Debería haber un mercado de órganos?

Sin duda en Chile hablar de permitir el mercado de órganos sería impensable, la sociedad actual apenas tolera el lucro como concepto y van a permitir que la gente venda partes de su cuerpo, que horror! Sin embargo es un tema que debería analizarse a fondo considerando las muchas muertes por la escasez que hay actualmente y las listas de espera para poder conseguir un órgano. Si estás de suerte un periodista te encontrará y saldrás en la tele, hablarán en los matinales de ti, muchas personas reclamarán por facebook y te llegará un donante. Eso si tienes suerte, ya que suele ser bien difícil ir con alguien y decirle justo cuando su madre ha muerto que necesitan los órganos de ella para otra persona, por ello no es raro que la gran mayoría muera esperando órganos.

Pese a que no hay cifras oficiales de la cantidad de muertos por falta de un transplante pues las muertes se cuentan por patologías, no por falta de órganos, sí hay indicios que la realidad chilena es bastante desoladora en la materia, hasta antes de la ley de donante universal, habían 7 donantes activos por cada un millón de habitantes, las personas en general no quieren donar por varios motivos, entre los cuales está el miedo a que los médicos no hagan todo lo posible por salvarlos o cuestiones religiosas. No es derrotista suponer que la gran mayoría muere esperando un transplante.

Permitir el mercado de órganos sin duda podría contribuir a mejorar este escenario antes de lograr el tan ansiado “cambio cultural” que siempre es esgrimido para todos los problemas del país pero que no es más que un discurso bonito que se traduce en nada concreto. Hay experiencias de países en que se ha hecho esto, en realidad solo uno, se trata de Irán y tiene datos interesantes, se estima que cada año alrededor de 1400 iraníes venden uno de sus riñones a alguien a quien no conocían, este país es el único en el mundo que se permite la venta de un riñón por dinero y que por consiguiente, no tiene lista de espera o escasez de órganos como éste. Sin duda una solución efectiva.

Alguien podría pensar que este tipo de liberalización generaría un mercado negro de órganos y gente con ganas de asesinar a otros para conseguir sus órganos, pero la realidad es al revés, es la prohibición y los precios máximos en economía los que generan un mercado negro y precios exagerados, así como también bandas criminales, si no se hace en la actualidad -al menos no hay casos conocidos- no hay razón para pensar que pueda suceder si bajan los precios producto de una mayor oferta, consideren que un órgano en Irán puede llegar a costar 80 veces más barato que uno conseguido en un mercado negro. Además no es cosa de llegar y sacarle un órgano a alguien para insertarlo en otra persona, se requieren pruebas de compatibilidad y un todo un equipamiento. Consecuentemente, si se exige por ejemplo, la firma de quien vende el riesgo que te roben órganos desaparece casi por completo.

Otra persona también podría argumentar que sería poco ético que los pobres pudieran tener la posibilidad de vender partes de su cuerpo empujados por una realidad económica desfavorable, lo cual sin duda es un argumento a considerar, pero pongamos en una balanza que esa misma gente actualmente muere en listas de espera esperando órganos, quizás si les diéramos la posibilidad de tomar decisiones no solo podrían verse beneficiados ellos eventualmente, sino que otras personas las cuales podrían tener la posibilidad de vivir. Por último los que creen que es poco ético lucrar con esto de la venta de órganos siempre pueden si quieren donar gratis sus riñones, nada se los impediría.

En este como en cualquier tema tabú probablemente la gente sea presa de sus miedos antes de permitir algo semejante, sin embargo no hay que olvidar que la prohibición económicamente hablando no sirve de nada cuando la gente está dispuesta a pagar por algo, aparecerán personas fuera de la ley a proveerles tal y como se proveen de drogas. Y es preferible que esto suceda? No sería mejor permitir el comercio de órganos y exigir regulaciones como por ejemplo consentimiento explícito? Dejo la pregunta abierta.

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