[ti:Changing America’s System for Organ Transplants][by:shang05.com][00:00.00]更多听力请访问shang05.com[00:00.04]The United States government recently proposed new rules designed to improve transplant operations.[00:10.56]The goal is to ease a severe shortage of kidneys and other organs.[00:16.60]The shortage is so severe that more than 113,000 Americans[00:23.48]are on the transplant waiting list — and about 20 die each day.[00:29.52]Part of the problem is this.[00:32.64]An Associated Press study recently found some organ collections agencies[00:39.92]miss opportunities that could have saved lives.[00:44.32]Some of these groups secure donors at half the rate of others.[00:50.44]The U.S. government currently has little way to directly compare organ collection agencies[00:58.32]and force poor performers to improve.[01:02.96]The rules come after President Donald Trump ordered a reworking of care for kidney disease.[01:11.12]Under the proposed rules, Medicare, the national health insurance program,[01:17.24]would rate the performance of organ procurement organizations, or OPOs.[01:25.00]"No life-saving organ should go to waste,"[01:29.00]Medicare chief Seema Verma said while announcing the proposals.[01:34.76]Organ transplant activists praised the move.[01:40.28]"Patients are dying, and they deserve better,"[01:43.84]said Jennifer Erickson about the government campaign targeting OPOs.[01:50.28]Erickson worked on transplant policy for the administration of former president Barack Obama.[01:58.08]The association that represents the organ collection groups[02:03.60]promised to work with Medicare to put the stronger rules into action.[02:09.72]The new measures are "an opportunity to drive meaningful changes[02:15.28]that will increase the availability of organs for transplant and save more lives,"[02:22.28]said Kelly Ranum, the association's president.[02:25.88]Ranum also heads the state of Louisiana's OPO.[02:31.76]A 2017 study by University of Pennsylvania researchers estimated that[02:39.00]an improved transplant system could get as many as 28,000 more organs for patients.[02:47.96]The Trump administration also aims to increase the numbers of living donors.[02:54.72]The idea is that living donors should be reimbursed for lost wages[03:01.36]and other costs during their hospital stay and recovery.[03:07.00]Currently, the transplant recipient's insurance company pays the donor's medical costs.[03:14.36]But donors are out of work for weeks while they recover.[03:19.64]And not all employers permit some form of paid time off.[03:26.40]Health and Human Services Secretary Alex Azar's father[03:32.16]received a kidney transplant from a living donor.[03:36.60]"When an American wishes to become a living donor,[03:40.04]we don't believe their financial situation should limit their generosity," he said.[03:46.80]Most transplant organs come from deceased donors.[03:52.12]But people lucky enough to receive an organ from a living donor often cut their wait time.[04:00.68]Yet fewer than 7,000 of the 36,529 transplants performed nationwide last year were from living donors.[04:12.32]I'm John Russell. 更多听力请访问shang05.com