Beyond the billboard: The Facebook-based application, donor, and its guided approach to facilitating living organ donation
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Living donor solicitation can pose ethical concern, no matter the medium used: newspaper, television, pulpit, billboard, or Internet. Moving the search for a living donor into the social media realm introduces the risk of unguided and coercive patient narratives, as well as a decoupling or even total absence of information that could aid the consent process. The Facebook living donor app [Donor] aims to address these concerns in several ways: 1) Directing the patient's initial appeal to friends and family; 2) Guiding the patient's narrative; 3) Providing a depot of clinical, ethical, and regulatory information that informs the consent process. This paper explores these features and contrasts them with billboard solicitation activities and current freelance social media efforts. We conclude the proactive ethical design of the Donor app is a permissible way forward to help satisfy the shortfall of deceased donor livers and kidneys. This article is protected by copyright. All rights reserved.
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