The Broken Economics of Organ Transplants
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- Опубликовано: 10 авг 2020
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Animation by Josh Sherrington
Sound by Graham Haerther
Thumbnail by Simon Buckmaster
Select footage courtesy the AP Archive
References:
[1] optn.transplant.hrsa.gov/data...
[2] optn.transplant.hrsa.gov/reso...
[3] www.mayoclinic.org/tests-proc...
[4] www.pennmedicine.org/updates/...
[5] optn.transplant.hrsa.gov/memb... optn.transplant.hrsa.gov/memb...
[6] www.cuimc.columbia.edu/news/s...
[7] www.statnews.com/2016/08/25/o... data.worldbank.org/indicator/...
[8] www.ncbi.nlm.nih.gov/pmc/arti...
Musicbed SyncID:
MB01IAUX16X8FQI
Oh! So when someone donates one kidney, they're a hero. But when I come to donate 10 kidneys they ask things like "Sir, where did you get these?" and "Why are they in a bucket?"
@@williamrobinson7852 it's been 10 minutes, geez wait for the video to gain views
You win the internet today, good sir!! 👍
@@milesr5779 A reposted joke is still a joke ¯\_(ツ)_/¯
Fair enough
I mean...
Surprised he didn’t mention Singapore, where almost everyone is a registered organ donor, and those that aren’t are put at the bottom of the list.
That’s smart
Or perhaps Finland - where everyone is a donor by default, and can opt out if they want. Most wont bother.
a lot of countries in europe do this
@@Kortteenniemi this is in the Netherlands as well.
also make being a donor the default option & you get an incredible system
I remember a nightshift, where I was on regular duty in my city, when we suddenly get toned out at about 3 am for an "emergency, other" - which is usually the button dispatch pushed if they don't know what's going on from the call. So we go to our rig and I give dispatch a shout over the radio and ask them what they know, if anything. And dispatch basically goes: Well, this is kind of a special task, but I exhausted every other ressource and the helicopters can't fly due to weather, so I need to send a regular unit for this. In my head I'm already kinda panicing, because "special tasks" in EMS are never good and "no other ressource avaible" certainly means you're not the first choice, usually for a reason. But I also don't have a choice, so I just say: "Go ahead!" and dispatch tells me that there is this patient on the lung transplant list who is in care at her own home - and she just got a call that she would get a transplant lung if she manages to be on the operating table within 4 hours. Problem was: That operating table was in a city that's 3.5 hours away in normal traffic.
So my buddy and I respond code 3 to the house, where the patient is already packed up and ready to go, put her into our ambulance and we drive like the mad men we are. To this day, I have no idea how I managed this, but despite heavy snowing and high winds, I pulled into the ambulance bay of our target hospital 2.5 hours later. We immediately tell the first nurse we see to ring the operating theatre and lead us there - she does so, goes white and says: "Wow guys, that has to be fate. They were litterally about to stand down, because you were to late." So we hurry the patient into the theater, wish her well, get the hell out of the way and basically collaps in the hallway.
Luckily our shift supervisor was super understanding when we rang him about this, so he allowed us to end our shift there and coordinated a place to sleep at a local fire station (the guys there were super welcoming as well and invited us to dinner). We then took the ambulance back home later that day. To this day, I often tell this story whenever a new EMT asks me: What's the longest you've ever driven code 3. They usually expect some "I was at a farm out in the wilds" story, but nope - just city to city in a snow storm.
Wow what a crazy story. Tremendous respect for you and all other emts.
wow. what country was this in?
@@jadawo Austria
@@QemeH Hawara Respekt, schon a Leistung unfallfrei zu fahren bei solchen Witterungsbedingungen
This is amazing
"the problem is the world does not have enough pineapples"
This is the true barrier to world peace.
Justin _ *BTW! Wendover MBA Dudes! You should NOT have used the PINEAPPLE or ANANAS **1:19** as the Free World calls it, since it according to a LANCET 2009 article induces it THe HAIRY TONGUE SYNDROME and ACIDITY as side effects. Same goes for the popular PINEAPPLE JUICE served FREE at hotels. Pleas refrain from drinking it. Bangkok-Johnnie the Jumper*
If you change "pineapples" to "oil and gas", then this joke becomes reality
Peace was never an option
That line gets better when you realize pineapples are a metaphor for human organs
Everyone needs to stop liking this comment immediately, right now this comment has the perfect amount of likes for a true Macedonian phalanx
Sam's Dream: "This video was made possible by Boeing"
GAGAGAGAGAGA!!! I want to cut my toe nails... NEVER! I am the feet RUclipsr. Thanks for being a fan, dear uacks9n
AxxL the hell.
@@AxxLAfriku what the fuck?
You got a dislike from Airbus
Save 15% off your next 747 when you use code H A I
He sounds way more excited than normal, just like on his second channel
Just like video, it's the audio editing and enhancing.
But yeah he does have a really good voice
I prefer the jokey style of HAI
Second channel!? Twice the wendover
@@benplace5714 twice the Wendover, double the happiness
Someone got laid last night ;)
It's going to be interesting to see how lab-grown organs change the game, if we ever get there.
@anomie nous
good point but this would still beat the alternative of the black market in place today. and i don't mean the rich exploiting the poor while barely making a dent in their net worth. i mean there will be less criminal activity of organ harvesting from kidnapped people.
Nah, lets jump straight to uploading our brain to a Computer and make us a Cyborg.
I had a liver transplant at 6 months old, 19 now, and I sure hope it's possible in the future to grow such a huge and complex organ. I remember reading about it years ago.
@anomie nous We can definitely decentralize practices of quality and such that involve life and death with government control. I'm sure practices that can save millions of lives can be fought for and heavily regulated. We just need to find the right system to implement controls to keep companies like this from becoming too far gone.
@anomie nous That's why capitalism must come to an end.
Can I just say, as someone who works in organ donation, that this video is really refreshing. I see a lot of well meaning but inaccurate information around organ donation. I work in the UK so obviously this doesn't map on to our system perfectly (we're not hampered by geography nearly as much as the US is) but I'm glad you emphasised that often times it's not the sickest person or the person waiting the longest who gets the organ, but the person who will get the most use from it.
Also, I notice you used a lot of stock footage that seems to be from Israel - their system is interesting in that whether or not you've signed up to be a donor is a factor in how high up the list you place as a recipient. If you opt out of donation, you'll be lower on the list than an equivalent patient who has signed up to be an organ donor.
