Modifying NOTA - Our Top Priorities are Ethics and Safety

Protecting Intrinsic Value

Skeptics Claim: Offering financial incentives for organ donation raises ethical questions. Critics argue that it commodifies the human body and creates a system where organs become a commodity to be bought and sold. This undermines the principle of altruism in organ donation and may exploit vulnerable individuals who may feel compelled to sell their organs for financial gain.

How we mitigate this concern:

  • Strict Eligibility Criteria, such as age requirements, medical disqualifiers, informed consent safeguards against coercion, and financial disqualifiers

  • Donor Protections such as prioritization of kidneys, reimbursement for lost wages, legal support, transportation assistance, legal protection, and life insurance coverage

  • Fair Compensation over a stable number of set years to protect and empower individuals to make the best decisions for themselves, with oversight

  • Stringent Safety Regulations: enhanced medical screening and evaluation alongside standardized national evaluation protocols

"In my professional experience, this proposal blends rigorous safety and ethical considerations, making compensated kidney donation a viable, safe, and respectful option for addressing the organ shortage."

- Matt Harmody, MD
Emergency Room Physician
Non-Directed Kidney Donor


Strict Eligibility Criteria

To safeguard against exploitation, we propose to implement stringent eligibility requirements. These criteria will include age restrictions, comprehensive medical evaluations to disqualify any individuals with health risks, and financial checks to ensure that potential donors are not motivated purely by financial hardship. The process will also necessitate informed consent, ensuring that every donor understands the implications and risks associated with organ donation.

  • Age restrictions: Set a minimum and maximum age limit for donors to ensure both maturity for informed consent and physiological suitability for organ donation.

  • Comprehensive medical evaluations: Rigorous health checks to confirm donors are physically capable of withstanding the procedure and ensuring the safety of donated organs.

  • Financial checks: Analyze the potential donor's financial background to protect those who might be economically coerced into donating.

  •  Informed consent: Implement a thorough and understandable consent process that covers all possible outcomes, risks, and post-donation scenarios.

Donor Protections

We advocate for comprehensive protection measures for donors, prioritizing kidney donations above other organs due to lower associated health risks. These protections include reimbursements for lost wages during recovery, legal support in case of any legal complications arising from the donation, transportation assistance to and from medical appointments, and life insurance coverage to ensure the donor's safety.

  • Prioritize kidney donations: Due to the ability of a donor to live a healthy life with one kidney, we prioritize kidney donations to minimize donor risk.

  • Reimbursements for lost wages: Ensure donors are not financially burdened by the donation process, providing compensation for any work missed due to recovery.

  • Legal support: Secure legal resources for donors to navigate any complications or disputes that may arise from the donation process.

  • Transportation assistance: Cover transportation costs associated with medical appointments related to the donation.

  • Life insurance coverage: Provide a life insurance policy to donors, emphasizing their safety and our commitment to their well-being.

Fair Compensation

Recognizing the substantial personal contribution that organ donors make, our plan proposes a fair and balanced compensation scheme. This compensation will be distributed over a set number of years to provide sustained support to the donor, and the process will be overseen by an independent regulatory body to prevent any misuse or manipulation.

  • Compensation distributed over a set number of years: Rather than a lump sum payment, compensation would be distributed over time to avoid potential financial mismanagement and to provide a stable income supplement.

  • Oversight by an independent regulatory body: Establish an independent body to oversee compensation, ensuring that donors are fairly compensated and that the process is transparent and free of corruption.

Stringent Safety Regulations

To further ensure the well-being of the donor, we propose enhanced medical screening and evaluation procedures. This involves creating a standardized national evaluation protocol, which will guarantee that every potential donor undergoes the same rigorous health assessment, minimizing the risk of complications and ensuring that only healthy individuals can donate. This also assures that the donated kidneys are safe and suitable for transplantation.

  • Enhanced medical screening: Utilize robust medical screening processes to ensure the highest level of donor safety.

  • Standardized national evaluation protocols: Implement standardized, nationally-recognized evaluation protocols to ensure consistency in donor selection and treatment.

Top Priorities: Ethics and Safety