Zealanders receiving dialysis
but only 115 transplant operations were performed in 2013,” Prasad says.
“My research found that in addition to increasing patient life
expectancy and quality of life, kidney transplants are also a far more
cost-effective treatment than dialysis.
“After the initial cost of surgery, follow up care and medication for
transplant patients is much less costly than keeping the patient on
dialysis. Transplants are slightly more expensive in the long-run but
only because transplant patients live for so much longer than dialysis
patients.
“The equivalent of a year of good health provided by dialysis costs
five times as much as a year of good health provided by a transplant.
The shortage of organ donors is therefore both a health crisis and a
financial burden. I have researched the effectiveness of policies
introduced in other countries to increase organ donation.
“One promising option is a new law recently introduced in Israel
which gives priority to living donors, registered donors and families.
This new system has shown promising early results.
“But paying people for their organs should also be considered.
Prohibition on compensation for donors places an additional restriction
on the already limited supply of organs and unintentionally encourages
the operation of black markets.
“While payment for organ donors conjures up images of organ
trafficking, in a developed country like New Zealand paid organ donation
could be instituted safely and fairly. Relying on altruistic donation
has resulted in people dying unnecessarily on the waitlist.”
Prasad says donors are not adequately compensated for the time they
have to take off work while recovering from surgery. She starts working
with the Macquarie Bank in Sydney next month, after doing an internship
there last year.
Professor Reed says Prasad was one of 2109 business students at the
University of Canterbury last year, including 368 postgraduate students.