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Removing Financial Barriers to Organ and Bone Marrow Donation: The Effect of Leave and Tax Legislation in the U.S

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  • Nicola Lacetera
  • Mario Macis
  • Sarah S. Stith

Abstract

In an attempt to alleviate the shortfall in organs and bone marrow available for transplants, many U.S. states passed legislation providing leave to organ and bone marrow donors and/or tax benefits for live and deceased organ and bone marrow donations and to employers of donors. We exploit cross-state variation in the timing and passage of such legislation to analyze its impact on organ donations by living and deceased persons, on measures of the quality of the organs transplanted, and on the number of bone marrow donations. We find that these provisions did not have a significant impact on the quantity of organs donated. The leave legislation, however, did have a positive impact on bone marrow donations. We also find some evidence of a positive impact on the quality of organ transplants, measured by post-transplant survival rates. Our results suggest that these types of legislation work for moderately invasive procedures such as bone marrow donation, but may be too low for organ donation, which is riskier and more burdensome to the donor.

Suggested Citation

  • Nicola Lacetera & Mario Macis & Sarah S. Stith, 2012. "Removing Financial Barriers to Organ and Bone Marrow Donation: The Effect of Leave and Tax Legislation in the U.S," NBER Working Papers 18299, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:18299
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    Cited by:

    1. Nicola Lacetera, 2016. "Incentives and Ethics in the Economics of Body Parts," NBER Working Papers 22673, National Bureau of Economic Research, Inc.
    2. Lacetera, Nicola & Macis, Mario & Stith, Sarah S., 2014. "Removing financial barriers to organ and bone marrow donation: The effect of leave and tax legislation in the U.S," Journal of Health Economics, Elsevier, vol. 33(C), pages 43-56.
    3. Callison, Kevin & Levin, Adelin, 2016. "Donor registries, first-person consent legislation, and the supply of deceased organ donors," Journal of Health Economics, Elsevier, vol. 49(C), pages 70-75.
    4. Bilgel, Fırat & Galle, Brian, 2015. "Financial incentives for kidney donation: A comparative case study using synthetic controls," Journal of Health Economics, Elsevier, vol. 43(C), pages 103-117.
    5. repec:eee:ehbiol:v:29:y:2018:i:c:p:128-137 is not listed on IDEAS
    6. 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.

    More about this item

    JEL classification:

    • D64 - Microeconomics - - Welfare Economics - - - Altruism; Philanthropy; Intergenerational Transfers
    • H41 - Public Economics - - Publicly Provided Goods - - - Public Goods
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy
    • K32 - Law and Economics - - Other Substantive Areas of Law - - - Energy, Environmental, Health, and Safety Law

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