Analysis of pediatric lung donor allocation policy: A call for change?

Robert Gajarski, Diana M. Bowman

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


In an unprecedented legal ruling in June 2013, a US federal district court judge decided that the existing policy for donor lung allocation be vacated to save the life of a ten-year-old girl dying from cystic fibrosis. This case has fueled much controversy in the United States among policy makers, ethicists, and physicians who treat other patients awaiting transplant. This article examines the creation of the current US lung allocation policy and its impact on outcomes and analyzes the multidimensionality of the ruling. After analyzing the current policy and investigating alternatives for donor pool expansion, the article concludes by articulating options thatmaymitigate the need for current policy revision.

Original languageEnglish (US)
Pages (from-to)373-393
Number of pages21
JournalJournal of health politics, policy and law
Issue number2
StatePublished - Jan 1 2015
Externally publishedYes


  • Allocation policy
  • Donor shortage
  • Ethics
  • Lung transplant
  • Pediatric

ASJC Scopus subject areas

  • Health Policy


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