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Why is it Beneficial? It takes lives to save lives.

The proposed opt-out system is designed to address the


supply organ demand. The World Health Organization (WHO) data from 2017 show that deaths caused
by various end-stage organ diseases involved up to 230,000 Filipinos. This may have been prevented by
organ transplantation. In the recent study in 2018, , the Philippine Network of Organ Sharing (PhilNOS)
said that there are more than 1200 people in line waiting for organ donors and that it takes an average 3-
4 years before patient be given an organ in the Philippines. Now tell me, why do we have to change to
opt-out system. Why is it beneficial? • Kidney transplantation is still the treatment of choice for ESRD
because it offers a better-quality life and long-term survival. The estimated life expectancy post-transplant
is 17.19 years compared to only 5.48 years, if the patient remains on dialysis. • National Kidney
Transplant Institute data showed that the survival rates for kidney transplants during the first year were
registered at 90-95% for living-related donors and about 80-85% for diseased organ donors. These rates
are comparable with the survival rates of similar transplants in other parts of the world • Explicit Opt-Out
laws have long been among the major interventions used to increase the pool of potential donors in the
European countries such as Austria, Belgium, the Czech Republic, Finland, France, Greece, Hungary,
Israel, Italy, Luxembourg, Norway, Poland, Slovenia, Spain, Sweden and Turkey. The evidence supports
the association between presumed consent and increased donation rates and that countries with opt-
outlaws have rates 25 to 35% higher than those countries requiring explicit consent. • According
OPTN/SRTR 2016 Annual Data Report, people who have a liver transplant have an 89% percent chance
of living after one year. The five-year survival rate is 75 percent. Sometimes the transplanted liver can fail,
or the original disease may return. • On the study made by Abbas Rana, MD and Elizabeth Louise
Godfrey in the US regarding Outcomes of solid-organs transplantation, transplantation in across all solid
organs, 2.3 million life-years have been added through 2017. Solid-organ transplantation has
demonstrably improved modern medicine. Its positive social and economic impact has enabled
thousands of patients to improve their functional status and live longer. If transplantation is to remain an
effective treatment option, long-term management methods and approaches must continue to improve. •
The Singapore study found that kidney donation increased from 4.7 to 31.3 per million population in the
three year period after a change in legislation (Rithalia, et al., 2009) • Researchers from the University of
Nottingham, University of Stirling and Northumbria University in the UK, found that countries using opt-out
systems of organ donation had higher total numbers of kidneys donated - the organ that the majority of
people on organ transplant lists are waiting for. Opt-out systems also had the greater overall number of
organ transplants. • Countries using the opt-out system, of which there are 24 in Europe, tend to have
very high levels of organ donation. Our neighbour Austria has a 99.98% consent rate for the system. • To
encourage the principle of self-sufficiency requiring transplantable organs internally and thereby limit, if
not totally eliminate, cross border transplantation which is very costly. This provides motivation to try to
improve deceased donation rates as adopted in the Declaration of Istanbul. • The altruistic behavior of
Filipinos to donate was proved in the 2014 national program of DOH called “Dugtong Buhay” wherein
3548 people signed up to be an organ donor in just one hour proved the willingness of Filipinos to donate,
the Opt-out law is an answer to most citizens who are willing to donate their organs but because of busy
schedule has no time to go to DOH centers and sign up the donor form as required by the Opt-in system.
• Opt-System is a way to create a habit of donating as moral duty and place a legal obligation upon the
citizen to contribute to a system they stand to benefit from. • Inaction in an opt-in system can lead to
individuals who would want to be a donor not donating. • Out-out system will facilitate the procurement of
organ donation and will remove the burden of registration of those who opt to donate their organs as
supported by numerous studies in many countries. This is best seen Germany, where 70% of Germans
say they would donate their organs, but only 25% of the population have actually filled out the paperwork
and gotten a card. • The opt-out system tactfully overcome one of the most sensitive barriers to a high
rate of organ donation that exists within the opt-in system.
Walbert Goling <thewalbertgoling@gmail.com> 4:49 PM (5
minutes ago)
to maestreismaelcatalino, Nicco.acaylar02

Interpellation Questions:
- My dear opponent. Do you agree with me that we have scarcity of available organs to be used for
transplantation?
- Do you think there is disparity between the number of people on organ transplant waiting lists and the
number of organs available for transplantation?
- When the issue now is life and death, man will find ways to look for solution, right?
- Do you agree with me that there is tendency for a man to do illegal means just to address his dire
needs?
- Can there be a possibility that this scenario may also occur in transplantation, right?
- Are you aware that Spain has an opt out system of organ donation?
- Are you aware that they have the highest rate of organ donation in the world for the past two
decades?

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