However one thing missing from this conversation is that unless the supply of qualified surgeons (and support staff) increases in line with an increase in organs, there will always be a hard limit on the number of transplants that take place. Currently in the UK we can reach a stage where all the teams qualified to retrieve organs are already out retrieving, and the transplanting hospitals have reached their capacity for the day - this can happen with as little as 15 or so donors in a 24 hour period. When this happens organs start to go to waste - having more donors doesn't help the people on the list if there aren't enough surgeons to retrieve and implant the organs. Unlike the pineapple (which really only requires 1 person to use properly, that is to say, eat) organs require a secondary economy of skilled professionals to make use of them.
There's an error in one of your diagrams. When someone has a kidney transplant, the reciever ends up with 3 kidneys not 2 usually. They leave the existing kidneys attached and just wire up the donor kidney. So it doesn't replace either of the existing kidneys, unless they were removed completely due to cancer etc.
Interesting. That makes a lot of sense. A bit surprised there is space for all three.
@@vanivanov9571 I mean they are called 'squishy bits' for a reason.
Sedentary people have a lot of visceral fat, which coats the organs, and can lead to and exacerbate 'lifestyle illnesses' like diabetes and heart disease, compared to subcutaneous fat, which is merely a store of energy. In fact, that's the main difference (apart from muscle mass) between Sumo wrestlers and regular obese people.
Usually your kidneys are removed due to polycystic kidney disease also
they usually take at least one depending on how well they are operating. I had both removed due to the right kidney only working at about 8% efficiency whereas the left was still up in the 30% range. Only reason they took both was due to an unkown cyst found on the left kidney, removing the left just in case. So I now have a single kidney operating just above my hip within my abdomen
Is still have both of my native kidneys and my transplant. My native ones have pretty much stopped working like they thought.
Sam on HAI: *bricks*
Sam on Wendover: *pineapples*
Don't read my username.
what's HAI ?
@@mohamedkadhemmansour7058 Half As Interesting, Sam's second channel! He makes a lot of videos about bricks!
Don't Read My Profile Picture nice.
Don't Read My Profile Picture ok
i am a dialysis nurse, and i just wanna mention something else. Not all transplant work, despite all the rigorous tests to ensure organ matching, sometimes after transplant the kidney simply does not work...it sucks but it happens
I hope I can get a liver and kidney transplant. I might not ever get a chance since I'm having issues gaining weight.
I understand why my liver failed. I don't completely understand why my kidneys decided to just stop working for whatever reason even though last time checked they looked perfectly healthy with blood flow.
u alive bro?
@@dianapennepacker6854
There’s another option to increase the supply of organs. You can change the form at the DMV.
The way people sign up to be organ donors is by checking a box while getting their drivers license. This box is unchecked by default (an opt in form). Studies have shown that when people have a difficult choice to make, such as what to do with your organs if you die, they are more likely to choose the default option.
By changing the form at the DMV to an “opt out” form by simply making the box checked by default and giving people the option to opt out if they do not want to be organ donors, it can have a big impact on the number of people signed up to be organ donors.
They've switched to an opt out system in the UK over the past decade.
100% agree.
If I recall, from when I changed my drivers license to a real ID, Alaska is now an opt-out system as well.
. .
No hope in going to the past come to the loving savior today
Seek his Holy Spirit in prayer today he can give you peace confort and guidance today
Romans 6:23
For the wages of sin is death, but the free gift of God is eternal life in Christ Jesus our Lord.
Come to Jesus Christ today
Jesus Christ is only way to heaven
Repent and follow him today seek his heart Jesus Christ can fill the emptiness he can fill the void
Heaven and hell is real cone to the loving savior today
Today is the day of salvation tomorrow might be to late come to the loving savior today
John 3:16-21
16 For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. 17 For God sent not his Son into the world to condemn the world; but that the world through him might be saved. 18 He that believeth on him is not condemned: but he that believeth not is condemned already, because he hath not believed in the name of the only begotten Son of God. 19 And this is the condemnation, that light is come into the world, and men loved darkness rather than light, because their deeds were evil. 20 For every one that doeth evil hateth the light, neither cometh to the light, lest his deeds should be reproved. 21 But he that doeth truth cometh to the light, that his deeds may be made manifest, that they are wrought in God.
Mark 1.15
15 And saying, The time is fulfilled, and the kingdom of God is at hand: repent ye, and believe the gospel.
2 Peter 3:9
The Lord is not slack concerning his promise, as some men count slackness; but is longsuffering to us-ward, not willing that any should perish, but that all should come to repentance.
Hebrews 11:6
6 But without faith it is impossible to please him: for he that cometh to God must believe that he is, and that he is a rewarder of them that diligently seek him.
Jesus
Wendover: "Organ Transplants Economics are broken!"
Me: "Why? Is it because they don't use planes?"
well steve jobs did, so he did manage to mention planes after all
And they use private jets to transport organs
No did you even watch the video?
Overnight ship the organs on planes! Problem solved!
I have personally rushed organs and transplant teams from hospitals directly to the tarmac at the airport they were going to be flying out of. Planes are definitely involved.
Imagine Wendover's search history...
"how to store children's organs in your fridge
The search for the generic background clips alone must be hilarious
"How to buy black market organs in Iran"
"wealthy patient bribing doctor stock footage"
“Airplane sex”
There is a (partial) solution in the middle. Compensate living donors for the costs associated with donation. Currently, if someone wants to donate a kidney to someone they love or to a stranger, they have to undergo clinical evaluation, take time off at work, travel, lodge and recover all by themselves. This costs thousands of dollars and is one of factors limiting the supply of organs. American laws don't prohibit compensating organ donors all these expenses, and there are organizations that try to do that. But more needs to be done.
Sam: “But this system has no way to increase supply when demand is higher”
China: *Are you sure about that*
i remember there might have been a system of just taking organs from death row inmates. I have no clue whether it is still continued. But black market wise, go to a sketchy place and well..... lets just say you sacrificed yourself to save many lives and turn a profit for some human traffickers.
@@real_dddf There was an investigation that found that the number of transplants carried out each year in China cannot be accounted by the number of registered donors and death penalty executions.
Scary shit.
@@onegrapefruitlover citation? Most that I have read all involve hospitals claiming that they can do transplants within a short time frame,and never actually data that they follow through. In short usually just being businesses.
As for getting organs from death row, that ended a few years ago
If I recall there was an investigation, specifically on them forcefully taking organs away from minorities such as the uyghurs but that was years ago and even today hasn't made much noise.
