Follow APA outlining format as with the Informative Speech. Make sure you have fully developed each point. In-text citations must match References page.
Introduction: /6
/5 Points
/1 Point
Transition
to the body of speech
Body: /14
/3 Points
Analysis (opinion) and research
Analysis (opinion) and research
Analysis (opinion) and research
/1 Points
Transition
/3 Points
Analysis (opinion) and research
Rebuttal: opinion and research
/1 Points
Transition
/4 Points
Visualization/Solution how would your plan work?
Specific plan of action: What can we do? Include your audience.
/2 Points
Transition to conclusion
Conclusion: /3
/3 Points
Research Articles: /12
/4 Points
/4 Points
/4 Points
1
The Organ Shortage Demands Change
Insert your information
General Purpose: To persuade
Specific Purpose: At the end of my speech I hope that The Organ Transplant Act of 1984
be changed so that compensation in some form be allowed to donors
which would increase donations and reduce the number of people still
waiting for organs.
2
Central Idea: The Organ Transplant Act of 1984 is a U.S. federal legislation that
prohibits the sale or any type of payment to the donors of organs. This Act
applies to every situation no matter the case. I believe that the Act should be
changed to allow donors to be compensated in some way that is regulated by
the Government which would likely reduce the number of people still waiting
for someone to donate. There is a shortage of donors and the current system
is failing to provide the necessary things needed to the people waiting for
organs and to the donors themselves.
I. Introduction
a. A quote from the United Network for Organ Sharing says “without the
organ donor, there is no story, no hope, no transplant. But when there is
an organ donor, life springs from death, sorrow turns to hope, and a
terrible loss becomes a gift.”
b. Give the audience a reason to listen: Some of you may have experienced
or known someone who has needed an organ transplant, and if not, I
know that you can still recognize that it is something that people deal
with in their daily lives.
c. Establish your credibility: As someone who is aspiring to be in the
medical field one day and has also seen a person pretty close to me go
through the experience and process, I feel that this is a topic worth
thinking about and seeing if change to the current legislation would be
better for society.
3
d. Reveal the law: The legislation is called the Organ Transplant Act of 1984
and it prohibits the sale or compensation of organs from donors.
e. Preview the speech: So today, I will explain more about the Organ
Transplant Act, I will propose the changes that should be implemented
within the Act and the benefits that it can bring to society, I will explain
some of the opposing viewpoints which prevent the Act from being
changed, and finally, I will be giving the audience a certain plan that they
can do to help change this Legislation.
II. Body
a. According to Barbara Mantel’s article (2011, April 15) “Organ Donations”
written for CQ Researcher, more than 110,000 Americans are on the
waitlist for organ-transplants. She states that kidneys account for about
60 percent of those on the waitlist but can take up to 5 years until they
find one.
i. Not only that but since 2000 the waiting list has doubled and will
only continue to do so unless things change.
b. Some organs are given based off of a score patients receive depending on
their chance of survival but for kidneys it’s determined by how long you
wait.
i. This system does not help diminish the shortage that is occurring
c. In 2012, Alex Tabarrok wrote in his article “Around the World, Innovative
Programs Boost Organ Donations” that Iran is the only country that has
4
eliminated the shortage of transplant organs, but they do have a legal
system of paying for donations.
i. They began in 1988 and stopped the shortage by 1999
d. In another article called the “Great Debate: Should Organ Donors Be
Paid?” (2009, August 10) written by Rachael Rettner, it says that keeping
a patient on dialysis is expensive and can cost around $65000 to $75000
per year and it would benefit the government to just pay for the
transplant and incentive for the donors.
e. According to the article “Step One in Solving the Organ Shortage: Become
an Organ Donor”, 95 percent of people support the concept of organ
donation but only 54 percent sign up to donate when they die
Transition: These statistics and facts show that many people in the united states are in
need of a transplant, but the shortage stops that from happening while the number continues
to grow. This shortage and the unnecessary death of people can be prevented but, in order to
do this, the legislation must be changed.
f. Thus, I propose that there should be some form of compensation for
those who are willing to donate so that they can also benefit from this
procedure and potentially increase the amount of people willing to give.
g. If the Organ Transplant Act can be changed, the amount of people that
could be helped would increase and there would be no shortage because
of an increase in donors.
i. According to Amy L Friedman (2006), an associate professor of
surgery, wrote in her article “Payment for living organ donation
5
should be legalized” that donors not only have to pay for
transportation to the site of surgery, but they get no compensation
for lost wages at work either. She believes that these reasons
might be stopping many from donating.
