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Organ transplant is a living-saving procedure. It is a medical marvel that many individuals have benefitted from. However, as recent reports have highlighted, it is also a medical system that has invariably promoted extensive abuse of human rights. Clinical criteria and ethical considerations rather than financial motives should be the force behind successful organ donation and allocation.
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The typical work culture in Indian government hospitals allows doctors to come to work at 10 am and leave by 3 pm. After hours work by doctors and even ancillary staff (ultrasonography and pathology technicians, immunology lab staff, etc.) can be difficult to ensure. The rigid top down bureaucracy discourages young rising talent to take on new and special challenges such as transplant.
All doctors and medical professionals should also understand that organ donation is all about saving lives, despite a single loss of life. If a single death can be transformed into many lives saved through organ donation (up to 8 or 9) and many lives vastly improved through tissue donation (more than 50), then this should be seen as a victory.
It's not that Indians have an intolerance for honesty, but they do have an alarming tolerance for dishonesty. This deeply rooted cultural behaviour comes from a desire to be polite, but on a daily basis and on a massive scale, this tolerance for dishonesty is holding India back from realising its full potential in the world.