An economic analysis of transplant organs

Barney, L. Dwayne; Reynolds, R. Larry

doi:10.1007/bf02303175

Cited by 22 publications

(8 citation statements)

References 3 publications

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“…On the other hand, conventional economic theory opposes a ban on a market for any good, including organs, by arguing that it will cause a variety of inefficiencies, including shortages and dissipation of the “rents” or “quasi‐rents” that normally accrue to the owners of any factor “in temporarily fixed supply.”21 The argument in favor of a market for organs 22,23 is summarized in Figure 2. The supply of cadaveric kidneys under a donor system is shown as S donation and is fixed at 1,000 (for illustrative purpose we have made the hypothesis that a “pure” donor system, without any presumed consent legislation, would procure in France about half of current supply).…”

Section: Would a Market For Organs Solve The Problem?mentioning

confidence: 99%

Researcher‐Driven Versus Policy‐Driven Economic Appraisal: The Case of Xenotransplantation

Moatti

1998

Annals of the New York Academy of Sciences

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Worldwide ethical considerations have led to banning markets for human organs and to promoting supply of organs for transplantation strictly on a donor noncommercial basis. In most industrialized countries, including France, there is a shortage of organs available for transplantation. Following on the earlier debate between Titmuss and Arrow over banning the market for blood supply, this presentation first challenges the conventional economic view that the ban is necessarily responsible for these critical shortages. It will argue that it is the obstacles to adequate exhortation (i.e., the efforts to inform and persuade participants in the donor system who cannot be paid for what they supply) rather than the inefficiency per se of appeals to donor altruism that are the cause of a shortage. The paper will then discuss the way a market for non-human organs may be an efficient alternative to a donor system by supplying a substitute good. Data from a survey in a random sample of the French general population (> or = 18 years of age in June 1997; response rate = 62.0%; n = 1,011) show that less than half of the respondents (42.4%) agreed that xenotransplantations should be developed. Support for xenotransplantation was higher (50.6% vs. 38.2% in the rest of the sample, p < 0.001) among respondents who declare that in case of an accidental death of a family member, they would accept the use of his organs for transplantation, among those with the highest level of knowledge about transplantation (48.6% vs. 39.4%, p < 0.005), and among blood donors (45.9% vs. 38.3%, p < 0.02). Supply of non-human organs should remain under the control of the public sector in order to be consonant with current donor systems for human organs. Recommendations for adequate regulation of the R&D process of non-human alternatives for organ transplantations will be made.

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Section: Would a Market For Organs Solve The Problem?mentioning

confidence: 99%

Researcher‐Driven Versus Policy‐Driven Economic Appraisal: The Case of Xenotransplantation

Moatti

1998

Annals of the New York Academy of Sciences

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“…Were this law to be repealed or amended, buyers would bid the price above the current mandated zero initial price and sellers would respond by increasing the quantity supplied. Consequently, the economic shortage would be eliminated (Adams, Barnett, and Kaserman 1999;Anderson and Barnett 1999;Barnett, Blair, and Kaserman 1992;Barney and Reynolds 1989;Blair and Kaserman 1991;Block 1988;Block et. al.…”

Section: Introductionmentioning

confidence: 99%

A free market for kidneys: options, futures, forward, and spot

Barnett

Saliba²

2004

Managerial Finance

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There is a significant body of literature explaining how a free market for kidneys would eliminate both the economic and the medical shortage of kidneys and thus, in addition to supplying sufficient kidneys for those who become needy in the future, remove the entire backlog of 40,000+ patients waiting for a kidney transplant in the United States. This article is an attempt to fathom the financial and market processes that would evolve were a free market for kidneys to be permitted. Issues addressed include the types of institutions that would likely develop, how transactions would be facilitated, and what would happen to the price of kidneys both in the short and long term.

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“…nomic analysis of the supply of human organs assumes that people simply line up to donate their organs and that the final cost of the donated organs is zero (Barney and Reynolds 1989;Kaserman and Barnett 1991;Pindyck and Rubinfeld 1989, 298-301). This economic analysis assumes that people either are or are not altruistic and that public education efforts to inform them of the need for organs or to exhort them to donate are unnecessary and ineffective.…”

Section: Introductionmentioning

confidence: 99%

The cost of procuring market-inalienable human organs

Thorne

1996

J Regul Econ

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The principal regulatory instrument and the defining feature of organ procurement in the United States is a ban on markets. This study finds the average variable cost of procuring organ donations to have been $1,650 per organ in 1990. Virtually no difference is found between more and less successful procurement organizations in obtaining consent from next-of-kin; what distinguishes successful organizations is their ability to generate more and better quality referrals. These data suggest that procuring organs by donation may be cheap and that more procurement effort might yield more donations. The findings imply that it may be the obstacles to adequate effort, rather than the inefficiency of appeals to donor altruism, that are responsible for shortages.

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An economic analysis of transplant organs

Cited by 22 publications

References 3 publications

Researcher‐Driven Versus Policy‐Driven Economic Appraisal: The Case of Xenotransplantation

Researcher‐Driven Versus Policy‐Driven Economic Appraisal: The Case of Xenotransplantation

A free market for kidneys: options, futures, forward, and spot

The cost of procuring market-inalienable human organs

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