In my last post, I put up a reply by Dr. Stanley Goldfarb to a chunk I a post on “Race, ‘Wokeness,’ and Kidney Transplant Shortages,” which was partially a critique of Dr. Stanley Goldfarb’s article on the same subject, printed by the Metropolis Journal. On this put up, I provide a short rejoinder to Dr. Goldfarb.
In his response, Dr. Goldfarb write that he doesn’t help “a race-based formulation for figuring out kidney operate,” which in flip would have an effect on prioritization for kidney transplants. Slightly, he says he merely rejects claims that the race-based formulation just lately changed by the Organ Procurement and Transplantation Community (OPTN) and the United Community for Organ Sharing (UNOS), was racist, as a result of it deprived African-People. He additionally object to the retroactive software of the brand new, race-neutral formulation to sufferers already on the transplant waitlist.
I admire Dr. Goldfarb’s clarification of his views. Nonetheless, it appears to me that, in his original article, he did actually object to the displacement of the outdated race-conscious formulation. Certainly, he described it (together with one other coverage change) as “maybe essentially the most harmful victory for wokeness in well being care to this point.” Even in his reply, he continues to help using the race-based system for sufferers already on the waitlist. On the very least, his place strikes me as removed from an unequivocal rejection of racial discrimination.
As famous in my previous post, using racial standards right here can maybe be defended on the bottom that this is likely one of the very uncommon circumstances the place there are genuinely vital bodily variations between racial and ethnic teams that have an effect on their probabilities of a profitable transplant. However, as additionally famous there, such an argument at the very least requires sturdy proof that there isn’t any different comparably correct solution to assess sufferers. As well as, as mentioned in my earlier piece, racial discrimination is especially indefensible in a state of affairs the place we are able to simply eradicate kidney shortages for sufferers of all races, just by legalizing organ markets.
Whereas Dr. Goldfarb and I’ll proceed to vary on the problem of racial discrimination, there are some factors of settlement between us, as properly, additionally lined in my previous piece. For instance, we agree it will be a mistake to scale back the precedence given to kidney donors within the waitlist, as a way to promote racial “fairness.”