Aleph Kasai Well the Chinese government is sending many Uyghur people to “re-education camps” and what they are doing there is made a secret to the rest of the world
How do donated organs get from one region to another? By plane? What kind of planes and where do they start, land and refuel?
It depends on the country and the geography of the place .
For example in Italy , the emergency services team deploy Lamborghini gallardos to transport the organ to the recipient.
Similarly in most countries a convoy of police cars escort an ambulance to the destination In the shortest amount of time possible .
When it comes to planes , tbh here i don’t know 🤷♂️.
My best bet would be on under belly of passenger planes or cargo aircraft or perhaps a chopper which seems more credible since organs are transported for very short amounts of time or The riches would just buy organs from poorer countries and just ship em to their home country to proceed with the transplant , that’s why they fly out to countries like Iran to get their transplants done rather than ship organs .
@@sravans5100 italy really flexing
Planes could fly between west coast to east coast USA in around 5-6 hours. Add this with time from hospital A to airport and airport to hospital B. It would be like another 5-6 hours.
We use helicopters in Turkey
Its faster and easier to dispatch and needs lower infastructure than planes
But I heard that they use slinglaunched RC drones in some places of Africa
@@sravans5100 they don't really use standard commercial aviation. To much uncertainties.
If a organ is transported outside of helicopter range they will use private jets. That jet will get priority above all others to immediately take off assoon as the organ is on board.
Wendover Productions: _Therefore,_
Noticed it a few weeks ago, and now I can’t stop!
So Do Iiiiii
I didn't noticed months ago, last videos i noticed
Now i can't stop to listen to it
I had to pause the video haha
@ noticed what
I counted 8 therefores
it's like a research paper 😂😂
"Can't have an abundant supply of organs"
China: That's where you're wrong, kiddo
"Abundant supply of *willingly donated* organs"
Willingly donated
That ended a few years ago
@@eugeneng7064 Just didn't tho, what about the lady in Shanghai just recently that got ~10 transplants iirc (definitely a stupid number) cause her body kept rejecting it? In the free world that would be unheard of, but China has an unlimited supply of "willingly donated" organs
@@theof.7180 citation? Plus there's you know death row inmates
I've narrated the scene at 5:35 for you
Doctor : "Scissors, and Assistant 1, prepare to insert hunk of flesh"
Assistant 1: "inserting hunk of flesh!" **inserts flesh and rotates wrist back and forth**
Assistant 2: "Your Scissors, doctor." **places scissors in Doctors hand**
Doctor: "Thank you, now insert your hunk of flesh Assistant 2"
Assistant 2: "You mean twirl it around like invisible pasta, like-a-dis?"
Doctor: "Excellent Assistant 2, that was skillfully done and your mock Italian accent brings us levity while attempting to summon Cthulhu "
Thank you for that narration, I wasn't quite sure what surgical procedure was being performed there.
This is an accurate portrayal of surgery. I know because I am scissors.
This made me laugh very hard and for a very long time, thank you! 👩🍳👩⚕️
SpongeBob got his pineapple free of charge so why not the rest of the world
It’s you
Aye it’s you again!
Hi again
Avery the Cuban-American> SpongeBob got his pineapple free of charge
How do you know? Is that canon? Did they give backstory on how he got it? 🤔
because the rest of the world calls it ananas
Nice video! I'm a PhD student in Developmental Biology, and I would like to offer one more possible solution to organ shortage: making new organs from scratch. There's a steady improvement in the quality of Organoids - tiny organ-like collections of cells grown in a lab. I myself work with mouse kidney organoids, though one time my colleague used a wrong growth medium and they started beating, like heart does!
These organoids have microstructure which is similar to proper organs, but they are still too small to function properly, and there are still problems ensuring proper blood flow throughout the organoid. Some proposed solutions suggest 3D-printing the scaffold from biocompatible material and then seeding it with thousands of organoids to achieve full-scale function. Let's hope that in a decade or two, this technology will make organ donors obsolete!
:D
Makes sense since growth medium are usually tailored towards what the cells are since growth factors in the media influence cells differentiation. How far are you in your PhD? You should check out organ-on-a-chip (OOAC).
That's not only a possible solution, but also a few decades in the future. It may never happen, and it certainly won't solve the problem now. More possible donors is guaranteed to work, and it will work now. It's great people are working on artificial organs, but we can't afford to sit back and twiddle our thumbs waiting for that to happen.
"in a decade or two"? You are a student, indeed.
“Frank, the kidneys have a heartbeat again!”
“Oh, for fuck’s sake! KEVIN!!!”
Interestingly enough, there’s also a hierarchy of which organs are taken first from Donors who pass in hospitals. Once the patient is declared dead, each donatable organ has already been assigned to its new home and its recovery agents are waiting at the bedside, but have to wait their turn depending on the organ. The heart always goes first no matter what with lungs coming second and the rest up to the hospital or agency’s discretion
It works in a similar way here in the UK - Heart out first, then lungs, liver/intestine, pancreas, kidneys. We log the anatomical details of the kidneys while they wait in their box, then if they're deemed acceptable they're collected by ambulance drivers who whisk them off to their destinations.
This is why people have kids; conveniently available spare parts. Allegedly.
Smash that dislike button!
Wait, wrong channel :)
That's a good idea. I shall have to acquire some sons and some grandsons.
Underrated comment lol
*Neil Schusterman wants to know your location*
based
This video is simultaneously fascinating and terrifying.
Yeah, its either save more people by screwing some over, or saving fewer lives for an ideal of fairness, thats fate/stay night levels of thought that are just not nice to have to choose between in the real world
@@VS-Violet Those are not the only two possibilities. If more people would donate during life and/or more people would sign up to donate when brain dead (and inform their family of this!) then pretty much all lives could be saved without any negatives (yes this ignores many additional factors but the biggest limit is simply donors).
Wendover: When you offer a free resource people are going to take it
Me: no, I don’t think I will accept this free furry suit
Bruh as long as it's in good condition you could get hundreds, if not thousands for it. Even if you hate furries that's just free money.
@@goldenfloof5469 Yeah but then why would other people pay for it when they could have it for free
this reminds me of an online game economy. basically, one faction offered their holy book for free. The game also had an uncraft mechanic, so that the holy book could be turned into raw materials. So basically, that faction offered free raw materials.
@@Ruby_33 Well until there's more fursuits than people, I don't think that'll be an issue, besides, it might be a specific kind that's rarer or more sought after in another country.
