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

Listed author(s):
  • Nicola Lacetera
  • Mario Macis
  • Sarah S. Stith

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.

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File URL: http://www.nber.org/papers/w18299.pdf
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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 18299.

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Date of creation: Aug 2012
Publication status: published as 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.
Handle: RePEc:nbr:nberwo:18299
Note: HE LE LS
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  1. Nicola Lacetera & Mario Macis & Robert Slonim, 2011. "Rewarding Altruism? A Natural Field Experiment," NBER Working Papers 17636, National Bureau of Economic Research, Inc.
  2. Nicola Lacetera & Mario Macis & Robert Slonim, 2012. "Will There Be Blood? Incentives and Displacement Effects in Pro-social Behavior," American Economic Journal: Economic Policy, American Economic Association, vol. 4(1), pages 186-223, February.
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  7. Theodore C. Bergstrom & Rodney J. Garratt & Damien Sheehan-Connor, 2009. "One Chance in a Million: Altruism and the Bone Marrow Registry," American Economic Review, American Economic Association, vol. 99(4), pages 1309-1334, September.
  8. 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.
  9. Orley Ashenfelter & David E. Card, 1984. "Using the Longitudinal Structure of Earnings to Estimate the Effect of Training Programs," Working Papers 554, Princeton University, Department of Economics, Industrial Relations Section..
  10. Alison J. Wellington & Edward A. Sayre, 2011. "An Evaluation Of Financial Incentive Policies For Organ Donations In The United States," Contemporary Economic Policy, Western Economic Association International, vol. 29(1), pages 1-13, 01.
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  12. Byrne, Margaret M. & Thompson, Peter, 2001. "A positive analysis of financial incentives for cadaveric organ donation," Journal of Health Economics, Elsevier, vol. 20(1), pages 69-83, January.
  13. Alvin E. Roth & Tayfun Sonmez & M. Utku Unver, 2004. "Pairwise Kidney Exchange," NBER Working Papers 10698, National Bureau of Economic Research, Inc.
  14. Jose M. Fernandez & David H. Howard & Lisa Stohr Kroese, 2013. "The Effect Of Cadaveric Kidney Donations On Living Kidney Donations: An Instrumental Variables Approach," Economic Inquiry, Western Economic Association International, vol. 51(3), pages 1696-1714, 07.
  15. 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.
  16. Lacetera, Nicola & Macis, Mario, 2010. "Do all material incentives for pro-social activities backfire? The response to cash and non-cash incentives for blood donations," Journal of Economic Psychology, Elsevier, vol. 31(4), pages 738-748, August.
  17. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-In-Differences Estimates?," The Quarterly Journal of Economics, Oxford University Press, vol. 119(1), pages 249-275.
  18. Bergstrom Ted C. & Garratt Rod & Sheehan-Connor Damien, 2012. "Stem Cell Donor Matching for Patients of Mixed Race," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 12(1), pages 1-27, July.
  19. Roth, Alvin E. & Leider, Stephen, 2010. "Kidneys For Sale: Who Disapproves, and Why?," Scholarly Articles 5128483, Harvard University Department of Economics.
  20. 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.
  21. Nicola Lacetera & Mario Macis, 2013. "Time for Blood: The Effect of Paid Leave Legislation on Altruistic Behavior," Journal of Law, Economics and Organization, Oxford University Press, vol. 29(6), pages 1384-1420, December.
  22. Uri Gneezy & Aldo Rustichini, 2000. "Pay Enough or Don't Pay at All," The Quarterly Journal of Economics, Oxford University Press, vol. 115(3), pages 791-810.
  23. 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.
  24. Judd B. Kessler & Alvin E. Roth, 2011. "Organ Allocation Policy and the Decision to Donate," NBER Working Papers 17324, National Bureau of Economic Research, Inc.
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