It is a catchy title soliciting kidney donations. The reality is that most can't be bothered - I know this truth is not politically correct to put in writing. Appealing to one's conscience yields a meager response. It works with blood because the donor knows that the body will produce more. In contrast, a kidney donor is committed to live with one kidney. There is insecurity although, science assures that one kidney is all that one needs. Nonetheless, no matter how philanthropic one is the thought of living with one kidney for the rest of one's life - after the donation - can be a haunting burden in the memory of the "well meant act." Yet many face this reality and come forward to generously give their kidney to " keep another's life going."
In the 21st century, the society has matured to talk about "selling" one's kidney and depending on where one is the income can be from USD100-60,000. Media are promoting this incentive-based concept to fill the vacuum in the lives of many who are desperately needing a kidney. Money, however, is not an easy commodity for all and often such transactions are abused. Moreso - there is no caring in such a donation - it's just a business and often demeans a human being's self-esteem.
The global society, through the likes of the World Health Organization, must come up with newer approaches to motivate more people to enroll for organ donations - not just kidneys. Here are a few suggestions:
1. Assure the kidney donor full health-care for any illness/condition that is attributable to the donation of one kidney. Who will provide this assurance? Governments and/or health insurance companies in the country or domicile of the donor or the recipient.
2. Provide newer incentives for kidney donations such as:
(a) elderly folks 60 years and over who donate one kidney - no taxes on income for the rest of their lives after 65 years of age and/or a means-tested monthly subsistence allowance for 10 years
(b) Those in confinement for offenses other than bodily hurt (murder, rape, child-molesters, etc.) - commute the jail term by 5 years.
(c) Global immigration priority pass; the donor gets preferential approval for immigration in the recipient's country, where the individual can get priority employment, training and/or education with travel and rehabilitation support - the qualifying individual over the age of 30 years must donate one kidney within 30 days of arrival in the new country.
(d) Scholarship for education to one direct or nominated person by the donor for a 2 year study course - in their own country or overseas.
This framework provides an organized approach to generate "kidney banks" on a global scale for mutual benefits. Certainly, it still is caring but caring with reciprocity.
Overall, these schemes will more than offset the current expenses incurred in dialysis, man-hour losses, income tax losses, confinement expenses for criminals, and above all the quality of family lifestyle. This plan will work if operated globally, by nations in liaison with the agencies of the United Nations.