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Incentivized Kidney Exchange

Author

Listed:
  • Tayfun Sönmez

    (Boston College)

  • M. Utku Ünver

    (Boston College)

  • M. Bumin Yenmez

    (Boston College)

Abstract

Over the last 15 years, kidney exchange has become a mainstream paradigm to increase transplants. However, compatible pairs do not participate, and the full benefits from exchange can be realized only if they do. We propose incentivizing compatible pairs to participate in exchange by insuring their patients against future renal failure via increased priority in the deceased-donor queue. Efficiency and equity analyses of this scheme are conducted and compared with that of kidney exchange in a new dynamic continuum model. We calibrate the model with US data and quantify substantial gains from adopting incentivized exchange in efficiency and access equity.

Suggested Citation

  • Tayfun Sönmez & M. Utku Ünver & M. Bumin Yenmez, 2017. "Incentivized Kidney Exchange," Boston College Working Papers in Economics 931, Boston College Department of Economics, revised 15 Apr 2018.
    • Handle: RePEc:boc:bocoec:931
    Note: A earlier version of this paper appears as WP 868.
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    References listed on IDEAS

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    1. , & , E., 2014. "Free riding and participation in large scale, multi-hospital kidney exchange," Theoretical Economics, Econometric Society, vol. 9(3), September.
    2. Parag A. Pathak & Alvin E. Roth, 2013. "Matching with Couples: Stability and Incentives in Large Markets," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 128(4), pages 1585-1632.
    3. 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.
    4. 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.
    5. Sönmez, Tayfun & Ünver, M. Utku, 2014. "Altruistically unbalanced kidney exchange," Journal of Economic Theory, Elsevier, vol. 152(C), pages 105-129.
    6. Yeon-Koo Che & Fuhito Kojima, 2010. "Asymptotic Equivalence of Probabilistic Serial and Random Priority Mechanisms," Econometrica, Econometric Society, vol. 78(5), pages 1625-1672, September.
    7. 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.
    8. Roth, Alvin E. & Sonmez, Tayfun & Utku Unver, M., 2005. "Pairwise kidney exchange," Journal of Economic Theory, Elsevier, vol. 125(2), pages 151-188, December.
    9. Nicolò, Antonio & Rodríguez-Álvarez, Carmelo, 2017. "Age-based preferences in paired kidney exchange," Games and Economic Behavior, Elsevier, vol. 102(C), pages 508-524.
    10. Tayfun Sönmez & M. Utku Ünver, 2015. "Enhancing the Efficiency of and Equity in Transplant Organ Allocation via Incentivized Exchange," Boston College Working Papers in Economics 868, Boston College Department of Economics.
    11. Eduardo M. Azevedo & Jacob D. Leshno, 2016. "A Supply and Demand Framework for Two-Sided Matching Markets," Journal of Political Economy, University of Chicago Press, vol. 124(5), pages 1235-1268.
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    Citations

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    Cited by:

    1. Mohammad Akbarpour & Julien Combe & Yinghua He & Victor Hiller & Robert Shimer & Olivier Tercieux, 2020. "Unpaired Kidney Exchange: Overcoming Double Coincidence of Wants without Money," Post-Print halshs-02973042, HAL.
    2. Kim, Jaehong & Li, Mengling & Xu, Menghan, 2021. "Organ donation with vouchers," Journal of Economic Theory, Elsevier, vol. 191(C).
    3. Parag A. Pathak & Tayfun Sönmez & M. Utku Unver & M. Bumin Yenmez, 2020. "Leaving No Ethical Value Behind: Triage Protocol Design for Pandemic Rationing," NBER Working Papers 26951, National Bureau of Economic Research, Inc.
    4. Eun Jeong Heo & Sunghoon Hong & Youngsub Chun, 2022. "The top‐trading cycles and chains solution for kidney exchange with immunosuppressants," International Journal of Economic Theory, The International Society for Economic Theory, vol. 18(1), pages 77-91, March.
    5. Scott Duke Kominers & Parag A. Pathak & Tayfun Sönmez & M. Utku Ünver, 2020. "Paying It Backward and Forward: Expanding Access to Convalescent Plasma Therapy Through Market Design," Boston College Working Papers in Economics 1007, Boston College Department of Economics.
    6. Li, Mengling & Riyanto, Yohanes E. & Xu, Menghan, 2023. "Prioritized organ allocation rules under compatibility constraints," Games and Economic Behavior, Elsevier, vol. 141(C), pages 403-427.
    7. Heo, Eun Jeong & Hong, Sunghoon & Chun, Youngsub, 2022. "Efficient use of immunosuppressants for kidney transplants," Journal of Health Economics, Elsevier, vol. 85(C).
    8. Zhang, Jun, 2023. "Strategy-proof allocation with outside option," Games and Economic Behavior, Elsevier, vol. 137(C), pages 50-67.
    9. Itai Ashlagi & Alvin E. Roth, 2021. "Kidney Exchange: An Operations Perspective," Management Science, INFORMS, vol. 67(9), pages 5455-5478, September.
    10. Balbuzanov, Ivan, 2020. "Short trading cycles: Paired kidney exchange with strict ordinal preferences," Mathematical Social Sciences, Elsevier, vol. 104(C), pages 78-87.
    11. Dengji Zhao, 2021. "Mechanism Design Powered by Social Interactions," Papers 2102.10347, arXiv.org.
    12. Sönmez, Tayfun & Ünver, M. Utku & Yılmaz, Özgür, 2018. "How (not) to integrate blood subtyping technology to kidney exchange," Journal of Economic Theory, Elsevier, vol. 176(C), pages 193-231.
    13. Tayfun Sönmez & M Utku Ünver, 2017. "Market design for living-donor organ exchanges: an economic policy perspective," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 33(4), pages 676-704.

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    More about this item

    Keywords

    Market design; organ allocation; kidney exchange; equity; efficiency; compatible pairs;
    All these keywords.

    JEL classification:

    • D47 - Microeconomics - - Market Structure, Pricing, and Design - - - Market Design
    • C78 - Mathematical and Quantitative Methods - - Game Theory and Bargaining Theory - - - Bargaining Theory; Matching Theory

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