Financial incentives for living kidney donors: are they necessary?

Martin, Dominique E. and White, Sarah L. 2015, Financial incentives for living kidney donors: are they necessary?, American journal of kidney diseases, vol. 66, no. 3, pp. 389-395, doi: 10.1053/j.ajkd.2015.03.041.

Title Financial incentives for living kidney donors: are they necessary?
Author(s) Martin, Dominique E.ORCID iD for Martin, Dominique E.
White, Sarah L.
Journal name American journal of kidney diseases
Volume number 66
Issue number 3
Start page 389
End page 395
Total pages 6
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015-09
ISSN 1523-6838
Keyword(s) bioethics
organ donation
Summary In the face of the perceived failure of altruistic organ donation programs to generate sufficient kidneys to meet demand, introducing financial incentives for living donors is sometimes argued as the only effective strategy by which lives currently lost while awaiting kidney transplantation might be saved. This argument from life-saving necessity is implicit in many incentive proposals, but rarely challenged by opponents. The core empirical claims on which it rests are thus rarely interrogated: that the gap between supply of and demand for donor kidneys is large and growing, the current system cannot meet demand, and financial incentives would increase the overall supply of kidneys and thus save lives. We consider these claims in the context of the United States. While we acknowledge the plausibility of claims that incentives, if sufficiently large, may successfully recruit greater numbers of living donors, we argue that strategies compatible with the existing altruistic system may also increase the supply of kidneys and save lives otherwise lost to kidney failure. We conclude that current appeals to the life-saving necessity argument have yet to establish sufficient grounds to justify trials of incentives.
Language eng
DOI 10.1053/j.ajkd.2015.03.041
Field of Research 1103 Clinical Sciences
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Elsevier
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Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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