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Subsidizing Altruism In Living Organ Donation

Author

Listed:
  • Kurt E. Schnier
  • Robert M. Merion
  • Nicole Turgeon
  • David Howard

Abstract

The current supply of deceased donor organs is insufficient to meet the growing demand for transplantable organs. Consequently, candidates for kidney transplantation are encouraged to find a living donor. In 2008, the Department of Health and Human Services began to reimburse donors' travel‐related expenses via the National Living Donor Assistance Center (NLDAC). Using variation in transplant centers' applications for donor assistance, we use a difference‐in‐difference model to estimate the relationship between the NLDAC and living donor kidney transplants. We find that among participating transplant centers, the program increased the number of living donor kidney transplants by approximately 14%. (JEL I12, I18, D64)

Suggested Citation

  • Kurt E. Schnier & Robert M. Merion & Nicole Turgeon & David Howard, 2018. "Subsidizing Altruism In Living Organ Donation," Economic Inquiry, Western Economic Association International, vol. 56(1), pages 398-423, January.
  • Handle: RePEc:bla:ecinqu:v:56:y:2018:i:1:p:398-423
    DOI: 10.1111/ecin.12488
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    References listed on IDEAS

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    1. Abadie, Alberto & Gay, Sebastien, 2006. "The impact of presumed consent legislation on cadaveric organ donation: A cross-country study," Journal of Health Economics, Elsevier, vol. 25(4), pages 599-620, July.
    2. Tayfun Sönmez & Alvin E. Roth & M. Utku Ünver, 2007. "Efficient Kidney Exchange: Coincidence of Wants in Markets with Compatibility-Based Preferences," American Economic Review, American Economic Association, vol. 97(3), pages 828-851, June.
    3. Gary S. Becker & Julio Jorge Elías, 2007. "Introducing Incentives in the Market for Live and Cadaveric Organ Donations," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 3-24, Summer.
    4. repec:mpr:mprres:6869 is not listed on IDEAS
    5. Richard A. Epstein, 2008. "The Human and Economic Dimensions of Altruism: The Case of Organ Transplantation," The Journal of Legal Studies, University of Chicago Press, vol. 37(2), pages 459-501, June.
    6. Alvin E. Roth & Tayfun Sönmez & M. Utku Ünver, 2004. "Kidney Exchange," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(2), pages 457-488.
    7. Alvin E. Roth, 2007. "Repugnance as a Constraint on Markets," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 37-58, Summer.
    8. Nicola Lacetera & Mario Macis & Robert Slonim, 2012. "Will There Be Blood? Incentives and Displacement Effects in Pro-social Behavior," American Economic Journal: Economic Policy, American Economic Association, vol. 4(1), pages 186-223, February.
    9. Alison J. Wellington & Edward A. Sayre, 2011. "An Evaluation Of Financial Incentive Policies For Organ Donations In The United States," Contemporary Economic Policy, Western Economic Association International, vol. 29(1), pages 1-13, January.
    10. Judd B. Kessler & Alvin E. Roth, 2012. "Organ Allocation Policy and the Decision to Donate," American Economic Review, American Economic Association, vol. 102(5), pages 2018-2047, August.
    11. Lacetera, Nicola & Macis, Mario, 2010. "Do all material incentives for pro-social activities backfire? The response to cash and non-cash incentives for blood donations," Journal of Economic Psychology, Elsevier, vol. 31(4), pages 738-748, August.
    12. Lacetera, Nicola & Macis, Mario & Stith, Sarah S., 2014. "Removing financial barriers to organ and bone marrow donation: The effect of leave and tax legislation in the U.S," Journal of Health Economics, Elsevier, vol. 33(C), pages 43-56.
    13. T. Randolph Beard & David L. Kaserman & Richard P. Saba, 2004. "Limits to Altruism: Organ Supply and Educational expenditures," Contemporary Economic Policy, Western Economic Association International, vol. 22(4), pages 433-441, October.
    14. Byrne, Margaret M. & Thompson, Peter, 2001. "A positive analysis of financial incentives for cadaveric organ donation," Journal of Health Economics, Elsevier, vol. 20(1), pages 69-83, January.
    15. Alvin E. Roth & Tayfun Sönmez, 2005. "A Kidney Exchange Clearinghouse in New England," American Economic Review, American Economic Association, vol. 95(2), pages 376-380, May.
    16. David H. Howard, 2007. "Producing Organ Donors," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 25-36, Summer.
    17. Thorne, Emanuel D, 1996. "The Cost of Procuring Market-Inalienable Human Organs," Journal of Regulatory Economics, Springer, vol. 10(2), pages 191-200, September.
    18. A. Frank Adams Iii & A. H. Barnett & David L. Kaserman, 1999. "Markets For Organs: The Question Of Supply," Contemporary Economic Policy, Western Economic Association International, vol. 17(2), pages 147-155, April.
    19. Andreoni, James, 1990. "Impure Altruism and Donations to Public Goods: A Theory of Warm-Glow Giving?," Economic Journal, Royal Economic Society, vol. 100(401), pages 464-477, June.
    20. Li, Danyang & Hawley, Zackary & Schnier, Kurt, 2013. "Increasing organ donation via changes in the default choice or allocation rule," Journal of Health Economics, Elsevier, vol. 32(6), pages 1117-1129.
    21. Nicola Lacetera & Mario Macis, 2013. "Time for Blood: The Effect of Paid Leave Legislation on Altruistic Behavior," The Journal of Law, Economics, and Organization, Oxford University Press, vol. 29(6), pages 1384-1420, December.
    22. Imbens,Guido W. & Rubin,Donald B., 2015. "Causal Inference for Statistics, Social, and Biomedical Sciences," Cambridge Books, Cambridge University Press, number 9780521885881.
    23. David H. Howard, 2011. "Waiting Time As A Price For Deceased Donor Kidneys," Contemporary Economic Policy, Western Economic Association International, vol. 29(3), pages 295-303, July.
    24. Jose M. Fernandez & David H. Howard & Lisa Stohr Kroese, 2013. "The Effect Of Cadaveric Kidney Donations On Living Kidney Donations: An Instrumental Variables Approach," Economic Inquiry, Western Economic Association International, vol. 51(3), pages 1696-1714, July.
    25. Alison J. Wellington & Justin B. Whitmire, 2007. "Kidney Transplants And The Shortage Of Donors: Is A Market The Answer?," Contemporary Economic Policy, Western Economic Association International, vol. 25(2), pages 131-145, April.
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    Cited by:

    1. Hawley, Zackary & Li, Danyang & Schnier, Kurt & Turgeon, Nicole, 2018. "Can we increase organ donation by reducing the disincentives? An experimental analysis," Economics & Human Biology, Elsevier, vol. 29(C), pages 128-137.
    2. Stith, Sarah S. & Li, Xiaoxue, 2021. "Does increasing access-to-care delay accessing of care? Evidence from kidney transplantation," Economics & Human Biology, Elsevier, vol. 41(C).
    3. Marcela Parada-Contzen & Felipe Vásquez-Lavín, 2019. "An analysis of economic incentives to encourage organ donation: evidence from Chile," Latin American Economic Review, Springer;Centro de Investigaciòn y Docencia Económica (CIDE), vol. 28(1), pages 1-18, December.
    4. Wilson, Nicholas, 2018. "Altruism in preventive health behavior: At-scale evidence from the HIV/AIDS pandemic," Economics & Human Biology, Elsevier, vol. 30(C), pages 119-129.

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    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • D64 - Microeconomics - - Welfare Economics - - - Altruism; Philanthropy; Intergenerational Transfers

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