Saving Lives Is More Important Than Abstract Moral Concerns: Financial Incentives Should Be Used to Increase Organ Donation

Hippen, Benjamin; Ross, Lainie Friedman; Sade, Robert M.

doi:10.1016/j.athoracsur.2009.06.087

Cited by 43 publications

(41 citation statements)

References 27 publications

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“…However, a perennial objection to providing compensation is the concern, buttressed by ethnographic and case-series studies in developing countries (6)(7)(8), that compensation is per se exploitative (1,9,10). Exploitation refers to ''the unfair distribution of burdens and benefits from an interaction'' (11, p. 337), and entails taking advantage of someone's precarious circumstances (12).…”

Section: Introductionmentioning

confidence: 99%

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Does Financial Compensation for Living Kidney Donation Change Willingness to Donate?

Gordon

Patel

Sohn

et al. 2015

American Journal of Transplantation

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The potential use of financial compensation to increase living kidney donation rates remains controversial in potentially introducing undue inducement of vulnerable populations to donate. This cross-sectional study assessed amounts of financial compensation that would generate motivation and an undue inducement to donate to family/friends or strangers. Individuals leaving six Departments of Motor Vehicles were surveyed. Of the 210 participants who provided verbal consent (94% participation rate), respondents' willingness to donate would not change (70%), or would increase (29%) with compensation. Median lowest amounts of financial compensation for which participants would begin to consider donating a kidney were $5000 for family/friends, and $10 000 for strangers; respondents reporting $0 for family/friends (52%) or strangers (26%) were excluded from analysis. Median lowest amounts of financial compensation for which participants could no longer decline (perceive an undue inducement) were $50 000 for family/friends, and $100 000 for strangers; respondents reporting $0 for family/friends (44%) or strangers (23%) were excluded from analysis. The two most preferred forms of compensation included: direct payment of money (61%) and paid leave (21%). The two most preferred uses of compensation included: paying off debt (38%) and paying nonmedical expenses associated with the transplant (29%).

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Section: Introductionmentioning

confidence: 99%

“…While education, paired exchange and expanded criteria donors have helped slightly, the organ demand still greatly exceeds supply. Within this milieu, proposals to introduce financial compensation for organ procurement from living and deceased donors have garnered increased attention and debate (1)(2)(3).…”

Section: Introductionmentioning

confidence: 99%

Does Financial Compensation for Living Kidney Donation Change Willingness to Donate?

Gordon

Patel

Sohn

et al. 2015

American Journal of Transplantation

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“…Failure to increase transplant rates results in unnecessary loss of life, significant public expenditure on an inferior therapy (dialysis) and a thriving organ trafficking trade. 5 In New Zealand, as elsewhere, there are increasing numbers of people on dialysis (2381 in 2011) 6 and a growing waiting list for a deceased donor transplant (nearly 700 people in 2011). 7 However, only 108 renal transplants were performed in 2012, half from living donors.…”

Section: Introductionmentioning

confidence: 99%

Living donor kidney transplantation: preferences and concerns amongst patients waiting for transplantation in New Zealand

Martin

2013

J Health Serv Res Policy

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The preferences and concerns of patients in New Zealand are similar to those reported elsewhere. Education needs to address the concerns of patients and ensure they have accurate knowledge about living donation. Concerns about financial impacts on donors, however, arise from New Zealand's policy of not fully reimbursing living donors for lost income and cannot be addressed through improved education.

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“…(Naqvi et al 2007;Delmonico 2007) The consequences for entire communities in the Punjab reportedly have been dire. (Moazam et al 2009) Lainie Ross has held up to criticism the image of bodies of the world's poor being harvested as natural resources-and left as waste, just as their lands and other natural resources also have been (Hippen et al 2009). Michele Goodwin's (2006) documentation of a ''black'' market in organs reveals both the exploitation and racism implicit in underground sale of organs.…”

mentioning

confidence: 95%

Stateless Crimes, Legitimacy, and International Criminal Law: The Case of Organ Trafficking

Francis

2010

Criminal Law, Philosophy

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Saving Lives Is More Important Than Abstract Moral Concerns: Financial Incentives Should Be Used to Increase Organ Donation

Cited by 43 publications

References 27 publications

Does Financial Compensation for Living Kidney Donation Change Willingness to Donate?

Does Financial Compensation for Living Kidney Donation Change Willingness to Donate?

Living donor kidney transplantation: preferences and concerns amongst patients waiting for transplantation in New Zealand

Stateless Crimes, Legitimacy, and International Criminal Law: The Case of Organ Trafficking

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