Friday, February 28, 2020

Controversies in Organ Trade Essay Example | Topics and Well Written Essays - 1000 words - 1

Controversies in Organ Trade - Essay Example The author of the paper states that since health and money are two of the major considerations in life, the rich but sickly individual may be willing to buy an organ being sold in order to survive, while the poor having normal health would be willing to sell his body organ in return for a reasonable amount of money also for survival, given that either’s lives will not be put into high risk of harm. This argument may be viewed as a win-win situation by the proponents of organ trade while the oppositions, in contrast, may view this as a form of human exploitation. While commercialization of human organ is still illegal, the number of individuals waiting for organ transplant will continue to rise due to shortage of donors. To begin with, the legality of organ donation was honored in 1984 when the U.S. Congress passed the National Organ Transplant Act or NOTA in an effort to strengthen the nation’s ability to provide organs for transplant (Greussner and Benedetti 16). The N OTA strictly prohibits the commercial enterprise (buying/selling) in organ transplantation and provides protection and safety for the living donors (Greussner and Benedetti 17). In the U.S., as well as in all other countries, organ trafficking for profit is illegal, except in Iran (Cholia). With the ethical aspect, the net positive balance between recipient risk/benefit and donor risk/benefit justifies the use of living donors for organ transplantation (Greussner and Benedetti 17). Furthermore, the importance of organ donation is no longer debatable as it has already been proven that organ transplantation saves life. The need for solid organ transplantation has rapidly expanded beyond the supply of available organ donors and the most of which are in need of kidney transplant (Gruessner and Benedetti 16). The Organ Procurement Transplantation Network or OPTN showed 26,218 successful transplants and 13,252 donors from January to November 2010. Base on the above figures, it can be noti ced that the number of donors is just slightly above 10% of the total number of individuals waiting for donated organ transplants. In spite of the various promotional efforts by the authorities in-charged in organ donation, the reluctance of the people to voluntarily donate their body organs still remains. Could it be the lack of compensatory return that is worthy for the risk the donors will be taking? Because of this imbalance issues in the scheme of voluntarism for organ donation, some people in great need resorted to opt in the black market where there is greater access for organs from persons who are willing to provide healthy organs in exchange for money. Suddath and A. Altman presented the existence of organ black market when Levy Izhak Rosenbaum, a New York City resident, was accused to orchestrate the sale of a human kidney for $160,000. They added that most sales take place in developing countries, where a kidney can often be purchased for the price of a high-end TV. The W orld Health Organization also stated that through the purchase and sale of transplant organs from live donors are prohibited in many countries, the shortage of an indigenous supply of organs has led to the development of the international organ trade, where potential recipients travel abroad to obtain organs through commercial transactions (Shimazono).  

Wednesday, February 12, 2020

Change management of large scale enterprise Essay

Change management of large scale enterprise - Essay Example From the onset, it is important to note that enterprises exist to give value to their stakeholders through the operation in an atmosphere that gives value, while at the same time minimizing risks and the responsible utilization of the resources available. In an environment that is rapidly changing, the faster setting of directions and faster reaction to the change is essential as well as the sharing of the decision-making among stakeholders. Business enterprises that want to ensure that are successful implement overarching systems of governance in order to achieve business aims at all levels of operation and that IT governance practices and IT outcome are correlated in the sense that stronger IT governance practices give better IT governance outcomes. Business enterprises in general are complicated entities that must incorporate technological and financial systems operating in a dynamic market and business circumstances that are not certain requiring change management from time to ti me. Most of these businesses are large-scale with a distributed system characterized by highly complex that involves the interaction of many aspects including humans, services, applications and devices. Due to this complexity, enterprises may have inefficiencies such as unnecessary human labour and under-utilized information technology devices and the lack of modelling or optimization of the operations of the business. This leads to delays and latencies that may be caused by traffic bottlenecks and engineering or design that is imperfect that therefore requires the businesses to change or evolve into better forms that exhibits improved performance. In our research paper, we review the business enterprises as large-scale and distributed system with specific dynamics exhibiting a typical behaviour of which adaptability or system change is the key to the viability of the business. To pursue this, we postulate that the longevity of a business enterprise is determined by its ability to a dapt to changes over a long duration of time, depending on either the natural systems or the artificial systems that are dictated by intelligent but conscious decisions in line with the market conditions. Whereas previous work have focused on the structural features of information technology governance, there are concepts of IT governance that must be endeavoured in order to appreciate IT governance process and enterprise change. It is notable that regardless of the market dynamism, effective IT governance can only be achieved through the strategic integration of both IT and business decisions and the establishment of collaborative relationships amongst the stakeholders concerned. Therefore, the question that begs to be answered is what procedure or mechanism is necessary in the IT governance in the current business environment. Past studies have only focused on the structural mechanisms and ignoring process mechanisms that have resulted in partial leading to limited understanding o f IT governance. However, present studies address the social and procedural mechanisms for the governance of IT that makes it easier for any person attempting to manage large-scale enterprise change.