Cover: The transplant imperative : protecting living donors from the pressure to donate

The transplant imperative : protecting living donors from the pressure to donate

Published 1996

by Joel Kallich, Jon Merz

Purchase Print Copy

Add to Cart Paperback16 pages Free

This article briefly reviews the history of organ transplantation. It then addresses the pressures to use living donors from the perspective of developing a process to ensure that this surgical procedure takes place with the informed consent of the donor. The focus is on informed consent and concerns whether people can make a decision free from coercion, and with all available information on the risks and benefits of the decision. This article then puts forth a framework for reviewing laws, policies, and procedures involving informed consent and examines the basis of informed consent for living organ donation from the perspectives of the law, medical ethics, and the individual donor's interests. The article concludes with a series of suggestions to help ensure that the donor makes an informed choice that is as free as possible from the many pressures to donate.

Originally published in: Journal of Corporation Law, v. 20, no. 1, Fall 1994, pp. 139-154.

This report is part of the RAND reprint series. The Reprint was a product of RAND from 1992 to 2011 that represented previously published journal articles, book chapters, and reports with the permission of the publisher. RAND reprints were formally reviewed in accordance with the publisher's editorial policy and compliant with RAND's rigorous quality assurance standards for quality and objectivity. For select current RAND journal articles, see External Publications.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.