Danovitch Gabriel M
David Geffen School of Medicine at UCLA and Kidney Transplant Program, Ronald Reagan Medical Center at UCLA, Los Angeles, CA.
Clin J Am Soc Nephrol. 2025 Mar 1;20(3):458-461. doi: 10.2215/CJN.0000000633. Epub 2024 Nov 22.
Publications in both the lay and academic press suggest that the problem of long waiting lists for deceased donor kidney transplants could be solved if only the National Organ Transplant Act were changed to permit various forms of financial incentives to kidney donors. The history of the debate over payments to donors is discussed with particular emphasis on the national and international ramifications of such payments, the effect on normative altruistic donation, and the nature of the relationship between the doctor and the patient in the donor workup process. A way forward is proposed through the promotion of financial neutrality and expanded efforts to prevent CKD.
大众媒体和学术媒体的报道均表明，只要修改《国家器官移植法案》以允许对肾脏捐赠者提供各种形式的经济激励，已故捐赠者肾脏移植等待名单过长的问题就能得到解决。本文讨论了关于向捐赠者支付报酬的辩论历史，特别强调了此类支付的国内和国际影响、对规范性利他捐赠的影响，以及在捐赠者检查过程中医生与患者关系的性质。文中提出了一条前进的道路，即促进经济中立，并加大预防慢性肾脏病的力度。
