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Producing Organ Donors

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  • David H. Howard
Abstract
Organ transplantation is one of the greatest technological achievements of modern medicine, but the ability of patients to benefit from transplantation is limited by shortages of transplantable organs. The median waiting time for patients placed on the kidney transplant waiting list is over three years. Median waiting times for hearts and livers are seven months and two years, respectively. From 1995 to 2005, the number of patients placed on the waiting list for organ transplants grew at an annualized rate of 4 percent per year. As a result of the growth in the demand for organs, many observers have questioned whether the current system is capable of providing enough transplantable organs. Transplant physicians and policymakers are seriously debating proposals to pay donors and their families and to change the legal regime governing the process of obtaining consent to donation. This paper provides an overview of the rules and practices that govern the organ procurement system and reviews proposals to increase donation rates, with a focus on deceased donors.

Suggested Citation

  • David H. Howard, 2007. "Producing Organ Donors," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 25-36, Summer.
    • Handle: RePEc:aea:jecper:v:21:y:2007:i:3:p:25-36
    Note: DOI: 10.1257/jep.21.3.25
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    File URL: http://www.aeaweb.org/articles.php?doi=10.1257/jep.21.3.25
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    References listed on IDEAS

    as
    1. 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.
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    Full references (including those not matched with items on IDEAS)

    Citations

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    Cited by:

    1. Ben Brewer, 2020. "Click it or give it: Increased seat belt law enforcement and organ donation," Health Economics, John Wiley & Sons, Ltd., vol. 29(11), pages 1400-1421, November.
    2. Kurt E. Schnier & Robert M. Merion & Nicole Turgeon & David Howard, 2018. "Subsidizing Altruism In Living Organ Donation," Economic Inquiry, Western Economic Association International, vol. 56(1), pages 398-423, January.
    3. Aimone, Jason A. & Ball, Sheryl & King-Casas, Brooks, 2016. "‘Nudging’ risky decision-making: The causal influence of information order," Economics Letters, Elsevier, vol. 149(C), pages 161-163.
    4. Marcela Parada-Contzen & Felipe Vásquez-Lavín, 2019. "An analysis of economic incentives to encourage organ donation: evidence from Chile," Latin American Economic Review, Springer;Centro de Investigaciòn y Docencia Económica (CIDE), vol. 28(1), pages 1-18, December.
    5. van Dalen, Hendrik P. & Henkens, Kène, 2014. "Comparing the effects of defaults in organ donation systems," Social Science & Medicine, Elsevier, vol. 106(C), pages 137-142.
    6. Khetpal, Vishal & Mossialos, Elias, 2018. "An ethical appraisal of living-anonymous kidney donation using Adam Smith’s Theory of Moral Sentiments," Health Policy, Elsevier, vol. 122(11), pages 1212-1221.
    7. Stacy Dickert-Conlin & Todd Elder & Brian Moore, 2011. "Donorcycles: Motorcycle Helmet Laws and the Supply of Organ Donors," Journal of Law and Economics, University of Chicago Press, vol. 54(4), pages 907-935.
    8. de Bresser, Jochem & Knoef, Marike, 2019. "Heterogeneous Default Effects on Retirement Saving : Sledgehammers or Precision Instruments," Other publications TiSEM c889dcee-39b2-4817-99fc-7, Tilburg University, School of Economics and Management.
    9. Zeynep Burcu Ugur, 2015. "Does Presumed Consent Save Lives? Evidence from Europe," Health Economics, John Wiley & Sons, Ltd., vol. 24(12), pages 1560-1572, December.
    10. Jon Diesel, 2010. "Do Economists Reach a Conclusion on Organ Liberalization?," Econ Journal Watch, Econ Journal Watch, vol. 7(3), pages 320-336, September.
    11. Eyting, Markus & Hosemann, Arne & Johannesson, Magnus, 2016. "Can monetary incentives increase organ donations?," Economics Letters, Elsevier, vol. 142(C), pages 56-58.
    12. Ugur, Z.B., 2013. "From headscarves to donation : Three essays on the economics of gender, health and happiness," Other publications TiSEM 9cfb068c-c08e-47aa-8c44-f, Tilburg University, School of Economics and Management.
    13. Tianyuan Luo & Cesar L. Escalante, 2024. "Driver's licences for undocumented immigrants and post‐mortem organ donation," Economica, London School of Economics and Political Science, vol. 91(361), pages 70-92, January.
    14. Jason A. Aimone & Sheryl Ball & Brooks King-Casas, 2016. ""Nudging" Risky Decision-Making: A Note on the Causal Influence of Information Order," Working Papers e07-52, Virginia Polytechnic Institute and State University, Department of Economics.

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