1. Compensating would allow everyone from the donor to the
patient to receive something and be treated equally.
ii. In Alex Tabarrok’s article (2012), Nobel Laureate economist Gary
Becker and Julio Elias estimated that if only 15000 were given to
donors, there would be no shortage of kidneys in the U.S but the
Federal Gov would have to pay so there would be no inequality.
iii. The National Kidney Foundation (2017) also agreed that
compensation should be given to donors to make it cost neutral
and pay for things like travel expense, wages, medical care, and
follow up care for donors.
1. Giving to the families of those who donate in some form
could also work.
iv. The US could even save up to $46 billion a year according to
Robert Gebelhoff in his article, “Compensation for organ donors: A
primer” written in 2015.
1. All of these reasons would likely increase the amount of
donations and reduce the shortage of organs.
6
Transition: A change in the federal legislation that includes the modifications I have
proposed, can save the lives of those who are still waiting for a donor and a transplant.
However, there are still some people who oppose this change of legislation.
h. Some of the opposing views to changing the legislation includes the belief
that doing this would in turn exploit the poor.
i. But there are many ways to prevent this from happening
ii. In the article written by Dr. Joseph Fins (2009, February 9) called
“Should Organ Donors Be Compensated?”, another Dr. Sally Satel,
an organ donor herself, states within that same article that to
protect the poor and desperate there should be compensation that
would not appeal to these groups, specifically, no cash for kidneys.
1. However, instead they could compensate in the form of a
401k contribution, or even a Medicare voucher which
would stop them from making any hasty decisions.
2. Or they could prevent the poor from contributing at all
unless they were completely healthy and checked by
doctors first.
3. Also, everything would need to be regulated and
compensated by the Gov. to keep everything equal from
paying to who ends up receiving the donation.
iii. Another opposition is that altruistic or religious giving would stop.
1. According to the article “Financial Incentives for Organ
Donation” written for the US department of Health and
7
Human Services, altruistic giving has been going on for
about 30 years, but it might be time for a new approach,
and it would be ethical because of concern for patients and
saving lives.
a. The current altruistic system of donations is just not
providing enough.
2. Barbara Mantel’s article for CQ Researcher, says that a
study found that poor people were more willing to donate
with no payment than people who were wealthier.
Introducing payments to that did nothing to change the
outcome.
a. It also concluded that altruistic donation would not
be affected either.
III. Signpost: As you can see, there are many views regarding this topic and legislation. Those
who oppose it, oppose it due to their fear of problems and implications that could arise;
however, we must also think about those that are suffering and have waited for such a long
time and think about more ways to help them.
IV. Plan of action:
a. In order to reduce the amount of people still on the waitlist for those
organs, I believe that a change to the legislation could be a possible way
to make it work.
b. All of us can aid in this by doing different things.
8
c. The National Kidney Foundation (2017) states that a way to help is to
educate families, friends, and patients on how to find donors when they are
struggling to do so.
i. Not only that but learning more about the issue in general
ii. They also state that peer mentoring from a donor to potential
donors could be beneficial
d. Another step is to educate yourself and consider, even if only a little bit,
to become a donor yourself.
i. When you renew your license, you can also put that you would be
an organ donor if anything happens as well.
ii. Whether we are compensated or not the act itself is still something
that takes a lot of courage from all who donate.
e. These are just some things we can think about and do in our own lives to
help the issue at hand. But we still need to try to get the legislation
changed to see more of an impact.
V. Conclusion
a. To reiterate, I propose that the Organ Transplant Act be changed and
should include compensation for anyone that is willing to donate any
organ at any point in their lives whether it be money or even just paying
for their expenses which would raise donation rate and reduce the
shortage over time.
