现在每年有2万人，不是在判定为脑死亡（brain dead）之后才开始有器官移植的人入场。而是医生主观判定无法恢复自主循环（所谓circulatory death）之后，在意识清醒，还有大脑活动的情况下，只要家属同意就直接拔管子，开始摘除器官 很多时候器官移植负责人会 aggressively pursuing circulatory death donors and pushing families and doctors toward surgery Workers in several states said they had seen coordinators persuading hospital clinicians to administer morphine, propofol and other drugs to hasten the death of potential donors. “In Miami in 2023, a potential donor who had broken his neck began crying and biting on his breathing tube, which a procurement organization worker said he interpreted as him not wanting to die. But clinicians sedated the patient, withdrew life support, waited for death and removed the organs, according to the worker and a colleague he told at the time. In West Virginia, doctors were taken aback after Benjamin Parsons, a 27-year-old man paralyzed in a car accident, was brought to an operating room and asked to consent to donating his organs as he was coming off sedatives. Communicating through blinks, he indicated that he did not give permission. Still, coordinators initially went to move forward, according to text messages and interviews.
部分原文
Circulatory death donation is different. These patients are on life support, often in a coma. Their prognoses are more of a medical judgment call.
They are alive, with some brain activity, but doctors have determined that they are near death and won’t recover. If relatives agree to donation, doctors withdraw life support and wait for the patient’s heart to stop. This has to happen within an hour or two for the organs to be considered viable. After the person is declared dead, surgeons go in.
The Times found that some organ procurement organizations — the nonprofits in each state that have federal contracts to coordinate transplants — are aggressively pursuing circulatory death donors and pushing families and doctors toward surgery. Hospitals are responsible for patients up to the moment of death, but some are allowing procurement organizations to influence treatment decisions.
Fifty-five medical workers in 19 states told The Times they had witnessed at least one disturbing case of donation after circulatory death.
Workers in several states said they had seen coordinators persuading hospital clinicians to administer morphine, propofol and other drugs to hasten the death of potential donors.
“I think these types of problems are happening much more than we know,” said Dr. Wade Smith, a longtime neurologist at the University of California, San Francisco, who frequently evaluates potential donors and has studied donation after circulatory death.
A recent federal investigation — prompted by the case of a Kentucky man whose organs were pursued even as he shook his head and drew his knees to his chest — found that the state’s procurement organization had ignored signs of increasing consciousness in 73 potential donors.
In interviews with health care workers, as well as a review of internal records, audio recordings and text messages, The Times confirmed 12 additional cases in nine states that troubled medical workers or were being investigated.
Most of these patients ultimately died, so it is impossible to know what they experienced. Doctors expressed worry that some patients might have recovered if given more time on life support. Other patients may have felt pain or emotional distress in the last hours of their lives.
The questions have taken on greater urgency as this type of donation has grown rapidly in the last five years, driven in part by federal pressure on procurement organizations to increase transplants. At the same time, the government has largely allowed the transplant system to police itself.
In 2022, when she was 38 and homeless, Ms. Gallegos was hospitalized and went into a coma. Doctors at Presbyterian Hospital in Albuquerque told her family she would never recover.
Her relatives agreed to donation, but as preparations began, they saw tears in her eyes. Their concerns were dismissed, according to interviews with the family and eight hospital workers. Donation coordinators said the tears were a reflex. (Tears can be an involuntary response to irritants.)
On the day of the planned donation, Ms. Gallegos was taken to a pre-surgery room, where her two sisters held her hands. A doctor arrived to withdraw life support. Then a sister announced she had seen Ms. Gallegos move. The doctor asked her to blink her eyes, and she complied. The room erupted in gasps.
Still, hospital workers said, the procurement organization wanted to move forward. A coordinator said it was just reflexes and suggested morphine to reduce movements. The hospital refused. Instead, workers brought her back to her room, and she made a full recovery.
Presbyterian made the treatment decisions, but hospital workers said they faced pressure from the procurement organization, New Mexico Donor Services.
“All they care about is getting organs,” said Neva Williams, a veteran intensive care nurse at the hospital. “They’re so aggressive. It’s sickening.”
