Soon, she could not keep food down. In fact, it is heart failure, the disease that killed his mother when Ms. Nieves was a girl. 29, She said, "I thought that my life was over." I've actually made arrangements for my funeral with my family. »
After three months at the hospital in Paris-Presbyterian/Columbia, Ms. Nieves was released, with a machine to his chest to keep blood flowing and a place in the list for a heart transplant.
New York, on Long Island and in the Hudson Valley has 7,800 people on similar lists, hoping all the heart or the liver or kidneys that could save their lives. Last year, 682 people received bodies. Some of the others have to wait for another year. Hundreds have died.
To try to improve these figures, New York City began a pilot program for five months, a team of recovery of the organs is trail ambulance responding to 911 calls, ready to leap in if the patient dies and is a viable donor. This is a bold experiment: no other American city has even tried. Yet officials already warned that the program, funded by a grant of $ 1.5 million could not give a single kidney.
Sometimes an organ transplant seems to defy the laws of supply and demand: thousands of corpses in New York are in need of organs, they do not have, and thousands more were that, due to a premature death, they no longer need organs. But the path between these two groups soda religious beliefs people, their feelings about the death and bodily integrity and their ability to communicate their wishes to their relatives.
For some, it is a simple choice: when they die, they want as their bodies will be used to save the life of someone else. But the New York State make it easy. People can register when they renew their lead, but that is after a dozen years, or they can go online and complete an off-putting form, and then print it and walk to the mailbox.
A mailbox?
The New York organ donor network has decided that it is not even useful to deploy new education campaign until the State makes it easier for people to register. In the meantime, keep people on the waiting list die.
Some other countries adopt a more proactive approach: they believe that all over the world as a potential donor. If you do not want anyone your kidneys around when die it shopping, you tell in advance. The burden falls on those who choose the system rather than those who choose to.
Something like that would be great to save American lives.
And it would never happen here. Can you imagine how it would play on the evening news? The Government cut open defenceless people and steal their tender pieces.
Some economists have suggested to resolve the problem of supply and demand to market incentives. Instead of individuals seeking to donate their organs, why not just pay for them? It seems the indignation of many people, suggestion perhaps image greedy zillionaires carving with poor stiffs working with a scalpel inlaid diamonds. But what happens if she worked like this: while you're healthy, you volunteer your kidneys. Then when you die, and the kidneys are deleted, your family would be compensated for your funeral expenses. That seems also scandalous fact?
Gary Becker, Nobel Prize laureate who is Professor of Economics at the University of Chicago, suggested something even more radical: pay people to divest their bodies now, while they are still use them. You have two kidneys, but you can get a one. You have a liver, but you shouldn't really meaty to end segment. How does the $30,000 sound?
In an interview, he said that the idea should not be that shocking. Also long exchanges have been carefully regulated, nobody would forced inside of it. It would be an insoluble problem otherwise. And, unlike the system current, in which parents and friends are often guilted into donors, market-based approach could compensate families enough for their discomfort and risk.
Elaine Berg, President of New York Organ Donor network, cited a very different kind of incentive. When people organize for the members of their families dying to become a donor organ, she says, "by helping them through the process of mourning, and is the last thing they can do for their loved ones."
I am a member of one of these families of donors. When my aunt Sandy died 12 years ago, its bodies have to save the lives of three people. I can't say that it reduces the experience of loss a small, but it extend the generosity, she has always shown.
I am also a beneficiary families. My cousin more or less Matt is and outside the waiting list for a new heart for years. It does not endorse pay for organs. "Just do pass the smell test" he said. A few years ago, Matt received the phone call waiting for which (with her supportive family, he made me promise to add) has saved his life. At the age of 37, he got a new heart. He was born with the counting, his fourth.
Regards Angelica Nieves, she is still waiting for that call. Machines such as the one which is kept alive tend to about two years, of which 14 months have already adopted.
"It is days that I wake up crying," if I get a heart? I'm going to sleep to cry, "she admitted." "But daily tomb thank God I made it another day." What else can it do?
Email: citycritic@nytimes.com
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