Are kidneys from Black Americans more likely to be wasted?

Valuable kidneys could potentially go unused, leading to ethical and practical issues.

June 30th 2024.

Are kidneys from Black Americans more likely to be wasted?
Kidney disease is a serious health concern that affects many people in the United States. Unfortunately, it is also one of the leading causes of death in the country. This issue is especially prevalent among Black Americans, who are three times more likely than white Americans to develop kidney failure. This staggering statistic, reported by The Conversation, highlights the significant disparities in healthcare between different racial groups.

The reasons for this disproportionality are complex, but one factor is the higher prevalence of diabetes and high blood pressure in the Black community. These conditions are known to contribute to the development of kidney disease. Due to these health disparities, Black people make up a disproportionate 35% of all those with kidney failure, despite only making up 12% of the population.

The severity of this issue is further compounded by the fact that kidneys from Black donors are more likely to be discarded. In the United States, there are nearly 100,000 people awaiting a kidney transplant. Among these individuals, Black Americans are more likely to need a transplant but are less likely to receive one. This is partly due to the fact that kidneys from Black donors are often considered less desirable and are more likely to be thrown away.

The root of this problem lies in a racially biased system that wrongly assumes that all Black donor kidneys are more likely to fail after transplantation compared to kidneys from donors of other races. This unfounded assumption leads to a decrease in the quality ranking of these organs, resulting in them being wasted. As a scarce resource, this is a significant ethical and practical concern, as highlighted by Ana S. Iltis, a professor at Wake Forest University.

It is crucial to recognize and address this issue in order to prevent valuable kidneys from being discarded and to help more people in need. One potential solution proposed by medical researchers is to simply ignore race when evaluating donor kidneys. This approach takes into consideration that race is a social construct and not an accurate indicator of genetic diversity. Therefore, any perceived differences in the quality of transplanted organs are likely due to individual genetic factors rather than race.

This issue has a direct impact on Black Americans in need of a kidney transplant. Despite being more likely to receive an organ from another Black person, they often remain on the transplant list for longer periods because of the high rate of discarded kidneys. This further highlights the urgency of addressing this issue and making organ transplantation more equitable and efficient.

In conclusion, the issue of kidney disease and organ transplantation among Black Americans is a complex and pressing one. It is vital that we recognize and address the racial biases that contribute to the wasteful discarding of kidneys from Black donors. By doing so, we can ensure that more people in need receive life-saving transplants and that valuable organs are not needlessly wasted. This is an important step in promoting health equity and providing fair and equal access to healthcare for all.

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