…they can die waiting.
(PatriotHQ) Medicine remains a disaster. Black persons are prioritized for kidney transplants regardless of need. Kidney transplants are the beginning of health care reparations for racism.
So ‘Do No Harm’ doesn’t apply to White people needing an organ transplant, they can just die!
New rules from the Organ Procurement and Transplantation Network (OPTN) and the United Network for Organ Sharing (UNOS) will prioritize kidney donors by skin tone. The health care awareness gain may be the most harmful.
UNOS and OPTN said they are helping more black people acquire kidney donations for "equity." They argue kidney donations have been racist because 30% of dialysis patients and transplant candidates are black, but they receive less transplants.
Doctors are discriminatory, especially when sending black patients for early renal care, activists claim. The Veteran's Administration concluded sending more people to experts did not enhance results or prevent severe renal disease from worsening and requiring a kidney transplant.
Why else might racism explain the difference? The extensive list of reasons underscores how difficult it is to tackle problems doctors and policymakers have been attempting to fix for years. One is older black diabetic kidney failure patients have complex medical issues. Many of these folks are content with dialysis and don't want to go through a long process to check if they're a good donor. Other causes include not knowing enough about health, being fearful of transplantation surgery, and not having a post-surgical support structure, which is crucial to a transplant's success. Kidney donors are also rarer in black families.
UNOS and OPTN worry about racial goals, not facts. They are forcing donation clinics to modify the kidney waitlist for dead persons to benefit black people. The earlier kidney function test, which considered race and required a second calculation for black patients, was racist.
This second computation was necessary to determine black individuals' renal function. Without it, the kidney function estimate would be quite low. African-Americans have larger muscular mass, according to research. Muscle waste, creatinine, might be affected by this. The MDRD equation uses creatinine to measure renal function. African Americans with healthy kidneys may have higher creatinine levels.
Long criticized, the old system has never been proven wrong. It works in hundreds of patient trials. Organizers wanted a fresh formula for 2021. The new approach is less reliable and decreases black patients' kidney function, allowing some who didn't fulfill the requirements earlier to do so. It shows how political data manipulation can achieve a goal.
OPTN won't stick to this revised evaluation. The new approach is determining black patients' kidney function from decades ago. Many black patients who were previously ineligible for the donation waitlist will now be placed on it and even moved ahead of whites. How many years-long waiters will wait longer? Some estimates suggest 70,000 black patients could benefit. Given the 90,000 kidney recipients waiting a lot.
In the spirit of fairness, OPTN is also preparing to break a longstanding promise to people who donated a kidney to a loved one or stranger through a matching process. If they require a transplant, these brave donors are first in line. Donating a kidney doesn't increase your risk of kidney disease, thus it's unnecessary. The law only allowed this remuneration for the good deed. It also comforted donors who were worried they could require a transplant.
White people donate kidneys five times more than black people, so they benefit more. It's racist, so activists want OPTN to change. Four ideas are being discussed. All of these would remove previous contributors' waiting priority and move them up 10–15% on the list. Even with a kidney donation, a white person on the waiting list would have a hard time passing a black person. This strategy, which OPTN aims to finish by the end of the year, may deter kidney donors. White people are being punished for non-existent wrongs, but all patients will suffer.
Medicine remains a disaster. Black persons are prioritized for kidney transplants regardless of need. Kidney transplants are the beginning of health care reparations for racism.
In conclusion. If you are a middle age, middle class white male you may just die waiting for organ transplant. But if you are a middle age, middle class black person you receive preferential treatment. This take racism to whole different level.
Replies
Do no harm went out the window when Obama came into the picture. Everything in medicine is about the MONEY......and politics!