@@goldenfloof5469 assuming each person receives one fursuit. This is likely not true bc resources that are free are usually infinite or near infinite like sunlight. If it was a limited time release then I could see this happening
Looking forward to Part 2: How to Fix Organ Transplant Economics - The Chinese Way
thats good
This is the comment I was looking for.
China's Organ Transplant Problem
Underreated comment
Perhaps you could enlighten us, what is the Chinese Way?
I waited 3 years for my liver transplant. I got it on Valentine’s Day this year
Congrats, even tho, I can't imagine the waiting. I got it after a week.
Okay it's not " The Broken Economics of Oregon Transplant " I may have had to read that a couple times
Don't read my username.
@@hydrogenatom4624 I'm loving that rabbit hole
No, turns out they are moving all the Oregonians out of Oregon and into a new, man made island... and just for kicks let's put it in the South China Sea!
@@hydrogenatom4624 I can't see your profile pic, the text is too small.
“Laws are spider webs through which the big flies pass and the little ones get caught.”
― Honore de Balzac
If the smaller flies are caught in the web then the bigger ones would be as well
@@cv4809 You really misunderstood the point lmao. It's not a literal web, its the fact the current laws benefit the most rich and powerful, and hinder the poorest and weakest. It's illogical much like a web that only stops little flies and not big flies.
@@gabrieldarce1991 In both systems, whoever has the most resources has an advantage.
A system based on making the population feel more fair, creates more deaths and stifles supply.
A system based on compensating those who donate, lacks a sense of fairness but the reality is supply is increased and waiting times decreased.
Feeling good, vs doing good.
@@johnshepard7630 It depends. Because reality is not as simple as that. When organs are priced as a commodity their price will continue to rise, pricing them out for most people. If only the rich can afford them, then that is hardly more lives saved. The better solution is to increase supply first; such as Singapore and other countries that have opt-out laws have higher levels of donation.
Furthermore a system based on who can pay the most rather than who needs the most means that a rich smoker, who via their own action, allowed their lungs to become trash, wins over someone who through no fault of their own gained a lung disease. Rather a system based on need rather than ability to pay not only is fairer but prevents organs from being wasted. And a wasted organ is possibly a life gone. It's difficult ethics, but it's one where doctors and medical practitioners should make, not whoever has the most money.
Coming from someone who is going to need a kidney transplant at some point in the future, I think a hybrid of the two systems could be good. Keep the system we have of allocating them based on need, but also allow people the buy them from living donors if they want one faster. This would help free up kidneys from deceased donors for those on the waiting list.
This is very insightful. I actually had a liver transplant when I was ten months old and had to wait about 5 or so months, and thankfully tomorrow I’m celebrating my 21st birthday. Over the years I’ve learned a bit about my situation as I was too young to understand or even remember anything, but not from this standpoint. I never knew the logistics of everything that it entailed
Congratulations! Hope you're doing well. There will have been a lot of folks involved in getting that liver to you, and we don't always get to hear about the good part at the end, so I'm pleased to see you've made it to 21 - I hope that liver continues to serve you well for the rest of your life :) Isn't it crazy how they grow with you?
Easiest way to increase supply is to take organs from every possible deceased donor. At least make it opt-out instead of opt-in
Adolf w Kopsie that’s what most countries start doing, but you can’t just take an organ from a deceased person and expect it to work, he even said in the video that they have to die in a very specific manner
Yes, in theory! But in practice it's not so simple. In the Uk we have opt out but it's a soft opt out and opt in - in other words if you die and either a. did not express a preference, or b. expressed a wish to donate, the doctors are not going to overrule your family if they decide not to go ahead with donation. I believe they have a harder opt out in Austria where organs can be retrieved against the family's wishes but even then you don't see them topping donation rankings.
The trouble is multifold, but some of the main issues are:
1. Infrastructure - On a busy day in the UK we will reach a point where hospitals are at capacity for transplants, and we start to run out of teams to perform the retrieval surgery. Organ retrieval and transplantation surgeires are incredibly complex and require a lot of years of specialism to become certified, so we have a limited number of qualified people available to both remove and implant the organs. Besides which the retrieval alone can take anything from 3 hours to 12, so that team is out of action for other retrievals in that time. In the UK we have about 12 such teams who can at best do 3 retrievals a day absolute maximum, so this does put a hard limit on the amount of donors we can handle per day. Of course the answer is to recruit and train more surgeons, but that's not a quick solution.
2. Quality - The relative health of the majority of organ donors is pretty poor. The majority of donors are over 55, and generally speaking if you are dying of say, a stroke, in middle age then you're likely to have comorbidities such as a history of smoking, alcohol, obesity, or other non-lifestyle related chronic health conditions. Plus we have age limits on certain organs - we won't transplant a pancreas for example from someone aged over 65. So we offer many organs for transplant that are not accepted by anyone because they're not of sufficient quality. The vast majority of organs offered for donation are declined by the vast majority of hospitals simply because they won't significantly improve the health of their recipients enough to warrant the risk of surgery.
3. Compatability - In addition to basic blood group compatability, each donor and each recipient will have their blood drawn and their HLA type determined by a lab. This is a much more accurate and granular analysis of the patient's blood and antigens, to determine which donors are likely to trigger an immune response. There isn't really one ranked list of patients, but rather a new list is generated from each donor for every organ, based on a number of factors including the HLA (most significantly for kidneys). So you simply wont appear, or will appear very low down on the list, if your HLA type is incompatible with the donor. The more transplants you've had (kidney recipients sometimes have 2 or 3 across a lifetime) or the more essential the organ (hearts for example) the finer that antigen compatibility has to be, it's called sensitisation. Plus add in the factor that you're overwhelmingly more likely to get a decent match from someone within roughly your own ethnic group, and you can start to see that the vast majority of people are not going to be able to accept the vast majority of organs.
Ultimately more of them would help a lot! But it's only one part of the solution.
Some believe that people still keep some senses after brain death. They say it would be excruciating to be cut up if you are not someone with great will power. Yes, the pain after the anaesthesia on the dead fades.
@@liucyrus22 It may be what a few people believe, but there is a battery of tests that a person has to pass (twice) in order to be confirmed brain dead. Even if the nerves are sending pain signals, if the brain is dead the body cannot feel it. Experts in neurology from around the world established brain death in the 70s, and there's been 50 years of peer review and expert analysis that have examined and challenged and scrutinised the concept of brain death. It is fact, not opinion.
@@ambertapping7919 The amount of fear mongering when it comes to organs is shocking. Even here, where everybody that so wishes can just refuse to donate, many many people go out of their way to tell the most gruesome stories on every page that they find. And it is working too.
