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Previous Volume 339:1322-1325 October 29, 1998 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Donna Shalala, secretary of the Department of Health and Human Services, recently proposed regulations that would fundamentally change the way in which cadaveric livers for transplantation are allocated in the United States. Currently, livers are distributed first according to geographic region and then according to medical criteria. As a result, patients' chances of living or dying are shaped more by where they live than by how urgently they need a transplant. This system also allows some patients to increase their odds of receiving an organ by listing themselves at more than one transplantation center in different regions, a practice known . . . [Full Text of this Article]

The Current System of Allocation

The Inequities of Geographic Favoritism

Criticisms of the Proposed Regulations

The Public's Willingness to Donate Organs

The Fate of Small Programs

Government Interference

Cost and Feasibility

Priority for Severely Ill Patients

Efficacy and the Allocation System

Conclusions

References

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Geographic Favoritism in Liver Transplantation
Turcotte J. G., Freeman R. B., Stratta R. J., Gaber A. O., Vera S. R., Markowitz J. S., Finder S. G., Rabkin J. M., Ubel P. A., Caplan A. L.
Extract | Full Text  
N Engl J Med 1999; 340:963-965, Mar 25, 1999. Correspondence

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