Alex Tabarrock on Using Incentives to Increase Organ Donation. More at http://www.marginalrevolution.com/marginalrevolution/2010/05/changing-views-on-organ-prohibition.html
7. Absurd situation: Whole body donation for medical and scientific uses is often compensated—typically a free cremation.
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12. In Israel in the case of kidneys two points on an 18 point scale are given if the candidate had three or more years previous to being listed signed their organ card.
13. LifeSharers.org is an “organ club.” Anyone can join. Members agree that if their organs should become available they will go first to a fellow LifeSharers member.
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18. We can compensate donors but continue to allocate organs according to the UNOS point system.
19. Compensation need not be upfront but could come in the form of an annuity, tuition voucher or contribution to a retirement plan.
20. In the latter case compensation should be a higher amount.
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23. What would it take to increase cadaveric donation from 8000 to 12,000 a year? $2500, $5,000, $10,000? Assume, $10,000.
24. What would it take to increase live donation from 6,000 per year to 12,000? Assume, $15,000.
China alone has 92 million people with diabetes.http://www.reuters.com/article/idUSTRE62N66220100324I will mention some of these innovative methods from other countries as we proceed.
Need to find two couples who are in incompatible with each other but compatible with their opposite number. Double-coincidence of wants problem.
On whole body donation and incentives seeHarrington and Sayre, 2006. Paying for bodies, but not for organs, Regulation29 (4) (2006), pp. 14–19.
The Organ Donation Law, passed the Knesset in 2008.See Kidney MitzvahL Israel's remarkable new steps to solve its organ shortage.By Sally Satel, http://www.slate.com/id/2242791/Quote from Satel’s article.On PA see Howard, David H. 2007. Producing Organ Donors. Journal of Economic Perspectives 21 (3): 25-36.
Signing an organ donor card under no-give, no-take becomes a type of insurance policy – people have an increased incentive to sign because this increases their chances of getting an organ should they one day need one.
10 kidney transplant chain, 20 people. Pay it forward model.http://www.paireddonation.org/files/peopleMagazine.pdf
Increasing from 8,000 to 12,000 is high but probably doable. Estimates suggest the current recovery rate of donatable arguments is about 50-60%. See Becker and Elias for estimates that the maximum supply is ~ 15,500-24,000.Increasing live donation to 12,000 is clearly doable with the right price since millions would be eligible to donate. Becker and Elias estimate an increase of about 6000 (there increase of 44% includes live and cadaveric donation.)
Note that Commercial fishing fatalities in Alaska (1991-1996) were 140 per 100,000 or 14 per 10,000 per year. The risk to a live donor of a kidney is primarily in the 90 days after the operation and is a one-time risk of approximately 3 per 10,000 (per operation). After the operation there appears to be no additional risk to a kidney donor (donors can live perfectly well with one kidney.) Seehttp://www.cdc.gov/niosh/fishfat.htmlhttp://www.scientificamerican.com/article.cfm?id=kidney-donor-mortality