Rodrigue J R, Crist K, Roberts J P, Freeman R B, Merion R M, Reed A I
The Transplant Center and Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Am J Transplant. 2009 Sep;9(9):2172-6. doi: 10.1111/j.1600-6143.2009.02741.x. Epub 2009 Jul 16.
Federal legislation has been proposed to modify the National Organ Transplant Act in a way that would permit government-regulated strategies, including financial incentives, to be implemented and evaluated. The Council and Ethics Committee of the American Society of Transplant Surgeons conducted a brief web-based survey of its members' (n = 449, 41.6% response rate) views on acceptable or unacceptable strategies to increase organ donation. The majority of the membership supports reimbursement for funeral expenses, an income tax credit on the final return of a deceased donor and an income tax credit for registering as an organ donor as strategies for increasing deceased donation. Payment for lost wages, guaranteed health insurance and an income tax credit are strategies most strongly supported by the membership to increase living donation. For both deceased and living donation, the membership is mostly opposed to cash payments to donors, their estates or to next-of-kin. There is strong support for a government-regulated trial to evaluate the potential benefits and harms of financial incentives for both deceased and living donation. Overall, there is strong support within the ASTS membership for changes to NOTA that would permit the implementation and careful evaluation of indirect, government-regulated strategies to increase organ donation.
联邦立法已被提议以一种允许实施和评估包括经济激励在内的政府监管策略的方式修改《国家器官移植法》。美国移植外科医生协会理事会和伦理委员会对其成员（n = 449，回复率41.6%）就增加器官捐赠的可接受或不可接受策略的观点进行了一次简短的网络调查。大多数成员支持将丧葬费报销、对已故捐赠者最终申报的所得税抵免以及对登记为器官捐赠者的所得税抵免作为增加已故捐赠的策略。支付误工工资、保证医疗保险以及所得税抵免是成员们最强烈支持的增加活体捐赠的策略。对于已故捐赠和活体捐赠，成员们大多反对向捐赠者、其遗产或近亲支付现金。强烈支持进行一项政府监管的试验，以评估对已故捐赠和活体捐赠给予经济激励的潜在益处和危害。总体而言，美国移植外科医生协会成员强烈支持对《国家器官移植法》进行修改，以允许实施和仔细评估间接的、政府监管的增加器官捐赠的策略。
