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Transplant tourism or international transplant medicine? A case for making the distinction.
Am J Transplant. 2012 Jul; 12(7):1700-7.AJ

Abstract

Transplant tourism is routinely denounced by influential voices such as the World Health Organization, the Declaration of Istanbul and the Madrid Resolution as an unethical solution to worldwide organ shortages. Instead, it is suggested that national deceased donor schemes and multinational organ-sharing programs are the only acceptable avenues for addressing the organ shortage crisis. The present demand for self-sufficiency in organ supply responds to risks such as poor clinical outcomes, and exploitation of the poor through the various commercial practices of transplant tourism. However, opponents of transplant tourism say little about what governments should do to ensure that their citizens have real and comprehensive access to all forms of transplantation. To address this complex question, we describe a current practice of international transplant medicine in Singapore. It addresses salient concerns with transplant tourism and supports the principle of national self-sufficiency in organ supply, even as its health care system thrives and expands comprehensive transplant services to its citizens by catering to international patients. We offer a critical appraisal of the Singaporean system, and some suggestions to minimize the risk of abuse by international patients or operatives of illegal organ markets.

Authors+Show Affiliations

Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University Health System, Clinical Research Centre, Singapore. jacqueline_chin@nuhs.edu.sgNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22594553

Citation

Chin, J J L., and A V. Campbell. "Transplant Tourism or International Transplant Medicine? a Case for Making the Distinction." American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons, vol. 12, no. 7, 2012, pp. 1700-7.
Chin JJ, Campbell AV. Transplant tourism or international transplant medicine? A case for making the distinction. Am J Transplant. 2012;12(7):1700-7.
Chin, J. J., & Campbell, A. V. (2012). Transplant tourism or international transplant medicine? A case for making the distinction. American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 12(7), 1700-7. https://doi.org/10.1111/j.1600-6143.2012.04099.x
Chin JJ, Campbell AV. Transplant Tourism or International Transplant Medicine? a Case for Making the Distinction. Am J Transplant. 2012;12(7):1700-7. PubMed PMID: 22594553.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transplant tourism or international transplant medicine? A case for making the distinction. AU - Chin,J J L, AU - Campbell,A V, Y1 - 2012/05/17/ PY - 2012/5/19/entrez PY - 2012/5/19/pubmed PY - 2014/2/5/medline SP - 1700 EP - 7 JF - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JO - Am J Transplant VL - 12 IS - 7 N2 - Transplant tourism is routinely denounced by influential voices such as the World Health Organization, the Declaration of Istanbul and the Madrid Resolution as an unethical solution to worldwide organ shortages. Instead, it is suggested that national deceased donor schemes and multinational organ-sharing programs are the only acceptable avenues for addressing the organ shortage crisis. The present demand for self-sufficiency in organ supply responds to risks such as poor clinical outcomes, and exploitation of the poor through the various commercial practices of transplant tourism. However, opponents of transplant tourism say little about what governments should do to ensure that their citizens have real and comprehensive access to all forms of transplantation. To address this complex question, we describe a current practice of international transplant medicine in Singapore. It addresses salient concerns with transplant tourism and supports the principle of national self-sufficiency in organ supply, even as its health care system thrives and expands comprehensive transplant services to its citizens by catering to international patients. We offer a critical appraisal of the Singaporean system, and some suggestions to minimize the risk of abuse by international patients or operatives of illegal organ markets. SN - 1600-6143 UR - https://www.unboundmedicine.com/medline/citation/22594553/Transplant_tourism_or_international_transplant_medicine_A_case_for_making_the_distinction_ L2 - https://doi.org/10.1111/j.1600-6143.2012.04099.x DB - PRIME DP - Unbound Medicine ER -