So we should let perfectly good organs go along with the people that need them because it may offend the family of the potential donor? Or is it okay to do it in the hospital but distastful when it occurs at home?
If I die at home, it is okay for them to do this to my family.
"It sounded like you weren't going to make it, so we have this truck in the wings just in case."
What happens when the locals start figuring out that this truck miraculously happens to be in the nieghborhood everytime somebody dies?
Especially in the more socio-economically challenged areas there are going to be disproportionately lower save rates. What about the perception those "rich folk" let the poor die so they can save more of themselves?
What about the issue it causes when the donor truck gets there first and is just "hanging out" simply because of the location of units on a given day?
At what point does it become organ farming?
From the hospital perspective, when a patient is brought there, there is at least the illusion that all that could be done has been. I know it is no different than a good ALS squad, you know that, but the regular people in the world don't. They can't even figure out what the difference between medics and EMTs are.
The best organ donors are from accidents, not from illness. Most arrests at home are from illness, not from accidents.
At what point does this cease to be organ collection and become organ farming?
From a scientific standpoint it sounds great, more organs means more potential transplants. I get it. But at what cost?
Medicine is already in danger of being a strictly factory endevor that has no concern other than the Frankenstein science of it. Think about this on a massive scale, a bunch of trucks around the nation showing up right after a death everytime and hacking out some useful parts.
Might as well have the funeral homes do it, that way they can provide ALS service, organ donation, and funeral service all at one low cost. No redundant vehicles or persons.
Why we are at it, since we know that accidents resulting in unisystem brain death are the best donors, the next time a jet flies into a bilding we can dispatch the truck and start harvesting off the expectant and deceased bodies right then and there. Black tag now gets you triaged to organ donation.
If you are not going to target the most likely because of protocol, all you are doing is abusing a bunch of corpses and wasting a lot of money for some rather long odds.
Of course if any of the survivors are related, it will increase the odds of a match.
Don't forget, the poorer the people generally the more close their attachment to family. Mutual survival depends on it. If you upset that or take it away, it really is a disservice to those people.
As my Basic teacher once said: "How is this going to look on the 6 o'clock news."
I think Dr. Josef Mengele would be most proud of this experiment to see if the protocol works.