Of course the perfect solution would be to reach the point where a hospital could print 3d print organs in-house.
Big corporations wouldn’t allow that
@@Chris-rg6nm Well, What I mean what could be feasible without nanotechnology.
@@sealand9049 They would be rich though I think.
@@sealand9049 Why not? You think there's no money in selling 3D printers and the materials to print organs?
Mirza Ahmed You can’t just print human cells and expect them to work. We’re really complex and we can’t even create cells in labs on a large scale reliable. So we definitely cannot print them.
Reminds me of Larry Niven’s “Gil the Arm” stories. . . Organlegging, death penalty for minor crimes to satisfy the organ supply needs. . .
Aka China's treatment of the Uighurs
Great Video!
One thing I would add to the debate on paying donors for organs is that they may be incentivized to lie on screen questions which would normally exclude them from donating (history of particular infectious diseases, certain drugs, etc.). This would potentially cause harm to the recipient, just another factor to consider.
True
full general anethesia for all brain and cardiac dead organ doners just like the recipeients get, and they organ harvesting community can out of their pockets give the organ doner families half of the several million dollars they useually make off every so called deaseased organ doner.
No wonder why when I asked for kidney beans at the hospital cafeteria they gave me a third kidney
Just head over to Iran and sell it!
And they poured a can of beans in there while they were busy?
I don’t know why people are buying organ transplants, just make a Potion of Regeneration 2 lmao
IKR? Ghast tears and glowstone are very cheap on the market now
Just eat a steak!
ArE yOU dUmB ThAt'S OnLY iN MiNEcRaFt
@@doubledthread56 especially on Calamitymc!
Eyad Gaming yes but what if you need a fast solution when 20 zombies are chasing you while stuck in an obsidian wall?
Sam: There just isn't enough kidney for everybody
China: Hold my criminals
@Umos Or, frequently, "crimes" such as meditating in the park or praying to Allah
This prompted me to check the statistics and holy fuk the U.S. has 400,000 MORE prisoners than China.
@Umos For sure. It's quite telling that a (quite authoritarian) country with over 4 times the population of the U.S. doesn't manage to exceed the U.S prison population until the figures from the cultural ethnic cleansing camps are included.
@Umos Actually idea of cutting criminals for meat is NOT bad, however...usual criminals with alcohol or even drugs problems is not usable. Maybe some casual "how did it happen" criminals (husband killed his wife for cheating for example) will do.
But main problem is that in country with unfair law anyone can get in jail, you dont even need to be political, you simply can be "at wrong time at wrong place".
They're not criminals, 99% of them are people who were born Mongolian or called Xi Jinping winnie the pooh
Sam: *pronounces Eyjafjallajökull flawlessly*
Also Sam: Eye-Ran
How else are you supposed to pronounce Iran?
@@AVeryRandomPerson it's Ee-ran
@@anastasiai3521 this is correct
RUclips: How are you today?
Me: Not bad, I'm just going to go-
RUclips: HERE'S A VIDEO ON ORGAN TRANSPLANTS
Sorry Wendover, your whole economic model falls down because I bloody HATE pineapples and wouldn't take them from you even if you paid me.
How can you possibly hate one of the best fruits on the planet and the home of one of the most popular cartoon character of all time?
Even better; I'll take yours. 👍😋
@@panadatm Also there is the simple fact that if the gift is presented as a one-off it makes sense to accept it even if you personally have no intention to consume the pineapple. You can still sell it to someone else there will be plenty of people wanting to have their pineapple and eat it so to speak who would happily buy your unwanted pineapple as they promptly ate their free one. Sure it's unlikely anyone would be willing to pay for it if the price dropped to zero but this is only the case for as long as people are giving pineapples away for $0 with a one-off gift sure prices would not recover instantly as there would be a glut of sellers as others also had this same idea but you would still be able to acquire something for $0 and sell it for a non zero price which is still free profit to you.
I'm allergic to pineapples. The only use a pineapple has to me is that I can use it to weld pieces of meat together.
@@seraphina985 You should become a professor.
I was once on a plane trip and at the end when we came into land, the stewardess came on the speaker to tell us that we arrived faster than scheduled because they were flying in a kidney donor and were allowed to use a faster flight lane. I feel like Sam should have worked in these "faster flight lanes" into a video about organ transplants...
"fundamentally the world does not have enough of what people want"
*points to tons of perfectly edible food thrown away by manufacturers*
The transportation of the food is hard though.
@@anthonysorrentino9650 Indeed, food surpluses in America can't solve food shortages in Africa.
And also, let's not forget that manufacturers throw food away because people don't want to buy them.
In theory, someone would see a business opportunity to transport waste food, to the people who need it.
In theory.....
@@anartapoashan5714 the USA spends billions a year on food aid abroad
@@attalan8732 Food surpluses in America may not be able to solve problems in Africa, but what about problems in, oh I dunno, America? Plenty of Americans go to bed hungry. We could fix that.
Now , you should do a video on the logistics of Chinese 'organ transplants'
Fake news and anti china propaganda
EDIT : WHEN did saying the truth make a person a 50 cent? Or a Ccp bootlicker?You are watching too much anti china propaganda fake news such as China uncensored ( Founded by CIA and FLG cult) I guess
EDIT 2 : CONCENTRATION CAMPS? Are you serious? I bet you dont know that Uighurs in China ( as well as the other ethnic minorities of China) get free education for 12 years, free healthcare, free from taxes, extra points in the exams to enter the university and don't need to follow the 2 chils policy ( as the Han chinese need). The population of Uighurs in China doubled from the last decades and reached nearly 12 million. There are de facto re education schools which aims to re educate terr(ori)sts. Instead, the US prefers to inv(ade) countries such as Afghanistan to solve ter(rori)sm. China uses peaceful methods while the US and most countries from the west use vio(lent) methods. You guys watching Too much brainwashing from anti china propaganda, but it is not your fault, these propaganda are everywhere. We welcome all the foreign to visit China and see it by your own eyes. You are also welcome to visit the autonomous region of Guangxi, my homeland.
EDIT 3: Social credit system? Really? This has to do with credit and economy, nothing to do with politics.
@@mongoldiscipline Uh huh ccp bootlicker.
M Sau Not really a logistic problem when you have hundreds of concentration camps and a whole ethnic minority as your pool.
