Abstract
The Israeli organ donor law was established in 2008. In the ensuing 10 years there have been some improvements in deceased donation and living donor rates and a reduction in the unethical practice of transplant tourism. There is, however, controversy regarding increased access to transplant for those who have been living donors, who are family members of deceased donors, or who have registered their intent to donate. The issue of routine retrieval versus obtaining consent for organ donation has also been raised. This commentary will address these issue, and propose some steps for improvement of the current Israeli organ donation system.
Highlights
Israel’s organ transplant and brain-death law was passed in Israel in 2008 and fully implemented in 2010
It was developed as a response to the three major challenges to organ procurement and transplantation in Israel: 1) confusion regarding determination of death, 2) organ trafficking and unethical/illegal transplant tourism, and 3) the critical dearth of transplantable organs
The last priority level is for individuals with first-degree family members who have registered as donors. This is in the context of an opt-in system whereby donor families must still provide consent in order to proceed with the organ donation, regardless of registration status
Summary
Background Israel’s organ transplant and brain-death law was passed in Israel in 2008 and fully implemented in 2010. A major objective of the law, was an attempt to strengthen brain death determination to satisfy both medical and religious needs. The highest priority was given to those whose first-degree relatives were deceased organ donors, or those who themselves had been a previous living donor.
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