Sunday, June 28, 2009

Jobs' liver transplant shows money can make a difference

Fonte: aqui.

A celebrity like Apple CEO Steve Jobs scores a rare organ transplant and the world wonders: How? The rich have plenty of advantages that others don't. But winning the "transplant lottery" involves more than the size of your wallet — and true medical need. A Tennessee hospital has confirmed that it performed a liver transplant for Jobs, putting him among the lucky 6,500 or so Americans each year who get these operations. Nearly 16,000 others are waiting now for such a chance.

To get on a transplant center's list, a prospective patient must go there, be evaluated by the staff and have tests to confirm medical need. If accepted, the patient must be able to get to that center within seven or eight hours if an organ becomes available. That means renting or buying a place nearby or being able to afford a private jet, or $3,000 to $5,000 for a chartered plane, to fly in on short notice. People also can get on as many wait lists as they like as long as they can travel there and meet the terms. "It is at the transplant program's discretion if they know it is a multiple listing" to accept someone already on another waiting list, said Joel Newman, a spokesman for UNOS, the United Network for Organ Sharing, which runs the nation's transplant system. Three different times, UNOS has considered banning or limiting multiple listings, most recently in 2003. But patients protested, saying they needed to go wherever they could to improve their odds, said D'Alessandro, who has headed UNOS panels on organ allocation.