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Loopholes undermine donation: An experiment motivated by an organ donation priority loophole in Israel

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  • Kessler, Judd B.
  • Roth, Alvin E.

Abstract

Giving registered organ donors priority on organ waiting lists, as has been implemented in Israel and Singapore, provides an incentive for registration and has the potential to increase the pool of deceased donor organs. However, the implementation of a priority rule might allow for loopholes – as is the case in Israel – in which an individual can register to receive priority but avoid ever being in a position to donate organs. We experimentally investigate how such a loophole affects donation and find that the majority of subjects use the loophole when available. The existence of a loophole completely eliminates the increase in donation generated by the priority rule. When information about loophole use is made public, subjects respond to others' use of the loophole by withholding donation such that the priority system with a loophole generates fewer donations than an allocation system without priority.

Suggested Citation

  • Kessler, Judd B. & Roth, Alvin E., 2014. "Loopholes undermine donation: An experiment motivated by an organ donation priority loophole in Israel," Journal of Public Economics, Elsevier, vol. 114(C), pages 19-28.
  • Handle: RePEc:eee:pubeco:v:114:y:2014:i:c:p:19-28 DOI: 10.1016/j.jpubeco.2013.12.006
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    References listed on IDEAS

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    Cited by:

    1. Guodong Gao & Tianshu Sun & Ginger Zhe Jin, 2015. "Mobile Messaging for Offline Social Interactions: A Large Field Expeiment," Natural Field Experiments 00571, The Field Experiments Website.
    2. Slonim, Robert & Wang, Carmen, 2016. "Market Design for Altruistic Supply: Evidence from the Lab," IZA Discussion Papers 9650, Institute for the Study of Labor (IZA).
    3. Herr, Annika & Normann, Hans-Theo, 2016. "How much priority bonus should be given to registered organ donors? An experimental analysis," DICE Discussion Papers 239, University of Düsseldorf, Düsseldorf Institute for Competition Economics (DICE).
    4. Herr, Annika & Normann, Hans-Theo, 2016. "Organ donation in the lab: Preferences and votes on the priority rule," Journal of Economic Behavior & Organization, Elsevier, vol. 131(PB), pages 139-149.
    5. Judd B. Kessler & Alvin E. Roth, 2014. "Don't Take 'No' For An Answer: An Experiment With Actual Organ Donor Registrations," NBER Working Papers 20378, National Bureau of Economic Research, Inc.
    6. Eric Budish & Judd B. Kessler, 2016. "Can Agents “Report Their Types”? An Experiment that Changed the Course Allocation Mechanism at Wharton," NBER Working Papers 22448, National Bureau of Economic Research, Inc.
    7. Tianshu Sun & Guodong (Gordon) Gao & Ginger Zhe Jin, 2015. "Mobile Messaging for Offline Social Interactions: a Large Field Experiment," NBER Working Papers 21704, National Bureau of Economic Research, Inc.

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    Keywords

    Organ donation; Experiments; Public goods;

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