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Published - Sunday, March 09, 2008

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Bill would expand organ donation


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MADISON — The percentage of Wisconsin residents who pledge to be organ donors, already higher than in most states, could rise because of a bill recently passed by the Legislature that Gov. Jim Doyle is expected to sign.

The bill establishes a donor registry, allowing people to sign up anytime, not only when they renew their driver’s license every eight years. It also lowers the age of consent from 18 to 15.
In addition, the bill strengthens a hospital’s ability to carry out people’s wishes to donate organs upon their death even if their family members disagree. And in cases where it’s unclear whether the person wanted to be an organ donor, the bill elevates the consent-granting power of appointed health care agents over family members.

“It allows people who make their wishes known to be honored and not overridden,” said Dr. Tony D’Alessandro, director of UW Hospital’s organ recovery service, which covers most of the state.

About 51 percent of Wiscon-sin motorists say on their driver’s licenses they want to be organ donors, said Jay Campbell, director of Milwau-kee’s organ recovery service.

That’s higher than in most states, Campbell said.

The bill should further increase the number of people who pledge to be donors and boost the number of actual donors, D’Alessandro said.

Introduced by state Rep. Steve Wieckert, R-Appleton, the bill was passed last month. Doyle will sign it soon, said spokeswoman Jessica Erickson.

The Wisconsin Department of Transportation keeps records of people whose driver’s licenses say they want to be donors. But the records aren’t easily accessible by doctors in the middle of the night, when questions about organ donation often arise, D’Alessandro said.

Furthermore, people can’t sign up unless they are getting or renewing their licenses.

With the donor registry, doctors will be able to access the information at any time, and people can sign up whenever they want. Once the registry is set up, campaigns will be launched to urge people to enroll, D’Alessandro said.

Another bill, passed last week and also expected to be signed by Doyle, authorizes Donate Life Wisconsin license plates. Proceeds will help fund organ donation campaigns.

In other states, organ recovery services have been taken to court when they have tried to follow a pledged donor’s wishes over the objections of family members.

That hasn’t happened in Wisconsin, but it could have, D’Alessandro said. The Wieckert bill makes such legal wrangling much less likely, he said.

For pledged donors, “it makes it stronger that we’re not asking for consent from the family,” he said. “We’re talking with them and telling them, here’s how we will proceed.”

For people whose wishes aren’t clear, the bill gives the power of consent first to health care agents, people designated by the potential donors, similar to a power of attorney. Then spouses, adult children, parents and adult siblings have the right to decide, followed by other groups. Previously, health care agents followed the family members.

The bill also allows a majority of people authorized to grant consent to approve a donation instead of requiring a unanimous decision.

Many states have adopted similar changes, according to the United Network for Organ Sharing, which oversees the country’s organ donation system.

Despite Wisconsin’s stellar rate of pledged organ donors, more than 110 patients on the transplant waiting in the state died last year, D’Alessandro said.

“Anything we can do to increase transplants is a good thing,” he said. “You can always do better.”

David Wahlberg is a reporter for the Wisconsin State Journal in Madison.
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daveundis wrote on Mar 10, 2008 1:25 PM:

" About 50% of the organs transplanted in America go to people who haven't agreed to donate their own organs when they die. As long as we let non-donors jump to the front of the waiting list if they need a transplant we'll always have an organ shortage.

There is a simple way to put a big dent in the organ shortage -- allocate donated organs first to people who have agreed to donate their own organs when they die.

Anyone who wants to donate their organs to other organ donors can join LifeSharers. Membership is free at www.lifesharers.org or by calling 1-888-ORGAN88. There is no age limit, parents can enroll their minor children, and no one is excluded due to any pre-existing medical condition.
"

Krusty wrote on Mar 9, 2008 4:35 PM:

" I have always believed that organs should only be donated to people willing to donate their own organs(barring age and medical reasons)If there is anything salvageable when I die I want it all to go to people that are deserving. Organs should also be given to people with the best lifestyles first, the people who have the best chance of putting the organs to good use, I surely wouldn't want my lungs to go to a smoker or a morbidly obese person. "

Hollywood7 wrote on Mar 9, 2008 11:46 AM:

" This is great, it's about time.

Hopefully someday they can make it that everyone is a donor and you have to apply "NOT" to be a donor. This will help more lives. "


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