Doctor Proposes Sales of Kidneys

Nov. 19, 2007 — -- It is not a solution he proposes lightly -- indeed, it is among the most controversial ideas in medicine -- but Dr. Arthur Matas, former president of the American Society of Transplant Surgeons, says it's now time to develop a regulated system of kidney sales.

That's right: Allow people to sell one of their kidneys to ease the growing shortage of donated organs.

Matas encourages critics to do the math: There are now more than 70,000 Americans who've lost the use of their kidneys, most from the epidemic of diabetes. But only about 16,000 kidneys are donated each year. So most patients rely on dialysis several times a week to filter their blood. It can keep them alive, but not for as long as a real kidney.

The average wait time for a donated kidney in the early 1980's was less than a year. Today, it's more than five years -- too long for many. Each year, about 5,000 patients die waiting.

"It sounds like the wrong thing to do to be buying kidneys," Matas says, "until you start realizing unless we can do something dramatic we're going to have a continuation of the situation where patients are dying on dialysis and their quality of life is worse."

Matas argues that people can already buy and sell human sperm, eggs, and blood. Why draw the line at kidneys and other organs?

And because a transplant saves so much money in long-term medical costs, Matas says the government and insurance companies could afford to pay each donor one fixed price.

"When all is said and done, the package could be worth $60,000 to $70,000 and still be cost-neutral to the health care system," says Matas, a surgeon at the University of Minnesota.

Obstacles to such a plan are huge. Not only are organ sales against the law -- in 1984, Congress banned financial incentives for organ donation -- virtually every major medical association opposes the idea, including Matas' own transplant society.

Critics argue the system would be abused, and the poor would be exploited. They point to Iran, Pakistan and the Philippines, where kidneys are sold on the black market.