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A Time-Series Analysis of U.S. Kidney Transplantation and the Waiting List: Donor Substitution Effects and "Dirty Altruism"


  • T. Randolph Beard
  • John D. Jackson
  • David Kaserman
  • Hyeongwoo Kim


This paper provides an econometric analysis of the relationship between live and deceased (cadaveric) kidney donations for the United States for the period 1992:IV through 2006:II. We find strong evidence for deceased donor kidneys "crowding out" living donations, potentially undermining conventional efforts to reduce the shortage. We also find evidence for the "dirty altruism" hypothesis of Osterkamp (2006), in which heavy reliance on living donors undermines cadaveric donor transplants.

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  • T. Randolph Beard & John D. Jackson & David Kaserman & Hyeongwoo Kim, 2010. "A Time-Series Analysis of U.S. Kidney Transplantation and the Waiting List: Donor Substitution Effects and "Dirty Altruism"," Auburn Economics Working Paper Series auwp2010-01, Department of Economics, Auburn University.
  • Handle: RePEc:abn:wpaper:auwp2010-01

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    References listed on IDEAS

    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.
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    8. Pesaran, H. Hashem & Shin, Yongcheol, 1998. "Generalized impulse response analysis in linear multivariate models," Economics Letters, Elsevier, vol. 58(1), pages 17-29, January.
    9. Johansen, Soren, 1988. "Statistical analysis of cointegration vectors," Journal of Economic Dynamics and Control, Elsevier, vol. 12(2-3), pages 231-254.
    10. Andrews, Donald W K, 1991. "Heteroskedasticity and Autocorrelation Consistent Covariance Matrix Estimation," Econometrica, Econometric Society, vol. 59(3), pages 817-858, May.
    11. Andrews, Donald W K & Monahan, J Christopher, 1992. "An Improved Heteroskedasticity and Autocorrelation Consistent Covariance Matrix Estimator," Econometrica, Econometric Society, vol. 60(4), pages 953-966, July.
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    More about this item


    Kidney Transplantations; Donor Substitution Effects; Dirty Altruism; Cointegration; Vector Error Correction Model;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I19 - Health, Education, and Welfare - - Health - - - Other

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