By Jennifer A. Chandler and Vanessa Gruben
Delilah Saunders, a young Indigenous woman with life-threatening liver failure in an Ontario hospital, has been in the news over the last several weeks because she was refused a potentially life-saving transplant. The media has reportedthat she is ineligible for the liver transplant wait list due to the provincial requirement for six months of alcohol abstinence in cases involving a history of alcohol abuse.
This rule has been raised in other public cases as well, with tragic consequences.
Mark Selkirk was denied access to the transplant wait list, and died two weeks after being diagnosed with acute alcoholic hepatitis. Similarly, Cary Gallant was not listed this past September because he did not meet the six-month alcohol abstinence rule.
Fortunately, the latest news suggests that the health of both Saunders and Gallant is improving. But, these cases raise the question of how society should allocate organs for transplant: who is included and who gets left behind? And why Trillium Gift of Life Network (TGLN,) the provincial body responsible for organ donation in Ontario, needs to revisit the wait list rules to make sure our most marginalized citizens are not excluded.
A transplant is the only life-saving option available in many cases, and one that depends upon the compassion of deceased donors and their families, and, where possible, living donors.
There are not enough transplants to go around. The Canadian Institute for Health Information reported that in 2016 in Canada, excluding Quebec, there were 474 liver transplants, but at the end of that year, 329 people were still waiting, and 78 had died while waiting for a liver transplant.
The unfortunate reality is that when one person in Canada receives a life-saving organ, another person will die waiting. Fairness in access is paramount for these life or death decisions.
TGLN has established publicly-available criteria for who can be put on the transplant waitlist. Some factors cannot be used to exclude people. The criteria state that eligibility should be determined on “medical and surgical grounds” and not on “social status, gender, race or personal or public appeal.”
There are several problems with these exclusions.
Other factors may exclude a person from the wait list. These other exclusions involve situations where it is believed the candidate is unlikely to survive or to be able to follow the necessary medical post-transplant regimen to safeguard …read more
Source:: The Huffington Post – Canada Travel