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Wednesday, March 26
War=20 Coverage
Accent=20 | Business=20 | Local=20 News
Main=20 News | Opinion=20 | Sports=20

Organ-sharing club addresses donor = shortage

By Carolyn Susman, Palm Beach Post Staff=20 Writer
Wednesday, March 26, 2003

David Undis is creating controversy and drawing = attention=20 to a cause he champions, and very few of us even know = who he=20 is.

Undis is a 48-year-old retired Tennessee insurance = broker=20 who last year established LifeSharers, a nonprofit = network of=20 organ donors who give with the expectation that they = will=20 receive first dibs on available organs if the need = arises. The=20 network (www.lifesharers.com) is open to everyone who = wants to=20 sign up. Currently, Undis says, it has 577 members in = 41=20 states and the District of Columbia, including 11 = members in=20 Florida.

"This creates a pool of organs available first to = members.=20 The existence of this pool gives other people an = incentive to=20 sign donor cards and join the network, and this = incentive=20 grows stronger as the network expands," he wrote me in = an=20 e-mail after I had written about the need to lock in = organ=20 donations before the time of death.

It is commonly known that organ donors are in short = supply=20 and that many people die without donating. That has = led to a=20 continuing shortage of organs for transplantation, and = an=20 unacceptable number of people who die while waiting = for organs=20 to become available.

The United Network for Organ-Sharing -- = www.unos.org -- a=20 nonprofit charitable organization that oversees the = nation's=20 organ transplant waiting list, has more than 80,000 = people=20 awaiting all types of transplants, including kidneys, = liver,=20 pancreas, lungs and heart.

Federal law prohibits the sale of organs, and Undis = is=20 quick to point out that there is no financial gain = involved=20 with his network -- only the guarantee of a priority = listing=20 if the donor should be in need. That doesn't guarantee = a=20 compatible organ, of course, especially because = LifeSharers=20 has such a small membership.

(Undis doesn't benefit financially either, he says, = although he is listed as executive director.)

Rather than being encouraged by Undis' fledgling = effort,=20 UNOS has withheld support of his network. It has = criticized=20 LifeSharers for creating a class of people who = allocate organs=20 based on membership rather than the need of the = general=20 public. It also has criticized LifeSharers for = agreeing to=20 accept any organ offered but refusing to give them out = to=20 anyone but members unless no member is suitable.

Undis responds that UNOS has supported a program = with a=20 "membership," too. It started two years ago at The New = England=20 Medical Center -- Hope Through Sharing -- where = kidneys are=20 allocated preferentially, based on whether an intended = recipient can get a relative to donate a kidney to = others, if=20 not suitable for the patient.

But this is hair-splitting. LifeSharers isn't = forcing=20 anyone to give or to join. And even UNOS appears = unthreatened=20 by the ability of LifeSharers to overtake it, or to = siphon=20 organ donors from it.

Considering the appalling shortage of organs and = the=20 failure of efforts so far to turn that around, = LifeSharers=20 would seem a welcome addition to the campaign to = increase=20 organ donations. Wake up, UNOS, and provide better = reasons to=20 ignore this network, if there are any.

carolyn_susman@pbpost.com
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