Sunday, October 30, 2011

Kidney Donor Rules: Moving down the list

Currently, donor kidneys are allocated based on a formula that takes into account four factors: 1) degree of match, with a perfect match giving the patient absolute priority to the kidney, 2) length of time on the waiting list, 3) priority to children, and 4) priority to those who themselves donated a kidney during their lifetime. This formula is under review because it is perceived to have numerous weaknesses. You are on the committee reviewing the rules (called the OPTN/UNOS Kidney Transplantation Committee). What are some possible factors that you might add to the distribution formula? For instance, would you add any of the following to move people down the list?:

• Alcoholism
• Obesity
• Dangerous activity
• Crime

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