Equitable allocation of human organs: An examination of the new federal regulation

Journal of Legal Medicine

Volumn 20, Issue 3, 1999, Pages 405-424

  McMullen, Laura E ^a  

^a SOUTHERN ILLINOIS UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ECONOMICS; LAW; ORGAN DONOR; ORGAN TRANSPLANTATION; RESOURCE ALLOCATION; REVIEW; UNITED STATES;

EID: 0032883903     PISSN: 01947648     EISSN: 1521057X     Source Type: Journal    
DOI: 10.1080/01947649909511096     Document Type: Note

References (38)

1. UNOS. 1999. Critical Data, Apr. 21
2. HHS, HHS Rule Calls for Organ Allocation Based on Medical Criteria, Not Geography (last updated Apr. 6, 1999) http://www.hrsa.dhhs.gov/News-PA/organreg.htm (http://www.hrsa.dhhs.gov/News-PA/organreg.htm)
3. UNOS, Regions (visited Oct. 11, 1998) http://www.unos.org/About/who-regions.htm (http://www.unos.org/About/who-regions.htm)
4. 1999. Report on Local Patient Waiting Times for Organs Seems to Bolster HHS Charge Current System Unfair. Transplant News, Jan. 31
5. Information on the executive summary and six additional organ-specific volumes with tables on OPO-specific median waiting times is available at http://www.unos.org (http://www.unos.org)
6. UNOS, UNOS Public Comment Response to the OPTN Final Regulations (visited Oct. 11, 1998) http://www.unos.org/Newsroom/archive_regs_publiccomments.htm (http://www.unos.org/Newsroom/archive_regs_publiccomments.htm)
7. Friend and Stone. 1995. Mantle's Speedy Transplant Raises Ethical Points. USA Today, June 9:3C
8. Stein. 1994. Rethinking the National Organ Transplant Program:When Push Comes to Shove. J. Contemp. Health L. & Pol'y, 11:197206
9. Ubel and Caplan. 1998. Geographic Favoritism in Liver Transplantation:Unfortunate or Unfair?. New Eng. J. Med., 339:1322
10. UNOS, Background Regarding the OPTN and Liver Allocation Policy (visited Apr. 26, 1999) http://207.86.105.205/newsroom/archive-backgrounder.032598-background.htm (http://207.86.105.205/newsroom/archive-backgrounder.032598-background.htm)
11. Shelton. 1998. State Laws Favor Local Use of Organ Donations. Am. Med. News, June 15:32
12. 1998. Wisconsin:Lawmakers Approve Bill Defying Federal Organ Transplant Regulation. BNA's Health L. Rep., May 21
13. (available at http://www.laag.com/lawsuit.htm (http://www.laag.com/lawsuit.htm)
14. Asplund. 1998. Organ Allotment Regs Delayed by Judge. AHA News, Oct. 5:1
15. 1998. Organ Transplants:Federal Judge Denies HHS Appeal; Maintains Stay Blocking Rule Until Hearing. BNA's Health L. Rep., Oct. 22
16. University of Pittsburgh Asks to Intervene in Federal Court Case Concerning HHS Transplant Regulation (visited Oct. 11, 1998) http://www.upmc.edu/NewsBureau/upmcintervenes.htm (http://www.upmc.edu/NewsBureau/upmcintervenes.htm)
17. Congress Delays New Transplant Rules for One Year (visited Oct. 11, 1998) http://www.cnn.com/HEALTH/9810/16/congress.transplants.ap/ (http://www.cnn.com/HEALTH/9810/16/congress.transplants.ap/)
18. Report Shows Significant Waiting Time Disparities for Organ Transplant Recipients (visited Jan. 22, 1999) http://www.hhs.gov/news/press/1999pres/990122a.html (http://www.hhs.gov/news/press/1999pres/990122a.html)
19. Cong. Rec. No. 12,693 (1998); O[rgan] T[ransplant] S[ystem] C[hronology] (visited Apr. 30, 1999) http://www.upmc.edu/NewsBureau/chronology.htm (http://www.upmc.edu/NewsBureau/chronology.htm)
20. Id. at http://www.upmc.edu/NewsBureau/chronology.htmx (http://www.upmc.edu/NewsBureau/chronology.htmx)
21. Who We Are (visited Nov. 23, 1998) http://www.unos.org/About/whojnain.htm (http://www.unos.org/About/whojnain.htm)
22. Aiken, Boy's Plight Points to Organ-Distribution Flaws (visited Nov. 8, 1998) http://cnn.com/HEALTH/9802/28/transplant.regulation/index.html (http://cnn.com/HEALTH/9802/28/transplant.regulation/index.html)
23. 1998. Congress, Troubled, but Hesitant to Intervene in Transplant Fight. Health Legis. & Reo. Wkly., Apr. 22
24. Hensley. 1998. Need Not Location. Mod. Healthcare, Apr. 13:28
25. UNOS, Policy (visited Nov. 14, 1998) http://www.unos.org/About/policy.policies3–6.htm (http://www.unos.org/About/policy.policies3–6.htm)
26. 1998. Shalala Promises Transplant Centers Won't Close; Congress Seems Unconvinced. Health Legis. & Reg. Wkly., June 24
27. Schiavone, Judge Blocks Start of Controversial Organ Donor System (visited Oct. 2, 1998) http://www.cnn.com/Health/9810/01/organs.transplant/ (http://www.cnn.com/Health/9810/01/organs.transplant/)
28. Health System, University of Pittsburgh Refutes Arguments Made by UNOS in Reaction to Federal Transplant Regulations (visited Oct. 11, 1998) http://www.upmc.edu/NewsBureau/rebuttal.htrn (http://www.upmc.edu/NewsBureau/rebuttal.htrn)
29. Fung. 1998. Survival of the Sickest. Mod. Healthcare, Aug. 17:29
30. Gardner. 1998. Feds May Delay Organ Distribution Reg. Mod. Healthcare, July 6
31. 1996. HHS Hearings Investigate Transplant Policy. Health Legis. & Reg. Wkly., 22 Dec. 18
32. Stolberg. 1998. U.S. to Overhaul Donor-Organ Distribution Method. N.Y. Times, Feb. 27
33. (available at http://www.uiowa.edu/∼sfklaw/organall.htm> (http://www.uiowa.edu/∼sfklaw/organall.htm>)
34. 1996–1997 Chronology of Liver Allocation and Government Regulations Process (visited Oct. 11, 1998) http://www.upmc.edu/NewsBureau/chrono.htm (http://www.upmc.edu/NewsBureau/chrono.htm)
35. Transplant Programs Overview (visited Oct. 11, 1998) http://www.upmc.edu/NewsBureau/gentxbg.htm (http://www.upmc.edu/NewsBureau/gentxbg.htm)
36. Transplants by State and Transplant Center (visited Oct. 31, 1998) http://www.unos.org/Data/anrpt97/ar97_table82_02_li.htm (http://www.unos.org/Data/anrpt97/ar97_table82_02_li.htm)
37. See UNOS, supra note 3; Census (visited Nov. 6, 1998) http://www.census.gov (http://www.census.gov)
38. Third-year law student, Southern Illinois University School of Law. The author gratefully acknowledges Professor Basanta for his help and insight. The author also thanks her parents for their support. Address correspondence to Ms. McMullen at Southern Illinois University School of Law, Lesar Law Building, Carbondale, Illinois 62901.