@@mongoldiscipline 50 cents chaching
Aprende Chino con un Chino nmsl zhi an zhu
I thought there were other forms of compensation like:
People who need transplant may not be a match for a close relative but their relatives might be a match for someone else on the waiting list so if that family member is willing to donate then the original person is moved to the top of the waiting list for when a match for them becomes available
Yeah I thought he would for sure talk about this. It really changes the game for organ donation.
So...If your family is realy small/non-existent /can't give organ you are fucked?
Badock no more fucked than you would be anyways and in general it’s a good way to motivate more people to donate so it increases supply across the board and relieving pressure on the system as a whole
Yeah, the video wasn't very good by Wendover's standards.
There's a great Freakonomics episode that aired 5 years ago called "Make Me a Match" that goes into the ACTUAL economics of organ transplants. They touch a lot on what you mentioned and how a single selfless donation (people without a family member or friends that needs it) can trigger 20, 40 transplants. By introducing one organ in the chain without needing one in return, it enables many matches between the family members of those who need it.
joaccardoso thank you, I love that podcast I’ll have to go back and find that episode
I've always been meaning to register as an organ donor, but never got around to it until this video reminded me. Surprisingly, it's super easy (less than 2 minutes).
Some places should start offering "10% off for organ donors" as a way of encouraging people!
12:27 don't worry Xinjiang has an unlimited supply
@Yesn't That's the real name of that place but thanks to CCP's influence everyone calls in Xinjiang sadly...
The real broken part isn't that people can't afford organ transplants.
It's that most people aren't willing to have their organs harvested for any price.
Edit: People seem to think that because I said that SOME people might choose not to donate their organs for religious reasons, that I have not donated my organs for religious reasons. To be clear, I can not donate my organs for legal and health-related reasons, not religious. I was merely suggesting one of the many possible reasons why someone would choose not to and I respect that decision.
Also, a lot of people have been attacking Christians and Jesus for people not donating organs. Nowhere in the Bible does it say that you can not donate organs because it is a sin. In fact, it is primarily Islamic, Jewish, Amish, and Native American communities that choose not to donate for religious reasons.
And "most people" are selfish jerks. : (
What possible good is achieved by not donating? And how does that balance against the good of donating? Remember that multiple organs can go to multiple recipients. Just with heart, kidneys, liver, and lungs, you can save up to 6 people.
@@sexagesimalian That's not very nice. Some people are religious and believe that it's a sin to "steal" from the dead. And, there are plenty of people who, justifiably, get a little freaked out thinking about their organs being cut out, frozen, and given to someone else. There are an entire myriad of reasons that people might choose not to donate other than they're "selfish jerks."
@@sexagesimalian What makes society entitled to your organs after you die? Nothing.
@@sexagesimalian also there's the fear that if they had a donor card, doctors would work a little less harder to keep them alive
@@almondpotato9483 Religion, stigma and fear are personal choices. Not wanting to donate organs is a selfish act.
Ah yes, I'm 99 and at my sixth heart. God wants me to live.
Wow. Congratulations :) if it’s real
/s
It's not the God. It's the taxpayers. And even they don't care whether you live or not, they just have no options but to pay for your life.
@@saamohod It's sarcasm, very few people could survive 6 heart transplantations and survive to the age of 99, and most 99 year olds aren't on RUclips.
@@zinzorius313 You probably wouldn't find a doctor to even do it. Transplants are not for everyone. Many people will die because transplants are not an option. Also, transplants become less viable when you've had them before, so even if your body could take it, it would get rejected anyway.
This is a very interesting video on a topic that most people don't think about often.
I actually know someone who will occasionally transport organs. He owns and flies a Piper Cheyenne at the airport I work. He's a really nice guy who is willing to wait hours for the call to help others.
This was one of the most concise and thought-provoking summaries of the subject. Thank you so much!
Perhaps instead of encouraging supply we should try to lower demand. Were there a way to lower organ failure rates, fewer people would need organ transplants, and so the few that still do will have ample supply. Of course this is far easier said than done, as many, many complicated factors contribute to organ health, but if there were some hypothetically effective solution to the problem, this is it.
We have always tried to limit disease and organ failure lol
@@Wattywattybangbang America's not exactly doing that right now, is it?
Promote health in America? Surely you jest. All most people have to do is put the fork down. But they have no self control and can’t. And when you point it out you’re “fat shaming”. This country has lost its mind.
The only viable solution would be encouraging procreation of healthy people. Needless to say this solution would be extremely unpopular nowadays.
@@saamohod Or you could let people get health care without going bankrupt
Love your videos man. True inspiration :)
Excited for this one
Heyy if we lack organs because people aren't getting enough strokes, why don't we GIVE MORE STROKES TO THE PEOPLE?
Can we just remember this man runs two huge youtube channels and does a great job.
Economics and logistics: *exist*
Wendover: "I'll take your entire stock"
This is going to sound strange, but before Quarantine hit I was in a microeconomics class where I was close to the professor and i got super depressed when we had to go digital, she was super fun and informed on this topic.. I am an econ major myself and we would often shift our discussion to healthcare and she always used examples of organ transplants here in the US.
I was sort of depressed and lacking the energy to continue the field but this? This was exactly what I needed Wendover.
I wont meet ya man but I really love you for making me click so fast. Thank you so much for doing this video, It was exactly what I needed.
❤️
This was really interesting! As always, Wendover does not disappoint with writing/complex topic approach :)
I have a beautiful story of kidney live donors. A couple who has been friends of my family forever found out the husband had PKD years ago. When they tested close family for living donors, his wife matched. She lost 70 lbs to donate to her husband! The operation happened last year.
However. Last month they were both diagnosed with COVID-19, someone brought it into their house. He had it very rough, but is slowly getting better. He was taken off a ventilator last week.
How to get the benefits of both:
Organ donors can sell their organs to the system, not the patient so the organ goes to the neediest instead of the wealthiest.
One issue, it doesn't solve the issue where desperate people sell their organs... but otherwise a good idea I guess!
@@ijbos620 What's wrong with desperate people selling their organs?
Good idea!
Even let those waiting donate to the system but not buy personally.
If moneybags mc'billionaire wants to buy one for everyone ahead of them, eh go for it.
@@tompeled6193 ethical concerns mainly. It's very complicated to make people sell their organs in a way that you know there's no funny business going on. How do you make sure that the donor isn't being coerced by bad faith actors into giving up their body? Those actors can be anything from mobsters extorting you by organ removal, a junkie trying to score their next hit, etc etc.
Of course different people look at situations like that differently. Extreme libertarians could find everything a-ok, certain religious groups find the idea of giving up anything of your body not done, lefties would find selling organs so that you can pay rent very objectionable and so on and so forth and everything in between.
