In India, certain amendments to the Human Organ Transplant
Act 1994 are required to enhance cadaver organ retrieval and transplantation to
bridge the huge demand–supply gap. The pool of donors, including increasing the
supply of organs by widening the definition of ‘near relatives’ by allowing
organ swaps among needy families, as well as, simplifying cadaver transplant
procedures. The paired matching should be permitted i.e. if patient A’s donor
does not match A, and likewise for patient B, then donor switch should be
allowed, if it results in a match. Swaps or exchanges between families unable
to fulfill the need of their family member in need of a transplant.
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