9
i. Research shows that not only could this raise donation rate and
finally stop the shortage, but it saves the US a lot of money as well
and everyone would benefit.
ii. Although there are those who oppose the Act from changing, there
are many ways that the US Government could regulate the
compensations in a way that is safe and would benefit all.
iii. Finally, I discussed a plan of action that I hope can be
accomplished and something we can all do to bring awareness to
the issue.
b. If we do this many more people who die unnecessarily and suffer from
this could live, and finally be free from hoping that one day, they will be
able to receive what they desperately needed. All we need to do is to take
the first step and see where it can take us.
References
Financial Incentives for Organ Donation (n.d.). U.S Department of Health & Human Services.
Retrieved from https://optn.transplant.hrsa.gov/resources/ethics/financial-
incentives-for-organ-donation/
Fins, Dr. J. (2009, February 9). Should Organ Donors Be Compensated? Weill Cornell
Medicine. Retrieved from https://news.weill.cornell.edu/news/2009/02/should-
organ-donors-be-compensated
Friedman, A. L. (2006). Payment for living organ donation should be legalised. BMJ (Clinical
research ed.), 333(7571), 746–748. https://doi.org/10.1136/bmj.38961.475718.68
https://optn.transplant.hrsa.gov/resources/ethics/financial-incentives-for-organ-donation/
https://optn.transplant.hrsa.gov/resources/ethics/financial-incentives-for-organ-donation/
https://news.weill.cornell.edu/news/2009/02/should-organ-donors-be-compensated
https://news.weill.cornell.edu/news/2009/02/should-organ-donors-be-compensated
https://doi.org/10.1136/bmj.38961.475718.68
10
Gebelhoff, R. (2015, December 28). Compensation for organ donors: A primer. Retrieved
from https://www.washingtonpost.com/news/in-
theory/wp/2015/12/28/compensation-for-organ-donors-a-primer/
Mantel, B. (2011, April 15). Organ donations. CQ Researcher, 21,337-360. Retrieved from
http://library.cqpress.com.ezproxy.barry.edu/cqresearcher/cqresrre2011041500
National Kidney Foundation Position on Increasing Organ Donation and Transplantation.
(2017, May 25). Retrieved from https://www.kidney.org/news/national-kidney-
foundation-position-increasing-organ-donation-and-transplantation
Rettner, R. (2009, August 10). Great Debate: Should Organ Donors Be Paid? Retrieved from
https://www.livescience.com/5606-great-debate-organ-donors-paid.html
Step One in Solving the Organ Shortage: Become an Organ Donor. (2018, August 17).
Retrieved June 22, 2020, from https://biolife4d.com/step-one-solving-organ-
shortage/
Tabarrok, A. (2012). Around the World, Innovative Programs Boost Organ Donations. In D.
A. Henningfeld (Ed.), At Issue. Organ Transplants. Detroit, MI: Greenhaven Press.
(Reprinted from The Meat Market, Wall Street Journal, 2010, January 8) Retrieved
from https://link-gale-
com.ezproxy.barry.edu/apps/doc/EJ3010483233/OVIC?u=miam50083&sid=OVIC&
xid=18576079
What is UNOS?: About United Network for Organ Sharing. (2019, December 23). Retrieved
June 22, 2020, from https://unos.org/about/
https://www.washingtonpost.com/news/in-theory/wp/2015/12/28/compensation-for-organ-donors-a-primer/
https://www.washingtonpost.com/news/in-theory/wp/2015/12/28/compensation-for-organ-donors-a-primer/
http://library.cqpress.com.ezproxy.barry.edu/cqresearcher/cqresrre2011041500
https://www.kidney.org/news/national-kidney-foundation-position-increasing-organ-donation-and-transplantation
https://www.kidney.org/news/national-kidney-foundation-position-increasing-organ-donation-and-transplantation
https://www.livescience.com/5606-great-debate-organ-donors-paid.html
https://biolife4d.com/step-one-solving-organ-shortage/
https://biolife4d.com/step-one-solving-organ-shortage/
https://link-gale-com.ezproxy.barry.edu/apps/doc/EJ3010483233/OVIC?u=miam50083&sid=OVIC&xid=18576079
https://link-gale-com.ezproxy.barry.edu/apps/doc/EJ3010483233/OVIC?u=miam50083&sid=OVIC&xid=18576079
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