I had a heart transplant when I was 12. I got bumped up on the list bc I weighed just 60 lbs and I only had to wait two months. The doctors estimated that the new heart added 70 years to my life.
Wow! I hope you've recovered well. This might sound weird, but how did it feel getting a new heart?
Stephen Makes Videos did you feel like a different person after your new heart? Did you have new feelings?
@@stefmyt5062 I recovered very well! It just felt like what you would expect open heart surgery to feel like, but afterwards you're basically quarantined until they figure out what meds you react best to. I have to take meds for the rest of my life.
@@Cuasimodo2372 I didn't have any new feelings or cravings or anything like that. I only felt like a healthier person after the fact because my condition made me really skinny and weak.
There is no way this is real! The average life expectancy of a human heart is about 20 years. It has gotten better over the decades, but no doctor told you a new heart added 70 years to your life expectancy. Also, you did not get bumped up because of your weight. Age maybe or impending need. Finally, it is usually 9 months to 2 years to wait for a heart. Only in the most rare of cases with different compatibility markers like blood type would a transplant happen in two months.
2:55 must have been an interesting video to find. "Video of doctor grinning and counting money while sitting next to an organ that has just been harvested"
Anyone heard of “never let me go”? Kinda reminds me of that which is a bit scary
You know I've always considered donating one of my kidneys to someone in need and this video just makes me want to do so more
Quite the odd title but a wendover video is always interesting no matter the topic. Also, Sam, where is/ is there a topic suggestion like there is for Alf as interesting? Thanks for a great video
This is one of your best videos. Good job, it's explained very well^^
Learned about economics and healthcare in the same video. Fantastic work! Thank you!
we need a "logistics of wendover productions"
Pineapple, Tom Scott’s worst nightmare. Organ transplants? Reminds me of our comrade neighbor China
All your organ are belong to us(since ancient times)!
chairman Mao
What if China stops trading with North Korea?
What I like about your videos is that you always stick to basics and fundamentals!!!
7:51. Another reason why Region 3 has far more donated organs is that the collected population of New York and Western Vermont is slightly over 20 million whereas Region 3’s six states have almost twice as many people (Florida and Georgia alone have 30 million inhabitants)
Wendover: Organs are scarce.
Chinese: Laughs in Chinese.
@Umos If the Chinese government is murdering millions of Uyghurs, why did the population of Uyghurs in China double over the past few decades?
@Umos I'm not even born in China dumbass. A simple google search will prove you wrong buddy
K Lee That’s because china lies about their population. Even now we can only estimate their population since china is putting so many in concentration camps.
@@bryanfolkert2854 Lmao other foreign entities that focus on demographics have largely verified population statistics. It's not easy to just claim that your population doubled without clear evidence. Don't be so brainwashed white boy
"There is no way to increase supply when demand is higher"
You sure about that? 😈
I'm in Australia and even our system is broken. Mark "chopper" ried had a choice of a life saving transplant and he refused because "wanted it to go to someone better." The whole world is flawed and this is the darkest topic often over viewed or purposely ignored thanks for uploading this.
Spain is widely considered the gold standard in organ donation because it has had the highest organ donation rate of any other country in the world for the past 26 years, with 46.9 organ donors per million people in 2019. (This compares with 26 organ donors per million people in the United States.)
Unlike the United States, which has an opt-in policy, Spain has an opt-out policy, meaning citizens are automatically organ donors unless they opt out.
But Spain still asks families whether they want to donate their loved ones' organs before they're harvested. As such, there's no true presumed consent program. While there are a number of European countries that have a law [for presumed consent], none of them have actually relied upon them.
The biggest factor in why Spain has the highest rate of donation is not the opt out law, but the massive increase in infrastructure that accompanied it - when you have a small amount of surgeons qualified in organ retrieval and transplantation (as is the case in most places, it's highly specialised after all) then you have a hard limit on how many donations and transplants can take place each day. The opt out law is good politics and pretty easy to implement, so lot of countries have it, but it's less politically popular to have a massive increase in funding for training in transplantation. Spain did the job all the way and has the results to show for it.
I've created a drinking game where you take a shot every time he says therefore
I’ve created a game where I respect my body and not drink.
Don't expect a new liver afterwards though.
I will go ahead dial 911 before this game starts
I would never accept free videos from that disgusting Half As Interesting guy.
What is wrong with that?
Dethmin IKR, it’s just too cringy, especially his videos on bricks.
Gonedridge it's a joke
@@andyjeong8644 okay, thanks, i couldnt tell it from the genuine article :P Poe's law i guess
in the netherlands everyone above 18 is a organ donor except if you don't want to, this convinces people who didn't want to make any effort.
Tissue printing stem cell technology: Allow me to introduce myself
Most underrated comment 🔥🔥🔥
It's replaced some body parts already.
"It has no way of increasing supply"
*China starts sweating*
China: "Need a kidney? No problem. We'll even throw in a heart at no extra cost to make you feel younger. It's from a young 20 year old who has been meditating most of their life."
0:35 hey, that guy didnt need gas. the handle clicks instantly!
Your videos on economics are so much better than those of dedicated channels. Please do more!
The world should change to a Swedish model where drivers are automatically enrolled into the Organ donation programme and have to opt out if they don't want to participate - no reasons required to opt out.
That would probably be good but I still think in the case of kidneys, live donors should be paid. They could also be paid from the public purse instead of the recipient having to pay. The state would often still save money by reducing the need for dialysis.
SPKY 13 *BTW! Wendover MBA Dudes! You should NOT have used the PINEAPPLE or ANANAS **1:19** as the Free World calls it, since it according to a LANCET 2009 article induces it THe HAIRY TONGUE SYNDROME and ACIDITY as side effects. Same goes for the popular PINEAPPLE JUICE served FREE at hotels. Pleas refrain from drinking it. Bangkok-Johnnie the Jumper* ruclips.net/video/vQZNOvIEN78/видео.html
The Iran method does not mention the fact that donating a kidney means the person giving the Kidney will likely live a shorter life. Half a decade or so actually.
Possible rare complications not included, this is actually not actually true. People tend to think that because we have two, we need both to be healthy. In fact, some people are born with only one (or even three or four) and live just the same. Filtering capacity generally determined by biological need, not by physical volume or organ quantity (provided >=1). As long as there is no preexisting condition for the donor, one kidney can perform *almost* exactly the same (and far beyond what is needed for normal biological function) in most people. (Modified from National Kidney Foundation).
