The British Medical Association: 'Patients Should Be Kept Alive Solely For Organ Donation'

Organ Donor Shake Up Bma

The Huffington Post UK   First Posted: 13/02/2012 17:11 Updated: 13/02/2012 17:11

Brain-dead patients should be kept alive on artificial ventilators so they can become organ donors posthumously, a controversial new report has claimed.

The British Medical Association (BMA) claims that restarting the hearts of people who have recently died should be considered to help the chronic shortage of donors.

The new report, Building on Progress: Where Next For Organ Donation Policy In The UK? is appealing for more to be done to increase the number of organ donors.

The medical association will consider more "difficult concepts" and further avenues for improvement if the numbers continue to dip.

These radical concepts include using organs from higher-risk patients, such as elderly people, as well as reviewing the guidelines for using the hearts of babies aged under three months who have no chance of survival.

In the damning report, the BMA states that even if the donor numbers increase by 50% in 2013, a target set by the Organ Donation Taskforce in 2008, people will still be dying unnecessarily while waiting for an organ transplant.

Although the new proposed measures have met ethical criticism, the BMA adds that discussions of such a proposal would be done "cautiously" and will only result after a "public debate".

"We are at a crossroads in terms of public policy," Dr Tony Calland, the chairman of the BMA, said in a statement.

"As a society we need to decide whether we should accept that we have done all we can or whether we should move forward, cautiously, and look at other options for increasing the number of donors.

"These are complex issues that throw up many ethical challenges. It is important that society discusses them openly in a reassuring way. The aim here is to save lives while at the same time, protecting individual rights and autonomy."

Dr. Calland added that although the current donor system is set up for people to 'opt-in', the BMA is in favour of changing it to 'opt-out' - where a patient is presumed to give consent for their organs unless they have expressly said otherwise.

"While our report explores a number of options, the BMA continues to believe that an opt-out system with safeguards is the best way forward in the UK."

Other donor strategies include offering to pay for funeral costs to those who sign a dead loved-one onto the Organ Donor Register.

There are currently over 7,600 people waiting for organ transplants in the UK, with 6,430 being kidney transplants alone.

Sadly, a further 2,783 have to be suspended from the transplant list due to becoming to ill and 511 people died while waiting for their transplant. The average waiting time for a transplant is approximately 1153 days for an adult, and 307 days for children.

According to statistics from NHS Organ Donation, although there has been a 5% increase in deceased donors, donor characteristics are changing, with donors being generally older, more obese, less likely to have suffered a trauma-related death. This has adverse effects on transplant outcomes.

Organ donation was recently highlighted in the documentary Katie: The Science of Seeing Again, where acid attack victim Katie Piper spoke of her admiration for organ and tissue donors after receiving embryotic tissue stem cells to rebuild the cornea in her partially blinded eye.

If you want to 'opt-in' for organ donation, visit the NHS Organ Donation or call 0300 123 23 23 to register your details.

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Brain-dead patients should be kept alive on artificial ventilators so they can become organ donors posthumously, a controversial new report has claimed. The British Medical Association (BMA) claim...
Brain-dead patients should be kept alive on artificial ventilators so they can become organ donors posthumously, a controversial new report has claimed. The British Medical Association (BMA) claim...
 
 
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HUFFPOST SUPER USER
onionboy
Blessed are the Cheese Makers
06:26 PM on 02/14/2012
I can't believe US conservatives aren't jumping on this. I keep hearing from them (as it relates to abortion) that human life (in this case, saving a life with an organ) is the most important thing of all, far more important than any human rights or Constitutional rights (or UK equivalent).

I guess it's not as important an issue when it might affect everyone.
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02:07 PM on 02/14/2012
Pay people for their organs.
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04:01 PM on 02/14/2012
horseguards
How about a tax break for people who carry an organ donar card?
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01:01 AM on 02/15/2012
Jmmcmkn,

This would only benefit those paying tax. I suspect non-taxpayers, low earners, the unemployed and oap's would prefer a lump sum.
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waldopepper
I'd tell you all about me if you were my friend.
01:40 PM on 02/14/2012
Of course. Lives can be saved.
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HUFFPOST SUPER USER
Daviejohn
All the world's a stage,
12:00 PM on 02/14/2012
Frankenstein lives, (More than they want us to obviously) keep me alive while they scoop out what they require of my organs. Sorry guys,they are my bits, and I have the last say whether they are usable or not, not you. Wasn't there a film called Coma or something like that with Michael Douglas that dealt with this issue in the 70's?
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01:57 PM on 02/14/2012
It seems disrespectful to organ transplant survivors to suggest there is something of "Frankenstein" about them due to the process which saved their lives. As for ownership rights of anything (be they body parts, personal belongings or property), I believe they are legally forfeited in this scenario because brain death = legal death.

