LONDON — The British government said Friday that it plans
to ban private organ transplants from dead donors to allay fears that
prospective recipients can buy their way to the front of the line.
A
government-commissioned report recommended that organs donated within
the state-run National Health Service should stay within the public
health system, which provides universal care to everyone who lives in
Britain. Though transplants are free, there are often long waiting
lists.
Very few Britons have private transplants, so in practice
the new rules will stop overseas patients from coming to Britain and
paying privately for a transplant.
The report by Elisabeth
Buggins, former head of the Organ Donation Taskforce, was commissioned
after a media storm over cases in which foreigners were given
transplants from dead Britons.
Several newspapers reported last
year that about 50 foreign patients had received livers from British
donors at two London hospitals.
The transplants were legal
because the NHS has a duty to treat anyone who is physically in
Britain. But since the patients were not covered by Britain's health
system, they paid a fee to the hospitals and doctors involved.
Buggins said that though the transplants were within the law, they had raised public "disquiet."
She
said that there was no evidence the private patients got organs more
quickly than NHS patients, but conceded that "it is extremely difficult
to insulate a donated organ from the taint of 'private purchase' if it
is transplanted into a fee-paying patient by a surgeon who makes a
financial gain, in a hospital which also makes a profit from the
procedure."
Buggins said that for most people, "financial gain from the transplant of donated organs feels morally wrong."
Britain's
donation rate is low compared with the United States and many other
European countries and the government has tried to encourage more
people to become organ donors.
Buggins said most people who
wanted to donate their organs assumed they would be given to people on
an NHS waiting list, and the idea of "queue-jumpers" could deter donors.
"While
I found no evidence of wrongdoing in the way organs are allocated to
patients, there is a perception that private payments may unfairly
influence access to transplant, so they must be banned," Buggins said.
Citizens
of other European Union countries will still be entitled to publicly
funded transplants in some circumstances, but the report said these
should be tightened and clarified.
The ban does not affect
transplants from living donors — such as kidney transplants — which can
still be carried out privately as long as no money changes hands.
The government said it accepted the recommendations and hoped to enact the ban by October.
There
are currently about 8,000 people waiting for organ transplants in
Britain. In the past year, about 3,500 patients received transplants
but another 1,000 on the waiting list died.