Spurr S J
Wayne State University.
J Health Polit Policy Law. 1993 Spring;18(1):189-202. doi: 10.1215/03616878-18-1-189.
During the last decade there have been enormous advances in the transplantation of vital human organs--in particular, the kidney, lung, heart, liver, pancreas, and small intestine. Unfortunately, efforts to provide the benefits of these operations to patients have been severely hindered by limitations in the supply of organs--limitations that are a consequence of regulation prohibiting the use of market incentives to increase the supply. Markets for organs could take various forms: sales by living donors; sales of future interests in organs, to be removed on the death of the donor; and sales of organs of a recently deceased person by the family of the deceased. Two additional issues relate to the design of a market: the geographic scope of the market and rules of liability for the sale of diseased or defective organs.
在过去十年中,人体重要器官移植取得了巨大进展,尤其是肾脏、肺、心脏、肝脏、胰腺和小肠移植。不幸的是,由于器官供应受限,向患者提供这些手术益处的努力受到了严重阻碍。这些限制是由于监管规定禁止使用市场激励措施来增加供应所致。器官市场可以有多种形式:活体捐赠者出售器官;出售器官的未来权益,待捐赠者去世后取出;以及死者家属出售刚去世者的器官。另外两个问题与市场设计有关:市场的地理范围以及出售患病或有缺陷器官的责任规则。