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Organ Donation via Changes in the Default Choice or Allocation Rule

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  • Zackary Hawley
  • Danyang Li
  • Kurt Schnier
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    Abstract

    The supply of deceased donor organs is a limiting factor for transplantation based therapies. This research utilizes a laboratory experiment to evaluate the effectiveness of alternative public policies targeted at increasing the rate of deceased donor organ donation. The experiment includes treatments across different default choices (opt-in versus opt-out) and organ allocation rules (without versus with priority rule) inspired by the donor registration systems applied in different countries. Furthermore, the experiment includes a controlled treatment to measure the effects of a neutral versus descriptive framing of the decision task. Our results indicate that the opt-out system with priority rule generates the largest increase in organ donation relative to an opt-in only program. However, sizeable gains are achievable using either a priority rule or opt-out program separately, with the opt-out rule generating approximately 80% of the benefits achieved under a priority rule program.

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    Bibliographic Info

    Paper provided by Experimental Economics Center, Andrew Young School of Policy Studies, Georgia State University in its series Experimental Economics Center Working Paper Series with number 2012-15.

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    Length: 31
    Date of creation: Sep 2012
    Date of revision:
    Handle: RePEc:exc:wpaper:2012-15

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    1. Johnson, Eric J, et al, 1993. " Framing, Probability Distortions, and Insurance Decisions," Journal of Risk and Uncertainty, Springer, vol. 7(1), pages 35-51, August.
    2. Brigitte C. Madrian & Dennis F. Shea, 2000. "The Power of Suggestion: Inertia in 401(k) Participation and Savings Behavior," NBER Working Papers 7682, National Bureau of Economic Research, Inc.
    3. Samuelson, William & Zeckhauser, Richard, 1988. " Status Quo Bias in Decision Making," Journal of Risk and Uncertainty, Springer, vol. 1(1), pages 7-59, March.
    4. Urs Fischbacher, 2007. "z-Tree: Zurich toolbox for ready-made economic experiments," Experimental Economics, Springer, vol. 10(2), pages 171-178, June.
    5. Judd B. Kessler & Alvin E. Roth, 2011. "Organ Allocation Policy and the Decision to Donate," NBER Working Papers 17324, National Bureau of Economic Research, Inc.
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