In fact, due to the incredibly strict acceptance criteria for acceptance into the living donor program, some studies actually seem to suggest that live kidney donors seem to live longer relative to the general population ( pubmed.ncbi.nlm.nih.gov/9381544/ ).
Do you have a source for this claim? The video explicitly says that barring exceptional conditions, people only need one kidney.
Hypothetically speaking getting rid of half of the world population would also solve scarcity
I've thought about this at times, and on some level I wondered why we link the production of resources directly to the consumption of them.
I mean, the answer is obvious on some level, but really, think about it.
When it comes to goods, the limited resources are the goods themselves, so we're trying to determine who most wants any given good.
When it comes to work, it is the workers that are the scarce resource. Thus, the thing that needs to be determined is who is most willing to pay to have work done for them.
There is certainly a link between these two things; Sometimes more direct than others (services for instance. If I want a massage, then I am more or less directly occupying a person's time to get one.)
But even so, directly tying them together as though they're one and the same is not necessarily the best way of going about things.
And the system has certain implications that might not be ideal either, which could be altered by considering it differently.
Let's say we completely detach work from consumption.
We don't otherwise change most of the logic...
Where are we then?
Well, on the consumption side everyone has the same ability to buy things, so what people are willing to pay is more reflective of what is truly desired the most.
On the production side of things... Pay would then also be reflective of what work is most necessary.
The problem here of course is that there's now no relation between these two things.
What do people do with their earnings from work, since they can't buy anything with them?
What happens if the resources people have are simply insufficient? They can't do anything to increase them...
So now we're left with two detached systems and needing to figure out what you do with your earnings from work, and how you're getting those earnings that let you buy things.
On a side note, we could consider buying power more flexibly. We already have mechanisms for that, such as credit.
But, say, if you determined how much ability to buy items someone had not by their income, but by how frugal they were, you would be encouraging efficient use of resources.
That is, someone prone to buying lots of things casually without much thought would find their ability to buy things is restricted compared to those who are more considerate and less casually consuming things...
I suppose ultimately the problem here is that anything like that introduces a lot of extra complexity and in many cases would only work out if the system had a lot of centralised control going on.
I mean, I can imagine that splitting work and consumption into two distinct things wouldn't be that hard conceptually;
Just create two currencies.
Sounds simple enough, at least if there's a government involved.
Problem is, inevitably people are going to trade the two currencies against one another, and then you're right back where you started, just with extra steps...
Ah well...
It's fun to consider how you might construct an alternative system, but it shows how hard it actually is.
(and keep in mind here this isn't some kind of political activism I'm doing here. It's more a... Hypothetical construct - how does the system influence behaviour, and could you alter it structurally to get different outcomes? If so, what does the structure have to look like to get any particular outcome, and what would cause such alternative structures to break down?)
Fun fact: the current President of Germany donated one of his kidneys to his wife a few years ago
President?
@@wheneggsdrop1701 had to look it up myself, but the chancellor (currently Angela Merkel) is not the actual head of state, only the head of government, while the president (currently Frank-Walter Steinmeier) is the head of state.
@@rays5073 Oh okay but the President barely gets any news coverage kinda out shined by her.
You mean chancellor
@@olitesla5891 we just clarified this, Germany has both a president and a chancellor
Wendover: "The Broken Economics of..."
Economics Explained: ...wait a minute...
If he keeps this up Imma have to start talking about planes!
First guy: Walks with shoes covered in protective bags
Second guy: Sandals
2:35
It was very interesting to learn about the details to how organs are allocated from an economic standpoint. I did not know about how the different regions for organ allocation worked indicating that some regions have more organ transplants than others. Different areas that are more prone to specific health issues, such as the stroke region indicated in the video for states located in the southeastern united states, have organs more commonly transplanted there due to the different detrimental effects caused by these severe conditions like stroke. However, this puts patients who are in need and live in “healthier” regions at a disadvantage if there are in higher need for a transplant but because they do not live in a nearby region where the transplant is being offered, it most likely goes to someone on higher priority in that regions list, but still, someone who is not in the absolute highest need of the transplant overall. The biggest issue that you brought up is that normally, when certain goods are in higher demand, consumers will pay more to obtain those goods. However, the issue with transplantation is that you cannot just increase the supply of organs availability. Even if everyone who lived in each country/state had to register for organ donation, the specific criteria for that organ to be viable is so specific that an organ from a donor cannot always be used. I believe for this reason; it is vital for us to donate a specific amount of funding to hospitals/research for 3D printing of organs. While obtaining actual human organs cannot be beat, if there is enough research that can create methods where there are just as successful transplantations, then we would be paying for something very vital for the way our future health care system would work. This method could also help patients are who are lower on the list still get a new healthy organ as well, thus saving more people.
World: Organ donation is a scarce resource.
China: *laughs in Uyghur*
thats good
Correct me if I’m wrong, but I believe that Singapore uses a third system. You have to donate an organ or you automatically get last priority when/if you need one.
Still not a good system as the wait times are still several years long despite legislation. Market economies will almost always be more efficient than legislative measures.
Allen Sae Efficiency isn’t that important with organ donors, it’s about fairness. You wouldn’t want some rich people buying organs when they need it when you also need it. It needs to be done fair, without looking at how rich someone is. A homeless guy should have the same chance of getting an organ as a millionaire.
Thank you NHS, also I’m a organ donor and I’m pretty sure it’s mandatory now.
When I die weather that’s in 3 weeks or hopefully 70+ years someone will make use of my organs, another reason to stay healthy .
If you drink a lot of alcohol or eat a lot of fatty foods, Whether it’s a fatty liver or a damaged heart.
So keep your organs nice and clean because if you die in a freak accident (car crash, or ran over) Your organs can be used to save others.
Just make sure you’re not overweight and drink plenty of water, Keep your organs healthy they keep you healthy.
Also minimises the risk of you needing an organ transplant which put even more strain on the list.
Not to mention adding a reward for supplying organs incentivises illegal harvesting.
I think China has a extraordinary supply... they're very efficient at supplying.
They have plenty of prisoners to choose from
@Mycel 50 cent army going strong
It's Iran, like "ee-run", not I-Ran
American pronunciation to appease the ignorant. Shame they have to pronounce it iRan :/
@@_96marta It's ignorant to believe that all Americans pronounce it that way. Ironic.
I pronounce it like ee-ron
Don't insult my Americanism. We pronounce things as seems fit
it's like apple brainwashed Americans with a product.
5:47: me in school hallways
this might be my favorite wendover video yet