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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. Bruhin, Adrian & Goette, Lorenz & Haenni, Simon & Jiang, Lingqing, 2020. "Spillovers of prosocial motivation: Evidence from an intervention study on blood donors," Journal of Health Economics, Elsevier, vol. 70(C).
    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. Niu, Xiaofei & Li, Jianbiao, 2020. "Incentivizing organ donation by swearing an oath: The role of signature and ritual," EconStor Preprints 203243, ZBW - Leibniz Information Centre for Economics, revised 2020.
    4. Ghanbariamin, Roksana & Chung, Bobby W., 2020. "The effect of the National Kidney Registry on the kidney-exchange market," Journal of Health Economics, Elsevier, vol. 70(C).
    5. Becker, Gary S. & Elias, Julio Jorge & Ye, Karen J., 2022. "The shortage of kidneys for transplant: Altruism, exchanges, opt in vs. opt out, and the market for kidneys," Journal of Economic Behavior & Organization, Elsevier, vol. 202(C), pages 211-226.
    6. Li, Mengling & Riyanto, Yohanes E. & Xu, Menghan, 2022. "Remedying adverse selection in donor-priority rule using freeze period: Theory and experiment," Journal of Economic Behavior & Organization, Elsevier, vol. 194(C), pages 384-407.
    7. Nicola Lacetera, 2016. "Incentives and Ethics in the Economics of Body Parts," NBER Working Papers 22673, National Bureau of Economic Research, Inc.
    8. Trine Tornøe Platz & Nikolaj Siersbæk & Lars Peter Østerdal, 2019. "Ethically Acceptable Compensation for Living Donations of Organs, Tissues, and Cells: An Unexploited Potential?," Applied Health Economics and Health Policy, Springer, vol. 17(1), pages 1-14, February.
    9. Michael Haylock & Patrick Kampkötter & Mario Macis & Jürgen Sauter & Susanne Seitz & Robert Slonim & Daniel Wiesen & Alexander H. Schmidt, 2022. "Improving the Availability of Unrelated Stem Cell Donors: Evidence from a Major Donor Registry," NBER Working Papers 29857, National Bureau of Economic Research, Inc.
    10. 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.
    11. 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.
    12. 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.
    13. Hawley, Zackary & Li, Danyang & Schnier, Kurt & Turgeon, Nicole, 2018. "Can we increase organ donation by reducing the disincentives? An experimental analysis," Economics & Human Biology, Elsevier, vol. 29(C), pages 128-137.
    14. 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.
    15. Stith, Sarah S. & Li, Xiaoxue, 2021. "Does increasing access-to-care delay accessing of care? Evidence from kidney transplantation," Economics & Human Biology, Elsevier, vol. 41(C).
    16. 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.
    17. Leipnitz, Sigrun & de Vries, Martha & Clement, Michel & Mazar, Nina, 2018. "Providing health checks as incentives to retain blood donors — Evidence from two field experiments," International Journal of Research in Marketing, Elsevier, vol. 35(4), pages 628-640.
    18. Bilgel, Firat, 2020. "State Gun Control Laws, Gun Ownership and the Supply of Homicide Organ Donors," International Review of Law and Economics, Elsevier, vol. 63(C).

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    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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