很多时候器官移植负责人会 aggressively pursuing circulatory death donors and pushing families and doctors toward surgery
Workers in several states said they had seen coordinators persuading hospital clinicians to administer morphine, propofol and other drugs to hasten the death of potential donors.
“In Miami in 2023, a potential donor who had broken his neck began crying and biting on his breathing tube, which a procurement organization worker said he interpreted as him not wanting to die. But clinicians sedated the patient, withdrew life support, waited for death and removed the organs, according to the worker and a colleague he told at the time.
In West Virginia, doctors were taken aback after Benjamin Parsons, a 27-year-old man paralyzed in a car accident, was brought to an operating room and asked to consent to donating his organs as he was coming off sedatives. Communicating through blinks, he indicated that he did not give permission. Still, coordinators initially went to move forward, according to text messages and interviews.
部分原文
为啥要去掉？摘了长新的不好么？新陈代谢啊。。。
你发关于宝dao的新闻也会被转走
都能长的话，摘我的干嘛
自己的器官自己长~
也对啊，这个逻辑倒是自洽。。。
https://huaren.us/showtopic.html?topicid=3046926&fid=398
“要知道自己是否在驾照上选择了器官捐献，可以通过以下几种方式确认：
1. **查看驾照**：许多州在驾照上都会标记出是否选择了器官捐献。通常会有一个标志，比如一个心形或器官捐献者的字样，表明你已同意成为器官捐献者。
2. **联系当地的机动车辆管理局（DMV）**：你可以联系所在州的DMV或类似机构，询问自己是否在驾照上选择了器官捐献。他们可以根据你的记录告诉你具体信息。
3. **在线账户或App**：某些州提供在线服务，允许你查看和更新驾照信息。如果你有一个DMV在线账户，登录后可以查看是否注册为器官捐献者。
4. **器官捐献注册系统**：你可能在一个国家或州的器官捐献注册系统中注册，访问相关网站（如美国的Donate Life Registry），你可以通过输入个人信息来确认自己是否是注册的捐献者。
如果你想更改器官捐献状态，也可以通过以上这些方式来进行更新。”
但是如果你喝醉了 警察把你送医院不管就走 医院是可以 邪恶手段依旧活摘你的 这个新泽西有例子 那个女的醒来看到paperwork 吓得跑了
我家闺女 自杀被就，医院一个小时候就把器官卖给人 一个半小时后就活摘开始 医务人员是普遍知道的。
美国医院杀人是极其普遍的现象。
这是哈佛大学创造的
为斯坦福毕业的医生活摘黑人后 找的借口
美国名校杀人走在全世界最前列
哈佛 斯坦福 东西第一 杀人第一
圣地亚哥，边境没有身份的 你想想有多可怕
我知道的 车祸donor 会被摘 街上醉酒也会 还有自杀被送医院的。
对没有身份的 确认脑死亡的 很多很多人都有很细致的时间诊断 活摘 和处理遗体。
整个都是极其可怕的。
比如明明知道亲人在医院 你就是找不到 几天后人家说遗体按照法律捐了处理了
那么你知道活摘了吗？
美国成吨地卖病人身体部件 我就好奇多少是被偷偷活摘的？！
美帝危险至极 很多人没有意识而已。。。。
但是医生护士卖了器官估计私下拿几万到几十万。 直接进自己腰包 不走医院 我是这么猜测的。 估计就是比特币，现金，等等等。
我家闺女是护士直接打电话找了下家。 就是该护理病人的护士，直接打电话卖了病人器官。 是个白人女的。似乎last name 是love 啥的，太恶心了。
有些好心医生是不干的 好心的医生护士也有不少。 不参与。
但有些胆子大的什么都干的。 那个医生也是白人 俩都很年轻。
华人地位不行 所以嘛 估计被摘的很多。
我是通过自己啊经历总结的。 没有普遍性
我觉得移民美国的医生胆子小 岁数大，不敢。 但是美国自己本土培养的医生 胆子大 最不是东西
我可以非常肯定地说 美国医疗的培养制度 就是培养各种杀人犯。
医生没啥利益，利益是这些器官采集组织