by Michelle Ly
Susan Lim is perhaps not the likeliest of candidates when one brings to mind the image of a stem cell researcher. A surgical pioneer, Dr. Lim performed the first liver transplant in Asia, for which she received numerous honours. She brings a refreshing outlook on stem cell research with her recent TED talk, entitled “Transplant cells, not organs”.
While those of us in the stem cell community may be well aware of the moral, legal and ethical concerns surrounding the use of stem cells, particularly embryonic stem cells, Dr. Lim’s talk brings to light many ethical issues surrounding organ transplant.
Often portrayed as the “gift of life”, organ transplants are now regular performed to replace ailing kidneys, hearts, livers and lungs. As the skill of doctors has increased, so too has the need for organ transplants, such that demand has easily outpaced availability. The Western world has tried to keep pace by relaxing the rules for organ donations – for example, by allowing unrelated donations from living donors. But as these rules have expanded, so has the opportunity for exploitation. While the need for informed medical consent for organ donors is stressed, it is easy to see how people can be pushed into “donating” an organ, through outside authority, familial pressures, or social-economic pressures. Living donors undertake risk by going under the knife and may suffer medical complications, as a teenager in China found out after selling his kidney for an iPad.