Solidarity model: a way to cope with rationing problems in organ transplantation.

This short paper discusses the possibility of implementing a solidarity model as a way of improving organ allocation.

A superior approach to organ allocation and donation.

Background: Whether the twin aims of alleviating organ shortage and of increasing justice of organ allocation necessarily conflict with each other or can be simultaneously furthered while the autonomy of patients is respected is an important question in organ transplantation. It is shown that very minor reforms of existing schemes of organ allocation could increase the scope for justice, autonomy, and beneficence simultaneously.

Method: Willingness to donate discriminates between patients of comparable medical status in the elective category by preferring potential donors over nondonors.