Madam Speaker, I rise today to note--with alarm--that organ donations are not keeping pace with need in this country, resulting in the deaths of 18 patients per day as they wait idly by for lifelines. The shortage proves particularly…
Madam Speaker, I rise today to note--with alarm--that organ donations are not keeping pace with need in this country, resulting in the deaths of 18 patients per day as they wait idly by for lifelines. The shortage proves particularly detrimental to minority patients, who together make up a staggering 50 percent of people on the transplant waiting list. Because of a paucity of minority donors, and the bruising effect of disparate and unequal access to health care, minority patients find themselves most vulnerable to a deepening crisis that should rally all Americans to the cause.
The health of our citizens should remain foremost on our minds. As the leading power
and example in the world, this country should strive to carve out a premier health care system that works for everyone, not just the politically connected, not just the moneyed. For every American, we have safeguarded the promise of life, liberty, and happiness--and we ought to make good on that. We can have none of the three without adequate health care. This should be our national pride: to continually develop and improve upon our remarkable successes in medicine, to shape and mold a health care system that is the envy of the world.
An April 22 New York CARIB News piece, titled ``Organ Donation A Crisis Among Minorities'' and written by Dr. Jennifer Wider, denotes these concerns and offers solutions.
Organ Donation a Crisis Among Minorities
The number of people needing organ transplants is rising
faster than the number of donors, according to statistics
from the U.S. Department of Health and Human Services.
Roughly 77 people receive organ transplants per day in the
United States, but 18 people die each day waiting for
transplants that will never happen due to the shortage of
available organs.
Organ transplantation involves putting organs or tissues
from one person into the body of another person, whose organs
or tissues have been damaged or are no longer working.
``The recipient has to be immunologically matched to the
donor well enough that the organ won't be immediately
rejected,'' says Mark Schnitzler, Ph.D., assistant professor
of health administration at Washington University School of
Medicine in St. Louis. ``Blood type match has to be
acceptable and the recipient can't be already sensitized to
the donor's tissue types.''
The need for transplants is particularly high among
minorities, especially among African-Americans. Of the 83,000
people on the national transplant waiting list, approximately
fifty percent are minorities, according to United Network for
Organ Sharing.
According to a recent study in the American Journal for
Respiratory Critical Care Medicine, David J. Lederer, M.D.,
and colleagues at Columbia University College of Physicians
and Surgeons in New York found that, ``After listing for lung
transplantation, African-American patients with chronic
obstructive pulmonary disease were less likely to undergo
transplantation and more likely to die or be removed from the
list compared with Caucasian patients.'' Unequal access to
care is among the likely reasons Lederer and his team cited
for this disparity.
Organ donation recipients are more likely to match up to
others of their own race and ethnicity. ``Both blood type and
tissue types have racial and ethnic patterns,'' Schnitzler
said. That is why it is important to look into ways to
increase minority organ donations.
The need for more donor organs among minority women is
especially great because minority women suffer
disproportionately from certain diseases of the kidney,
heart, lung, pancreas, and liver that can lead to organ
failure.
``Minority women are well represented as a share of the
total population that donates organs, but their need for
transplants is greater,'' said Sherry Marts, Ph.D., vice
president of scientific affairs for the Society for Women's
Health Research, a Washington, D.C., based advocacy
organization. ``Because of a shortage of appropriate donor
organs, minority women often have to wait longer for doctors
to find a match. Sadly, many die waiting. With more donated
organs from minority women, finding a match will be quicker,
waiting times will be cut and more lives will be saved.''
Further complicating matters are studies that show the
biological sex of the organ donor and recipient can affect
transplant success. At least one study has found that the
combinations least likely to result in organ rejection are
female recipient-male donor, followed by male recipient-male
donor.
``These findings have not yet affected clinical practice
because of the organ shortage,'' Marts said. ``Doctors can't
afford to wait for the most optimal donor-recipient
combination where the sex of the patients is concerned. They
have to make the best decisions possible with the limited
organs available. As organ preservation techniques improve,
however, this could become a factor.''
Health promotion and disease prevention programs are needed
to shed light on the diseases and negative lifestyle choices
that may increase the need for organ transplants. Diseases
such as diabetes and hypertension and behaviors including
alcohol and substance abuse, poor nutrition and lack of
exercise are all risk factors for diseases that can cause
permanent or irreversible damage to organs and tissues.
The Minority Organ Tissue Transplant Education Program is
working to increase awareness for minority organ donation.
This program also provides information that is vital to good
health and can delay or prevent the need for organ
transplants. Here are some of the program's key tips:
Have your blood pressure checked at least twice per year
after age 12; Diabetics should have blood pressure checked
regularly and follow diet and exercise instructions; Avoid
alcoholic beverages to help prevent liver disease; Avoid use
of illegal drugs such as marijuana, heroin and cocaine which
cause liver disease and kidney failure; Avoid smoking
cigarettes which can lead to heart and lung disease; Avoid
foods high in cholesterol and saturated fats such as fried
foods which can clog the arteries; Establish a regular
exercise routine which should be performed at least three
times per week; Visit your doctor at least once per year for
a check-up.
April is National Donate Life Month. Information about
organ and tissue donation is available on a special Web site
from the U.S. Department of Health and Human Services: http:/
/www.organdonor.gov/.