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One Chance in a Million: Altruism and the Bone Marrow Registry

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  • Bergstrom, Ted C
  • Garratt, Rod
  • Sheehan-Connor, Damien

Abstract

Transplants of donated stem cells save the lives of many patients with blood diseases. Donation is somewhat painful, but rarely has lasting adverse effects. Patients can accept transplants only from donors with compatible immune systems. Those lacking a sibling match must seek donations from the population at large. The probability that two persons of the same race are compatible is less than 1/10,000. Health authorities maintain a registry of several million genetically-tested potential donors who have agreed to donate if asked. We study the peculiar structure of voluntary public good provision represented by the registry, and compare the marginal benefits and marginal costs of expanding the registry.

Suggested Citation

  • Bergstrom, Ted C & Garratt, Rod & Sheehan-Connor, Damien, 2008. "One Chance in a Million: Altruism and the Bone Marrow Registry," University of California at Santa Barbara, Economics Working Paper Series qt2xt1p3gf, Department of Economics, UC Santa Barbara.
  • Handle: RePEc:cdl:ucsbec:qt2xt1p3gf
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    1. 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.
    2. 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.
    3. Carl Mellström & Magnus Johannesson, 2008. "Crowding Out in Blood Donation: Was Titmuss Right?," Journal of the European Economic Association, MIT Press, vol. 6(4), pages 845-863, June.
    4. Alvin E. Roth, 2007. "Repugnance as a Constraint on Markets," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 37-58, Summer.
    5. Viscusi, W Kip & Aldy, Joseph E, 2003. "The Value of a Statistical Life: A Critical Review of Market Estimates throughout the World," Journal of Risk and Uncertainty, Springer, vol. 27(1), pages 5-76, August.
    6. Johannesson, Magnus & Johansson, Per-Olov & Lofgren, Karl-Gustaf, 1997. "On the Value of Changes in Life Expectancy: Blips versus Parametric Changes," Journal of Risk and Uncertainty, Springer, vol. 15(3), pages 221-239, December.
    7. Broberg, Tomas & Ellingsen, Tore & Johannesson, Magnus, 2007. "Is generosity involuntary?," Economics Letters, Elsevier, vol. 94(1), pages 32-37, January.
    8. Jean Tirole & Roland Bénabou, 2006. "Incentives and Prosocial Behavior," American Economic Review, American Economic Association, vol. 96(5), pages 1652-1678, December.
    9. Jones-Lee, M W & Hammerton, M & Philips, P R, 1985. "The Value of Safety: Results of a National Sample Survey," Economic Journal, Royal Economic Society, vol. 95(377), pages 49-72, March.
    10. Duncan, Brian, 2004. "A theory of impact philanthropy," Journal of Public Economics, Elsevier, vol. 88(9-10), pages 2159-2180, August.
    11. Mishan, E J, 1971. "Evaluation of Life and Limb: A Theoretical Approach," Journal of Political Economy, University of Chicago Press, vol. 79(4), pages 687-705, July-Aug..
    12. repec:reg:rpubli:282 is not listed on IDEAS
    13. Bergstrom, Theodore & Blume, Lawrence & Varian, Hal, 1986. "On the private provision of public goods," Journal of Public Economics, Elsevier, vol. 29(1), pages 25-49, February.
    14. Edward P. Lazear & Ulrike Malmendier & Roberto A. Weber, 2012. "Sorting in Experiments with Application to Social Preferences," American Economic Journal: Applied Economics, American Economic Association, vol. 4(1), pages 136-163, January.
    15. Andreoni, James, 1989. "Giving with Impure Altruism: Applications to Charity and Ricardian Equivalence," Journal of Political Economy, University of Chicago Press, vol. 97(6), pages 1447-1458, December.
    16. DEHEZ, Pierre & DREZE, Jacques H., 1984. "State-dependent utility, the demand for insurance and the value of safety," LIDAM Reprints CORE 560, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
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    Cited by:

    1. Bergstrom, Ted & Garratt, Rod & Leo, Greg, 2015. "Let me, or Let George? Motives of competing altruists," University of California at Santa Barbara, Economics Working Paper Series qt48m9547q, Department of Economics, UC Santa Barbara.
    2. Fève, Frédérique & Florens, Jean-Pierre, 2010. "A mathematical model for bone marrow donors' registries and cord blood banks," IDEI Working Papers 623, Institut d'Économie Industrielle (IDEI), Toulouse.
    3. 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.

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