In general there have been a number of issues that have stood in the way of the success of organ donation, and in so far as to say they are trivial, many believe that they resolve to basic human emotions. Many might think that ethical beliefs in what is right or wrong, good or bad, necessary or unnecessary, shouldn't play a role in life or death. But what about the moral obligations that we share as human beings to protect life?

It is differences in moral and ethical beliefs along with political and legal positions that have stood in the way of the progress of organ donation. Politicians, Doctors, Lawyers, all offer many thoughts on what is right and what is our duty. What is the right thing to do? Are Doctors obligated to give a good liver to an alcoholic? Is is right to accept an organ from an impoverished person who sells their organs for money. How about the mentally or physically challenged? Can we harvest organs from those who cannot and will not be fully able to use them? What about those that are incarcerated with no chance of parole? How about allowing a convicted murderer his sight back, should this person be allowed to be a recipient? There are many, many moral and ethical questions that may never be answered to clear the path for organ donating.

Among all the moral, ethical, physical, and medical viewpoints there are also religious ones as well. While almost all religions agree that organ donations are acceptable and individual members can make their own decisions, there are some restrictions. Jehovah's Witnesses allow only for organs that have been completely drained of blood due to the belief that transfusions are disallowed in the Bible. The Muslim religion absolutely demands that there be prior written consents before an organ transplant takes place. Orthodox Judaism claims it is necessary and proper if a life can be saved to perform an organ transplant as long as the donor is proclaimed dead as defined by Jewish law. The Shinto religion and the customs of the Gypsies are two notable groups that disallow transplantation.

Because of the sever shortages in donor organs there are also very difficult decisions that need to be determined during the screening process. Deciding who is eligible is not an easy task by any means. Factors such as organ viability (how long an organ can last outside the human body) can drastically reduce the number of patients that can be considered for a transplant, because the patient has to be in relatively close proximity to the organ. Sex, age, race, physical condition, blood type, tissue type, body size, blood antibody levels, all play a role in the determination for selection of potential donors. Many hospitals now have organ network representatives who will screen potential donors prior to death, requesting tests, requesting organ preserving drugs, and obtaining the proper legal documentation and family consents. These actions have all contributed to the increase in transplant efficiency.

Becoming and organ and tissue donor could be the best thing you've ever done. Each organ and tissue donor saves or improves the lives of as many as 50 people. Registering with your state donor registry is the first step to becoming an organ donor. Designate your decision on your driver's license, and sign a donor card and carry it with you. And, most importantly, talk to you family and inform them of your decision so they will be prepared when the time comes.

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