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Ron Jackson's Perspective
The Sunday Journal - Think
Kankakee, Illinois
March 24, 2002

Donating organs with a preference

Logo for The Daily Journal newspaper of Kankakee, Illinois - which carries Ron Jackson's editorial columns every Sunday


     Having the right to vote is not my most treasured American privilege.  Having the right to leave my worldly possessions to whom I please is.
     What that right gives me, should I die today, is the ability to leave my most cherished items to anyone I choose.  To my nephew that hates the Boston Celtics will go my favorite Larry Bird jersey.  To my favorite charity will go my popcorn can of pennies, total value probably, $13.  To another member will go my new computer.
     With the right to leave to whomever I want, whatever I want, comes the right to decide who will not get any of my personal belongings.  To my relative in jail, I will leave nothing.
     While I enjoy this privilege, and I think it a great invention, it troubles me.  Every tangible item I can collect and deem valuable, I can designate a beneficiary.  However, that is not the case with items I was born with, such as lungs, kidneys, eyes, and other body organs.
     I would think my body is more mine than any worldly accumulation and that I would have more control over it than say, a collection of cheap art.  I should be able to dictate who gets what part of me should I choose to leave any parts, or should I have any useful parts to leave.
     I recently had the opportunity to meet and talk with Rear Admiral Kenneth P. Moritsugu, M.D., M.P.H., and The Acting Surgeon General of the United States.  I heard him speak very passionately about organ donation.  He shared the loss of his wife and his youngest daughter within a four-year period.  Both were organ donors.  Fourteen people are alive today and are recipients of his wife's and child's organs.
   After hearing his speech, I decided to review my organ donor decision.  Looking at the back of my driver's license, which states in bold capital letters -- This Is A Legal Document Under The Uniform Anatomical Gift Act Or Similar Laws -- I haven't checked either of the two choices to donate "any organ or tissue," or "only the following."
     Even before hearing the Surgeon General's speech, I had considered donating my organs.  Now I am not so sure I want to.  When it comes to donating my body, I have limitations.  I have no say in who can or can't receive my parts.  My old $50 shoes, yes I can.  My priceless kidneys, no I cannot.
     What prompted my doubt about this system was the recent California case where a 31-year-old patient received a heart transplant.  It's not the age of the patient, nor the state government's initial expense of $200,000 that bothers me.  It's the patient's residence.  The patient is serving a 14-year prison sentence for a second robbery conviction.  By the time the man is eligible for parole in 2008, his estimated medical bill will be nearly $1 million.  Do we really need to give criminals transplants just to make sure they live out their sentences?  This approach is very similar to mentally rehabilitating criminals before we can execute them.
     I know that the courts have guaranteed health benefits to prisoners, while many law-abiding, taxpaying citizens have no health care guarantee, but should we give them life-saving organs over non-criminals?  How can a person in prison deserve an organ donation before a law-abiding citizen?
     Just as I will not leave even one pair of my dirty, smelly socks to my relative in jail, I will not leave my lungs, kidneys, or weak ankles to any other prisoner.  To accomplish this, I will just have to live long enough to wear them out and make them undesirable.
     Yeah, that will show 'em.

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