Personally, I'm not in favour of this solution to the organ donor shortage, but an opt-out donor scheme seems fair to me. At least it compels people to make a choice instead of ignoring the issue. Inaction through ignorance is the main reason we're in this mess.
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straightuptalker
What ever happened to common sense?
11:22 AM on 02/14/2012
Frankenstein's laboratory is alive and well. The classic horror tale is coming back to haunt us, like it or not. To be kept alive indefinitely to preserve one's donatable organs sounds like a nightmare to me. So, when do we get to lay our loved ones to rest after they're pronounced clinically dead, but will remain on life support until their organs are needed? Will they be kept in some warehouse, hospital basement, military complex or some new-fangled facility especially constructed for that purpose? I can just see someone pulling the plug too early on a patient for the purpose of harvesting the organs. Dr. Frankenstein's Monsters will rise again...talk about medical mal-practice!
10:03 AM on 02/14/2012
So, they want to "harvest" my organs i.e. keep me alive and then butcher me on demand. If this is where we're going, I'll be opting out of organ donation. This approach is going to have the reverse effect on those who would otherwise have volunteered their organs at death.
08:47 AM on 02/14/2012
Dying unnecessarily while waiting for an organ transplant must be frustrating and awful, indeed. But what would be worse, far worse, would be if doctors and nurses let you die unnecessarily, even killed you, because people are wanting and waiting for your organs!

A Canadian book called "Medical Nightmares" had an interesting case or two about this; also I believe there is a medical movement in Britain to provide painkillers to those whose organs are being "harvested" for transplantation. This suggests strongly the "brain-dead" definition of death is sketchy at best. If a human being is still feeling pain, are they dead?

At the very least, let each individual decide if s/he wishes to be an organ donor. And why is this big personal decision taken so lightly? When I turned sixteen and was giddy with teenage excitement at getting my driver's license, the person behind the counter at the driver's license office gave me about two seconds to tick a box "Yes or No" to becoming an organ donor. That was it. There was no attempt to provide any information whatsoever about the issue. There should be. They were asking for totally uninformed consent.
08:45 AM on 02/14/2012
They should be kept alive for themselves, as many are misdiagnosed braindead when they are not. My true nightmare would be being unable to communicate and move, and then being diagnosed as 'braindead' - and then to hear the underdiagnosing/misdiagnosing doctors speculate about the use of my organs.. whilst being 'taken care' of by the often not so caring nurses (i.e. being starved, dehydrated, soiled..)
05:14 PM on 02/14/2012
Well said, godmother8! That's what I was trying to say, too. I have read about cases like you describe, where people 'wake up' in hospital rooms where they have heard people speaking of them as if they were 'dead already.' True horror. And trying to put a positive spin on this by using organs from one person to (possibly) save another is the ultimate, unforgivable case of "robbing Peter to pay Paul."
08:14 AM on 02/14/2012
The last time they pulled this stunt they told parents and next of kin that there was no hope but they could make the decision to donate bodyparts to other patients ,as it turned out they wanted the bed back as coma patients and the like take up bed space and hospitals could not meet their quotas to get a bigger budget ,some people were told their loved ones were beyond hope only to find they recovered ,thenn they started to bring inDNR= do not resusitate ,when people found out about that one they then put it into a code .

considering that the NHS were selling baby and patient organs on a huge scale i think people should be careful on this subject .did anyone get prosicuted for selling the organs ,no of course they did not , can you give blood if you had an opperatin in the 80/90s no ,because the nhs was buying unscreened blood from american prisons and then infecting british patients ,one hospital did a lung transplant using the lungs from a patient who had been a smoker for 40 years needless to say the recipient died !
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05:26 AM on 02/14/2012
Gruesome.
02:56 AM on 02/14/2012
NO WAY !!! UNLESS THEY HAVE A SIGNED DONOR CARD ON THEIR PERSON !!! how would ANYONE feel knowing full well that your mum,dad,brother,sister,or for that matter ANY of YOUR relatives were just being kept alive basicaly as a living parts machine!! its ALL DOWN to the individual,if they agree & have a signed donor card on their person at the time of addmittance then die in hospital thats fine but as for ANYTHING else NO BLXXDY WAY !!!!!!!
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HUFFPOST SUPER USER
wakyracir
My spaniel is watching you
01:33 AM on 02/14/2012
The prisons are full of rapists, murderers, terrorists, drug dealers and paedophiliacs with perfectly good organs.
01:10 AM on 02/14/2012
I don't think that patients who are brain dead should be kept alive just so that there organs can be harvested, it's just wrong on every level.
12:32 AM on 02/14/2012
How about presumed consent. Most people dont care enough about this kind of stuff when they are alive and anyone who really cares could have their name taken off the list and opt out. That would mean we would have a glut of organs available instead of killing people because nobody thought to tick a box because the whole idea is a bit creepy.
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01:59 PM on 02/14/2012
Agreed. I made a similar point above.
10:14 PM on 02/13/2012
NO! I can see no reason to donate organs to people who are already brain dead.
12:03 AM on 02/14/2012
....and there's plenty of them commenting on HuffPost