Due to high demand, the legislative bodies including both the state as well as the federal government has put in place to guide the procurement and distribution of harvested organs in every state. These detail requirements for storage, record keeping, processing, and distribution. The Safety of Human Cells, States legislative bodies out its mandate through the Biologics and Genetics Therapies Directorate. Their mandate covers donor testing, screening and suitability assessment(Tambur et al., 2015).
The bodies also test, measures, labels and preserve donation materials for the recipient. In my home state California, the process takes place within the legislative framework that has been set by federal as well as California state government. In most cases, the Federal government ensures safety of both cells, tissues, and organs intended for procurement and transplantation while the state government ensures their respective healthcare system operates within the set national standards (Burkhardt et al., 2018
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Legislation is not a barrier
America's law requires express consent. This means that the donor must give his consent in writing before his organs can be harvested or placed in a recipient. While over 65% of America residents believe that donating an organ is the right thing to do, only about 30% of the population carry a signed organ donor card. This requirement leaves out many willing donors whose organs are viable for harvesting in an emergency situation. A section of health care professionals encourage legislative changes that would require mandatory donation on death (Nursing: scope and standards of practice (2nd ed.), 2010).
Critics of organ transplant and donation argue that this would be a violation of the American Charter of Human Rights and Freedoms. They support the use of the donor card. They also advise on the establishment of a frequently updated donor registry. This could be availed to every hospital, and it could be used as a cross reference for people with or without the donor card. The registry is supposed to safeguard the remains of those against donation based on ethical and religious issues. They believe that legislation is not a barrier to organ harvesting (Chatterjee et al., 2015).
Express consent as is detailed by the American legislation is not a barrier to organ harvesting. It safeguards a person's right to do as they please with their body. A change in this law would lead to an increase in the number of crimes committed to finding people whose organs could be used. The best way to increase donor numbers is a public awareness campaign and recruitment drive.
References
Burkhardt, M. A., Nathaniel, A. K., & Walton, N. A. (2018). Ethics & issues in contemporary nursing (4th ed.). Toronto, Ontario: Nelson.
Chatterjee, P., Venkataramani, A. S., Vijayan, A., Wellen, J. R., & Martin, E. G. (January 01, 2015). The Effect of State Policies on Organ Donation and Transplantation in the United States. Jama Internal Medicine, 175, 8, 1323-9.
Nursing: Scope and standards of practice (2nd ed.). (2010). Silver Spring, Maryland.: American Nurses Association.
Tambur, A. R., Haarberg, K. M., Friedewald, J. J., Leventhal, J. R., Cusick, M. F., Jaramillo, A., Abecassis, M. M., ... Kaplan, B. (January 01, 2015). Unintended Consequences of the New National Kidney Allocation Policy in the United States. American Journal of Transplantation: Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 15, 9, 2465-9.
